I have a health plan with Aetna, and for specialist office visits, the copay is $65. For outpatient diagnostic testing, there is no charge, no copay, and no deductible applied. I went to my specialist's office for a blood test with a nurse, without seeing the doctor. A few weeks later, I received a bill from the doctor's office showing that I owe $65. I called my doctor's office, and the finance department said they billed using CPT code 36415, which is correct. Then I called Aetna, and a representative said, "Because the lab is an in-house lab at my specialist's office, if I go to a doctor's office for outpatient diagnostic testing, the $65 copay applies since I received a service from the provider." Is this correct? I had blood work done at other specialists' offices last year without seeing the doctor, and I wasn't charged the $65 copay. Did Aetna change their terms this year? Has anyone had a similar experience? Is it normal for Aetna to categorize diagnostic testing done in a specialist's office as a doctor's visit?

Location: Wa State, USA Last month I went to the ER, while they there asked about billing insurance and I told them to use my state provided insurance which they had on file. Apparently they charged insurance from a provider from my old job which i haven’t worked at since December of last year. I never signed up for health insurance from my old employer. I did have dental through them at one point but that was it. Today i get a bill from United Healthcare that states i owe them $4300 from my hospital visit when I shouldn’t even have their insurance in the first place. I’m not sure where to start to get this resolved. My old employer? Hospital? Lawyer? I’m not even sure if this is the right sub for this but I’m just angry and confused so any help would be appreciated.

Hey everyone, I'm currently living in CA and am on an Anthem Select HMO through my employer - my entire family (wife, daughter, me) are covered under this plan. My wife is currently pregnant with #2 due in September. However, my family will be moving to Pennsylvania in a couple months, and I will likely be staying with my same employer/plan (this is still to be confirmed but seems like it'll be the case). However, the Anthem Select HMO does not have coverage in the area we will be moving to, but the company also offers PPO options that do have coverage in the new area. Will moving across the country, at which point my coverage would essentially be lost, count as a qualifying life event and allow us to switch to the PPO coverage? I tried to reach out to the insurance company, but they said they can't make that determination. Is it a state requirement that determines it? If so, would it be CA state or PA state that would take precedence? I'm waiting to explore further with my company until it's for sure that I'll be staying with this employer as we're kind of keeping it on the hush-hush until it's official. Curious on your guys thoughts.

I recently got into an accident, where I was the only one driving, and there was no one else in the vehicle with me. I was reversed into and the other person that was driving only provided me with their ID, no insurance, and they only had a temporary plate on that was expired. Key note: they were at fault and offered to pay for it but my car is 2024 vehicle so I need to claim diminishing value. My insurance after submitting my claim, reached out to them, but they have not responded. Now my insurance wants my excluded family members insurance information even thought they were NOT in the accident. I don’t think this is normal and a bit sketchy. Any thoughts or recommendations? I’m thinking of looking into an insurance client advocate or legal help if needed. For reference, I live in LA county California

My gfather took out a whole policy on my kid when she was born, then died about 10 years later and never mentioned it to me. I would get something sometimes in the mail from mass mutal but didn't know what it pertained to. Stupidly I ignored it thinking it would just cancel with non payment. Now I finally logged in and it says I have a loan going on $1700 because I guess it was paying the premium! What do I do??! Cancel it and then am I responsible for paying back???? I am the mother of the insured but had no idea he did something like this without my consent?!!

I just had my first mammogram (just turned 40). My breast are extremely dense. Otherwise, normal/negative mammogram. I did the ABUS and now they want me to come back for additional ultrasound due to artifact versus true mass. At this point, I don’t really trust the ultrasound because of how dense my breasts are. The ultrasound lady kinda laughed at how white the screen was after she did the imaging. So here is my question: has anyone with extremely dense breasts ever gotten a screening mri of breast covered for extremely dense breasts? Not really counting on being able to do it as a screening test at this point because I’m probably now only able to diagnostic tests due to the ABUS findings. Asking for future testing mostly. I called BCBS and they were useless. I asked “if I have extremely dense breasts and my doctor puts that as the ICD:10 for a screening mri of breast will it be covered?” It lists screening mri of breasts as covered on my EOB. The lady on the phone couldn’t answer me. Appreciate any insight. Thank you!

Me and my girlfriend purchased a 2020 Rav 4 like a week or so before Christmas. We got GAP insurance and got Progressive insurance that next day or so. She and 2 others drivers were hit by an 18 wheeler less then a month later back in January while they were parked at stop light. The 18wheeler driver was in the CDL drivers ed program at a local community college and didn’t swing wide enough and ended up dragging our RAV4 and 2 other cars. And of course we got the worse of the damages and ended up getting totaled. We put $3K down as a down payment and paid the 1st car note like a week early. After several weeks of back and forth and getting police report correcting and etc, we are stuck without a car now. Progressive paid out enough to pay off the car and had like $380 leftover for us. Our adjustor said they didn’t need to use GAP or it wouldn’t help. Is that correct? Cause even after we can the deductible and rental reimbursements back, it’s still not enough compared to what we put in. And all that has to go into subjugation. And then he said all that won’t be processed till and medical/bodily harm stuff is settled and they will do all of it at once. I guess we are just still shocked and disappointed cause basically got screwed by an unfortunate event. But I just knew the GAP would get us back in something else. Any suggestions or corrections?

I have been dealing with new health issues and it’s freaking me out. I was previously on medicaid under my mother but became ineligible after I turned 19. I cannot enroll for myself because I was denied twice already for other reasons/don’t meet this “qualification.” Before that happened, I was with a provider who ordered a scan for me that showed something but I had to cancel the appointment after losing coverage. My mother then unfortunately put me under a plan under UHC but after I started having issues with them (plus all the things that’s been said about them in general), I’m thinking I should look for another. I’m not sure where to go from here though because it’s passed the enrollment deadline since a while ago and I do not meet any of the special circumstances to enroll. Both of my parents are on medicaid so that’s not an option for me anymore. (for context I am 20F in college, currently don’t work a job, and from Illinois)

I brought my 2022 Low Rider ST (model FXLRST) down to Florida for Daytona bike week, and unfortunately I was hit by a Ford E450 and my bike was totaled. When progressive calculated the motorcycle’s value they used JD Power and with “standard” equipment they said my motorcycle is worth $16,040. However, if I were to select “options” I’m able to select all standard equipment that isn’t optional and it increases my motorcycle’s value to ~$18,300. That’s a significant difference. The “optional” equipment in question are things like a full fairing, oil cooler, cruise control, high performance exhaust, security alarm, saddle bags, and a standard suspension. All those aforementioned features come on the bike straight from factory and are in fact not optional at all. They are as standard as A/C and AM/FM radio in any modern car. The bike just comes with that stuff and that price of those things are factored into the MSRP. This is completely separate from my accessory coverage to cover things like a custom seat, better headlamp, new foot pegs, flat out crash bar, etc… those are all aftermarket and wouldn’t count towards the base price. I’m aware of the difference and am not talking about those items. I’ve forwarded my bill of sale to show that none of those features were options that were installed at the time of purchase and any field adjuster could with the help of a service professional could identify every feature on the bike. So why is Progressive so confused? Where is the disconnect?

I recently settle down with Geico for an auto damage cost and they sent me a link where I can put my banking information for direct deposit, despite verifying with the bank about the entered information being corrected the website still shows "please verify the information for accuracy" I even used a family members card which didn't work, so then they automatically issued a check which never came despite being more than 10 days, I called them again and they said there's nothing they can do but issue a new check or redo the direct deposit which I did and still failed to verify the banking information, I suspect this is a system error, I'm currently waiting for the second check but I'm very anxious whether the check is gonna come or not? What should I do in this situation. Geico isn't able to track where my check goes