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Citizens - Appraisal for homeowners and halting ordinance in law/personal items coverage.
Hi all! So I'm in the appraisal process for my homeowners- mine is a hurricane claim (wind only not flood damage). Do they halt processing stuff like ordinance in law while they are in the appraisal process? What about personal inventory items (yes, 5 months since milton and they have done nothing with that)? I want them to see the house stripped down so we still have another month until appraisal. What should I do? I have waited a very long time to replace things. I need stuff like a frige and other essentials. Atleast for the personal items i feel like i should get atleast an "estimate/supplement" thing generated before they start using it as a tool to negotiate paying me less.They said it will be resolved at the end but they have not been forthcoming to resolve anything nor do we see an end in sight. We are kinda going out on a limb and assuming that we are going to sue even after appraisal.
It's Florida and this is with citizens if that info is relevant.
Priority Health - Priority Health: how is "$2000 out of pocket" not "$2000 out of pocket"?
So my son receives ABA services through a tier 1 provider. This goes through deductible and coinsurance. $650 individual deductible, $2000 coinsurance (minus prescription and copay, solely for him, the numbers mentioned don't apply to family deductible). $0 is covered until the $650 is hit, 80% is covered until $2000 is hit, then 100% covered after.
So I call up insurance because last year's bills are much higher than expected. I don't even know the total yet for just last year. And I can't look at the online EOBs yet until tomorrow.
So, $650 is covered very quickly. Then there's a $6000 bill (for one date of service) sent to insurance. 80% is covered, we cover 20%. This is where I get so confused. Apparently because the first day wasn't processed first ($11,000) and this $6000 was processed first, she said we are actually paying so much less money overall for the year. We have to pay for the 20%... But it doesn't sound like it counts towards the $2000? We might be paying a total of $4,000-$5,000 once this is all said and done.
It went like this...
"So if I've already paid the $2,000 towards ABA, why do I have to pay over that?"
"Because you're responsible for 20% after the $650 is paid until you reach the $2,000. You're actually paying so much less because that $11,000 wasn't processed first, so you're coming out on top. Otherwise you would have had to pay $2,2000."
My brain hurts. I don't know what's going on. That would have put me over the $2,000 and it sounded like he still wouldn't have been considered as reaching the $2,000....
Someone please explain 😭
Progressive - Auto insurance sources
I have been driving for nearly 25 years. I have nearly a completely clean record but didn't drive for a while up until a couple years ago.
I am looking for any suggestions for sources to get the beat rates possible. Are there Any websites anyone knows of that are noteworthy? And trustworthy?
I love my agent but I can't keep paying progressive $2000 a year (discounted 200-300 every 6 months for paying in full) for basic state minimum coverage (no collision etc)
Lemonade - Any advice on how to deal with a probable rejection that will likely result from inaccurate vet notes?
I've had pet insurance with Lemonade going on five years for my cat. I just had to submit a claim for her, but I'm super worried I'm going to get a rejection because the nurse took inaccurate notes. When we were discussing my cat's history, I said that her chronic gastrointestinal issues started after her first attack of pancreatitis 'shortly after she was adopted.' The nurse instead noted that her chronic gastrointestinal issues started 'right after adoption.'
I'm super worried that this will lead to my claim being rejected and my former claims being marked as fraud. Her issues didn't start until about 3-4 months after I got her vet insurance, and that was after the illness waiting period had passed. They covered her pancreatitis when it occurred in March 2021, and I adopted her in November 2020. Does anyone have any advice on how to prepare for the rejection which I assume is coming? Is the only thing I can do is ask the company to review her old vet records and see how they don't line up with what the nurse typed before that moment? Any advice is welcome!
Progressive - Credit Dispute with Progressive Insurance
I was with progressive and I stopped being with them after an accident happened that I was put at fault, even though I wasn’t. Due to my lack of knowledge of how to even report an accident. After I paid my final bill from progressive they issued me another fee and so I didn’t pay it and now it’s affecting my credit which I want to get the claim off, but I don’t know how to explain that I was charge additionally for something that I honestly don’t know what the fee is for.
Progressive - car stolen, recovered and I want to keep it, lein holder wants it totaled
Hi
Last month I bought an older truck after having it 2 days it stolen from in front of my apartment in SE Portland OR. I filed a cliem, the car was recovered, YAY! Not so fast. The adjustor decided the car was not worth repair. Progressive called the leinholder and they decided to total the car. As a person that used to be a mechanic I wanted the car because I could fix it for less than 1500. When I called the lender I was told, "it is better for me and better for you". The lender is wanting me to pay the difference between the orig loan amount and what insurance pays.
My position is, the lender take what is offered, apply it to the balance and I continue to make the payments. He will get his money, I'll get the car and we are both happy. The issue is, I didnt have the chance to explain that to the lender (buy here pay here lot) the decision to total the car was made without speaking to me about it.
What are my rights?
Care Credit - Credit Card limit decreased for no reason?
I'm 34 F. I've had a Care Credit account for several years now. I use it for medical expenses and vet bills. I always pay it off early with the no interest promotional financing and it had a limit of $7,000. Today I got a notification from Credit Karma that my score had changed. I checked it out and it was due to my Care Credit limit being slashed to $1,124 dollars? Why? I have a good credit score? I pay my bill on time or early? I called to get the limit back up and I was only approved for $3,000 and some change.
Progressive - Car accident in FL
Got into a crash in the state of FL, parked in a parking spot and had to realign myself to be straight. The parking spots are aligned at a 45 degree angle. I reversed just enough that my rear wheels were visible, there was no vehicle next to me parked that could’ve potentially been blocking the vision of my vehicle, I was in the travel lane and as I was about to shift into drive, a vehicle driving westbound hit me in my rear-end and spun me around facing the opposite direction of travel, the whole back end of my vehicle is smashed in and not drive-able. It’s a 15mph travel zone and safe to say nobody drives 15mph through this spot. The damage of my vehicle definitely looks like more like 25-30mph. Cops talked to me and other driver but in the written statement wrote that I was reversing and then got hit which wasn’t true. Also said that it’s a no-fault state and so she could’ve written me a ticket. I’ve only had the car for barely a month and paid $3k for it, I have progressive insurance at the state-minimum required. After the crash my back and shoulder hurt.
I just want to know what can I do, any help is really appreciated because I need a new car as soon as possible.
Location: Florida
Progressive - Progressive misled me to believe if I totaled my car they’d negotiate with the leinholder to lower the balance I’m underwater on
Had collision (not gap) .
Lots of body damage, but totally drivable.
Quoted at $1500 in repairs (after deductible),
The car is an EV and I’ve wanted to trade it for a gas car, but I owe way way more than it’s worth so haven’t.
The claims adjuster told me repeatedly on the phone they’d negotiate with the lienholder if I had their tow truck come and pick it up and progressive could total it so obviously I happily agreed.
Claims adjuster gets back to me, says they’ll send my leinholder 3k after my deductible (this is a fair value of the car) and I’ll still be responsible for the remainder of the balance.
The remaining balance is 9K. (I know, I know..)
I asked what happened to negotiating, he just gaslighted me that that’s not his job and he said he’d *maybe* negotiate.
So I ask for my car back, he said, no I can’t have my car back. How is that possible?
I haven’t signed anything yet, but I don’t get why they pressured me to agree to paying out my lienholder 3k vs 1500 payout to me (after deductible)
I’ll be left with no car and 9K in debt? How can that be legal? Help?
Edit : by asking for my car back I meant , can I have my car back and then they send me the original check for the body damage repairs
UnitedHealthcare - Billed for yearly preventive checkup?
I'm a 24 year old male in NE with UnitedHealthcare. I make approximately $82k gross. I've had UHC for a few years now and have always done my yearly preventive checkup, which was always 100% covered until now. I've contacted both my provider and UHC trying to figure out why I'm suddenly being billed. When I check my claims, the labs given were mostly covered by my plan, with small amounts for each service charged to me.
* Labs:
* 80061 LIPID PANE,
* 84439 ASSAY OF FREE
THYROXINE,
* 80050 GENERAL HEALTH
PANEL,
* 81001 URINALYSIS AUTO
W/SCOPE,
* 36415 COLL VENOUS BLD
VENIPUNCTURE
* If I have to pay my deductible before labs being covered, why are they covering ~77% of my cost anyways? If they're 100% covered, why do I have any deductible?
* My insurance says it was coded incorrectly, but my provider says it was correct.
* I asked my insurance to compare my previous years' coding to my current claim, and they said it was the exact same thing. CPT and Z codes.
* I was given a follow-up call and sent [this pdf](https://www.uhcprovider.com/content/dam/provider/docs/public/policies/comm-medical-drug/preventive-care-services.pdf) which details which codes are considered preventive, and I think I see my labs aren't? But I don't really understand what it all means, and either way it's the same coding as previous years, so why were they covered before but not now? Why cover them partially?
* If the guidelines have changed, am I responsible for tracking that and telling my doctor what to do at my yearly checkups?
* Is there a super simple explanation for why I'm being charged? Does the insurance have a max payout which the provider over-charged, leaving me to pay the rest? How can I tell?
Thanks, this is all very confusing and frustrating to deal with. I don't know much about insurance or anything, but I feel like this is wrong somehow.
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