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Anthem - Anthem denied BRCA 1/2 test saying “once per lifetime” — but I’ve never had it before
Hi all,
Hoping someone here can help me make sense of this or share advice on next steps.
I recently had a BRCA genetic test done through Labcorp. Before the test, I received an estimate of $43.17 and got pre-authorization from Anthem. Everything looked good, so I went ahead.
Now I’ve received an EOB from Anthem denying the claim. They say I’ve reached my “once per lifetime” limit for BRCA testing—and they’re expecting me to pay $3,000 out-of-pocket.
I called Anthem, and they said the correct CPT codes were used and the denial is based solely on the lifetime limit. But I have never had BRCA testing before. It’s my first time. Anthem is now reviewing the case, but I’m trying to understand what might have gone wrong.
My theory is that their system may have logged the pre-authorization itself as a completed test, and when the actual test was billed, it triggered the “second” test denial. Has anyone seen something like this happen?
Thanks in advance!
Farmers Insurance - Homeowners liability coverage
I am trying to understand my Farmers insurance homeowners liability coverage and farmers isn’t being helpful at all. Basically what happened is while my wife and I were out of the country, my child accidentally kicked my sprinkler line near the drip system and broke it. Long story short, it flooded a room in my neighbors home over about a 7 day period. They just kept mopping it up and hoping it would stop. I’m not sure why they let it go on for that long but they did. Anyway it ruined some of the floor and caused some moisture to settle into the drywall. It was about a 15 ft x 15 ft area of water damage. Will my homeowners liability insurance cover the water damage in this situation?
Geico - Car insurance just went up and I can’t afford it. What can I do?
My car insurance was already extremely high (young driver, NYC), but my policy is set to renew after this month and I just got a notice that it’s going to be even higher. I called Geico customer service to ask what changed, especially since I hardly ever drive anymore (I began driving because I went to college out of state and enjoy the occasional trip to nearby states) and the last time my policy was adjusted, there was a big drop in the payment. Plus, I’ve never been in an accident and don’t have any tickets. The answer I got was that essentially, car insurance is up in New York State, and the adjustment reflects that. I can’t comfortably afford my new insurance rate, and my car is financed, so I’m not really sure what to do. Please help!
I checked some other providers, but the quotes were much higher. Over $1,000 per month, so that’s absolutely not an option. Has anyone ever been in this situation? Honestly, since I don’t drive much anymore and NYC has the MTA, I’m willing to give up my car if it’s possible, I’m just not sure if that’s really an option?
Aetna - Reverse a processed claim - Aetna
I got a MRI done two weeks ago. When I scheduled the appointment the staff told me they didn’t know the amount to be billed since my insurance is a high yield deductible and no copay. They mentioned that if I want to pay out of pocket without using my insurance it would be $500.
Fast forward I received a processed claim from Aetna saying that I need to pay $920 and that the X-ray company billed them $1,200.
Is there any way to reverse this? I feel scammed by both the X-ray company and Aetna. Can I fight back a processed claim?
Chase - Am I Eligible for Chase $900 Bonus?
I originally signed up for the Chase $900 bonus approximately 18 months ago, but didn't end up depositing any money into either the checking or savings accounts (ended up not having enough liquidity at the time due to unexpected events).
They ended up closing both accounts after 30 days with a $0 balance on both. I confirmed this with a Chase representative on the phone. However, he claimed I was not eligible even though I would appear to technically meet the eligibility criteria (account not closed in the last 90 days; no accounts closed with negative balance in the last 3 years; only allowed to receive one new checking and one new savings account opening bonus every two years from the last coupon enrollment date and only one bonus per account). He claimed that I had closed my account too recently, even though the plain text of the offer would seem to suggest otherwise.
Has anyone had any experience with a situation like this?
Is there something else I'm missing here as to why I might not be eligible?
Will Chase let me know whether I am eligible or not when I open the accounts? Or do I only find out when I end up receiving (or not receiving) the bonuses?
Thanks in advance for any advice.
State Farm - Car Insurance costs. Am I overpaying?
Just got my renewal notice, and my car insurance jumped to $280/month out of nowhere. No accidents, no tickets just the usual "rate adjustments."
I drive a 2017 Toyota Corolla, full coverage, and I’m with State Farm right now. I mostly use my car for commuting (about 30 minutes each way), and I’m in my early 30s.
For those of you with clean records, what are you paying, and who are you insured with? Thinking it might be time to shop around.
Appreciate any recommendations! 🚗💨
State Farm - Coverage A vs Increased Dwelling
I reached out to my State Farm rep about why my homeowners insurance went up 30% this year and he said “that’s just what they’ve been seeing lately” and offered to decrease my Coverage A and Increase my Dwelling coverage to bring down the premium. The total replacement cost covered would remain the same.
He was selling this as effectively being identical if we would be rebuilding in case of a disaster, but something doesn’t pass the smell test. Has anyone else opted to do something similar? He was unable to articulate why State Farm would do this if the coverage was the same. He only
Personal coverage would decline as a percentage of coverage A. Is there anything else I’m missing or anything else I should ask?
Progressive - Follow up on out of state student car insurance
So, in December my son took one of our cars from Florida to Virginia for university. VA required limits are much higher than in FL and changing the limits, plus garaging the car in VA, raised our Progressive policy to almost 3 times it's cost.
Instead, it was suggested by the insurer we get a different policy for the car in VA. And we did so, through Geico.
Now we have 1 policy in VA for my son and I and 1 car. One policy in FL for my son and I and the other car.
Today, I received a notice from the state of FL that they are going to cancel my registration because the Cadillac (car in VA under Geico policy) doesn't have insurance, according to their records). Sigh.
Will FL accept the VA policy? I can't really register the car in VA since I don't live there and the car is in my name. And both the kid and I have FL licenses because he is a student, so his residence is still FL.
Is the only solution to pay 3 times the amount?
State Farm - At fault auto insurance company won't pay whole bill advice needed
Some one hit my vehicle while it was parked in Tennessee. I got a police report showing they were at fault. When they contacted me to get it fixed I did not go with a body shop in their network. They said that was ok.
Now the car is almost fixed and the body shop said the insurance company won't pay the amount the body shop said. It is a difference of $135 from a $1500 bill they already paid.
What should I do? They said because I didn't use their network body shop it was not guaranteed to pay everything. I also have a rental from them. I called twice today to talk to the insurance supervisor and have not got a call back. It is state farm.
Thanks for the advice.
TD Insurance - Could I possibly be reimbursed for the deductible I paid, since I was not at fault in the accident?
[Ontario, Canada] Might not be the best place to ask this, but I was unable to find anywhere else.
Following a car accident that was not my fault, my vehicle was totaled. My insurance provider, TD Insurance, paid off the car loan, and during the process, the agent proposed deducting my deductible from their payment to the finance company, with the understanding that they would later recover this amount from the other party's insurance. However, almost six months have passed, and I have yet to receive the deductible reimbursement. When I inquired, the TD agent explained that they have had difficulty contacting the other insurance company, citing a recent instance where they were on hold for over an hour without success. As this is my first experience with such a situation, I would appreciate guidance on how to proceed.
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