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Insurance companies are constantly reviewing us. Are we too old? Do we live in the wrong place? Is our credit score high enough? Well, now it's time to turn the tables. Do you charge too much? Will you pay my claim quickly? Is your coverage worse than it seems? We can review you too.
Cigna - Cigna not paying for In Home Sleep Study
Edit: It looks like this was my deductible. It looks like I didn't fully understand how things were billed before/after my deductible was met. Thanks for the help everyone!
I recently received a bill for $275 from an in-home sleep study. When looking at my EOB it says that the ammount billed was $450 and Cigna negotiated a $175 cost reduction, however under "What Cigna Plan Paid" the amount is listed as $0. Also, the provider network status is listed as "IN NETWORK". I was operating under the assumption that this at home sleep test would fall under the other lab work from an independent lab category and would be billed at 15%. Not sure if this is necessary info, but I am located in California.
My questions are:
1. Does anyone know what an in-home sleep study would be classified as when it comes to how it is billed?
2. Is it possible to contest this with Cigna to get them to cover more?
3. Is it possible to negotiate this bill with Virtuox in the event that Cigna will not budge?
Erie Insurance - Someone took out a policy on my home
We purchased (with a mortgage) our house April 2023 in WV. Sorting and opening mail today. I opened an envelope from Erie Insurance assuming it was my renewal paperwork. No it's a policy continuation notice for a tenant policy held in someone's name I'm not affiliated with in anyway (it is addressed to them but did not realize as I just opened without looking assuming it was my policy info). 20k personal property coverage with a monthly premium of $245.
We're new to the area, having moved here from TN and have kept to ourselves. Small town with a population of barely 2k. So I 💯 do not know the person or have ever spoken to them. The kicker? When I look this person up he's a cop for my county. And the agent that wrote this policy is 5 blocks from my house off the main road thru town.
WTF do I do here? I'm concerned that this is a policy held by a local younger cop near me. A LONG time ago this was a multi unit home, but the previous owner we purchased from owned for 10 years as a single family home so it's not likely it's a policy that has just been continually carried over (why I mentioned they're younger) for the last 10+ years.
Progressive - Proving Headlights Weren't On
US Florida. I was involved in a car crash recently and don't know what to do. What happened was that I was exiting a fast food drive thru late at night. The drive thru exits onto 4-lane divided road and there is a stop sign controlling the intersection. I stopped at the stop sign and looked down the road to see if it was clear. I saw no oncoming traffic, so I turned right into the left lane as I was intending on taking a U turn at the next available place which is fairly close to where I entered the road. (Yes, I know this is illegal. I got a ticket for this and I know I won't be getting out of it.) As I turned into the left lane, I collided with another driver who was driving in the left lane. I did not see this other vehicle whatsoever even though I looked before I entered the road. Damage to both vehicles was minimal and neither of us were injured. We were able to move to a nearby parking lot before the police were called to the scene and we exchanged information. At the time I was freaking out about the whole situation and not thinking clearly and only remized later that the other person's headlights obviously weren't on, otherwise I 100% would have seen them. I tried emailing my insurance company (Progressive) that was handling the case, but never got any response. There are traffic cameras at the nearby major intersection as well as security cameras from nearby businesses that I believe would be able to help, but I can't get any footage from them. I asked in person at the businesses and called the police department and they all told me insurance would have to handle it. So what do I do? Do I have to get a lawyer? Is it even worth it to do so?
State Farm - Bank won’t deposit my insurance check?
I had a home claim, and State Farm issued a check made out to me, my mortgage company, and the down payment assistance program I used.
I had both parties endorse the check (which was already kind of tedious process that took 2 weeks) and now US Bank says they won’t accept the mobile deposit because the payee doesn’t match the name on my account.
I called customer service to explain, and they said US Bank won’t accept deposits unless the account names match. I did call after regular hours so maybe it’s an overnight service that has bad info.
But surely 1) this isn’t a particularly unique situation and someone at US Bank has to know what the protocol 2) the standard here can’t be that I have to open up a bank account with both the down payment assistance program and my mortgage holder, can it?
I feel insane that I can’t find any info about this online, so I’m hoping that means there is a way.
ETA: Ended up having to mail it to a branch! But for future readers, no, you are not expected to set up an account with you and your mortgage lender, thank goodness!
Progressive - Applying out of pocket costs towards a deductible?
Windshield had some severed cracks that started to spider out and had to be fully replaced/recalibrated.
Before having it fixed, I filed a claim with my insurance company (progressive). My claim was denied as I hadn’t yet met my comprehensive deductible and didn’t have glass coverage at the time. I added the glass coverage a couple weeks after the claim was denied to make sure I’m covered in future events.
I finally saved up enough to have the windshield replaced and recalibrated just this week.
My question: Is the amount I paid out of pocket for this replacement eligible to go towards my comprehensive deductible for any future issues?
My biggest concern is that I just don’t want it to look like I’m trying to commit insurance fraud by submitting a second claim for the same thing after just adding the glass coverage.
Appreciate any help.
Cigna - Employer offers three tiers of health insurance, open market plans are similarly priced
I work for an employer that does Cigna healthcare with three tiers, but the costs for all three plans are similar to the three tiers that Blue Cross Blue Shield offers on the open market. I currently have a premium plan with BCBS for ~$1400/month and my employer’s premium plan is also ~$1400/month.
How do companies get away with “offering” healthcare insurance that isn’t subsidized at all? This seems very disingenuous
Progressive - Progressive Diminished Value Claim
Progressive offered me $750 for diminished value based on costs they incurred for the claim. They did not even consider the actual cash value of the vehicle. For context, this is in Texas and the claim was made on the other parties insurance and I was found at no fault. The car is a brand new BMW M2 and the total repairs estimated around $4-$5k including labor. There’s definitely more than $750 of diminished value since this is a performance car and now has an incident on the car fax.
According to the representative, they are not willing to offer more even if I get an estimate of the actual cash value. Do I have any options outside of just accepting what I was given?
State Farm - Car Vs Pedestrian
Car Came In Contact With Pedestrian
Hello All, I would just like some community input.
My mother a few days ago was driving her car in Queens, NYC, she was going about 18mph, when a pedestrian backed into traffic and came in contact with her car and was taken away by Ambulance, No damage to my mother's car and she was not injured. NYPD came and took a report and my mother's insurance. Other party literally hired an "Ambulance chaser" the next day.
In the NYPD report they state what the pedestrian said, "pedestrian pulled over her car at body shop to be looked at, she stated she opened the hood and a splash of water spewed out and startled her and she jumped backwards" (NYPD did not witness the accident and I am aware the police report does not determine fault in accidents just criminal liability, but the report is used as a tool). My mother didn't have a dash cam (lesson learned), my mother also says that someone saw a security camera footage of thr incident. I just wanna know how screwed is my family since my mom has her car and house to worry about and now this?
*Note* My mother works for the USPS and was on the clock at the time, she just drives her car to a central location on her route and then walsk her route.
I already knew State Farm would deny the claim cause my mother was on the clock. They advised the other party to file a tort claim with the USPS.
*Note, the USPS is not as transparent with its employees or customers. So I have very little faith in how this process will be handled since my mother was working at the time.
Thank you all for your input.
Geico - Investigating location of Vehicles
I have 3 vehicles under my name, we were in the middle of moving between cities and I decided to change the location. Due to last minute changes, we decided to stay at our current location. I went to log back into geico to change it back and it says they locked my account and when I called them they said “they are investigating the location of the vehicles”. What are my options now and what should I do?
Cocolife - Cocolife - Be Vigilant
Idk but this happened nung January pa this year, but I have come to notice that yung mga agents nila sa malls (esp sa SM) are not working professionally. I get that gusto nila makabenta pero di naman tama yung 'tactics' nila. Kaya napagkakamalan silang scam eh. Well my personal experience, would say parang na scam nako. May babaeng lumapit claiming na may ibibigay daw silang prize if sasali ako sa "raffle" kuno nila, makikipag usap tapos pupuriin pa then the next thing I know is papuntahin ako sa office since kukunin ko daw yung prize without knowing na dito na mag sisimula yung kalbaryo ko. May FA na kumausap, mag bibigay ng advise or whatever. Ako naman, I thought nag mamarket lang, umabot kami ng 45 minutes don then yun na pala, ipa aavail na ng policy nila. I declined first, sabi ko "your agent said na di kayohihingi ng kahit anong money or what, so bakit kailangan kong bumili ng policy niyo?" Nagalit pa yung FA, inulit yung mga sinabi kanina. Ang ending napabayad ako ng about 9k good for three months na yun.
Nakakbweset lang kasi bakit kailangan mang linlang, and bakit may pamwersa sa mga tao kung tatanggi. If you're a professional, you would not get mad at someone saying "AYOKO", and in the first place dapat di na kayo nag sinungaling na wala kaming babayarang kahit na ano.
- just a rant lang, nag lapse na yung policy ko since di ko na tinuloy yung pag hulog, sana napakain nila mga pamilya nila sa 9k na kinuha nila.
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