I’m so disappointed right now, I call them so many times and im denied from badger care ever since I turned 19, I have to make under 15k and 1,200, and also I got fafsa but ik their policies said it’s counted but not really lol, I know I make over it, it still doesn’t help, I don’t know what to do they do give me this random ass number marketplace and should I call them? I’m sorry im so disappointed I feel bad for college students

Healthy Paws Deleting Comments re: Massive Premium Increases on Instagram.

Anyone received their renewal, I have a 45% renewal on my policy, it’s ridiculous.

I have a question about prior authorization. I am trying to get one of the weight loss meds like wegovy, zepbound etc. I had several appts with my primary care Dr and she informed me she would try but that most likely insurance wouldn't cover it. The Dr office called me today to tell me about bloodwork, etc and informed me I should call my insurance provider and ask if it would be covered. I did that, with blue cross blue shield, and the lady on the phone was extremely helpful. She informed me ozempic and something else wouldn't be covered but wegovy and zepbound are and she would need prior authorization. She put me on hold to call my Dr, then when she got back on the line she said the Dr would not do prior authorization. She also informed me I should find a new Doc because your Dr is supposed to help you. My question is why would my Dr then deny it after asking me to call and see if it's covered and it was? I'm just confused. Thank you for any insight.

Age: 37 State: Ohio In December of last year, I was recommended to get a colonoscopy due to family history. When I spoke with the specialist doctor, he said that "since you'll be under (anesthetics), we could also do an EGD." He then asked if I ever get heartburn, and I said sure but it was infrequent and I knew the triggers and how to take care of it, but if, like the colonoscopy, my insurance completely covered it and I wouldn't be paying, I'd be okay with that. He said sure, they could do that. Fast forward a month later and the hospital is charging me because they submitted the EGD as diagnostic. So the doctor ignored the condition under which I agreed to the procedure. I've been fighting this ever since then. The hospital investigated and since they don't keep audio with the cameras, and don't have call logs (the doctor's assistant called me a few days beforehand and said they convinced my insurance to cover the EGD, and I confirmed with her that I wouldn't have to pay for it), they're refusing to do anything about it. The bill is about $1,900. I've filed a complaint/appeal with my insurance, but that takes up to 60 days, and is still going through the process (I had called them the day before the procedure and confirmed it's "covered," and the CSR said yes, she sees that that's been approved). I e-mailed the state department of health, talked with the state hospital association (they have no legal authority and can't do anything), filed with the BBB, filed with the state attorney general, filed with the Centers for Medicare and Medicaid, sent my story to the local newspaper, left a Google review, and am waiting to hear back from the state insurance department (they can't do anything until my insurance appeal gets resolved). My last option is to sue them in small claims court. The lawyers in my area said they don't handle cases like mine. What umbrella term would this fall under? Misrepresentation / promissory estoppel? The only lawyer who agreed to a consultation said it's better to go after the insurance company, but I don't see this as their fault. I can also call the hospital and negotiate a lower repayment, but I'm angry I have to pay anything at all when a promise was made to me that I wouldn't owe anything. Is this something I just have to bite the bullet on? Edit: Thank you to the 20% of people who explained what the hospital staff should have explained to me, gave me options to pursue, and ideas on how to protect myself in the future. The rest of you, I hope you understand that the vast majority of people don't work in this industry, and blaming the victim of a convoluted and broken system is real shitty.

On March 11th, 2024, I had an outpatient surgery procedure done. Flash forward to today, April 8th, 2025 and I just received a bill for over $3000 for this surgery. The bill states that the surgery cost overall was $20,000 and my insurance at the time paid for ~$16,000. I was covered under United healthcare and this coverage ended about 5 months ago. Here are my questions: 1. Why am I just getting this bill now? Is this even legal? (I live in WI) 2. What would be the first step to getting this figured out?

Hoping someone can provide some guidance for me as I am at point where I’m not to sure what to do. I live in MD and was in an accident a few weeks ago. It wasn’t my fault a driver jumped a stop sign and I was on the cross road and they connected me. Police came and the other driver immediately admitted fault. We are both with Statefarm so it’s been challenging dealing with this. My car is financed and the claims department wants to pay about $2k less than what I owe on the loan. I don’t have gap insurance. The claims department haven’t been the best in communication, but thankfully my Statefarm broker has been trying to help me convince them to just pay the difference on the loan because I have been a good customer with referrals and no claims. But now they have pretty much cut him off too. I also just put about $4K into the car for new tires, brakes, oil change etc. Where the bigger problem comes in, is that I don’t have funds to buy a new car or put a down payment down. I have reached out privately to the other driver to discuss additional compensation from their end to at least get me to put a down payment on a new car, I am not expecting them to buy me a new car. I am still waiting for them to respond. So here are my questions Can I request that the insurance pays for the work that I put in less than 3 months ago? Can I legally hold the other driver accountable for compensation for my loss and how would lawyers fees generally work with things like this. I am the only one that brings in an income currently for the family as my wife has just started a new business and it is still in the early stages of taking off. I really appreciate any help here.

Hello, Can someone with experience using Trupanion confirm how their reimbursement actually works? Here’s the situation: Let’s say my total invoice is $1,200 (excluding tax and for a single condition). My deductible is $1,000, which has already been met. That leaves $200 of eligible costs. Based on my understanding, I would then pay 10% of the remaining $200 ($20), and Trupanion would cover the other 90% ($180). However, when I submitted a recent claim, Trupanion told me that the 10% co-pay is calculated based on the total invoice **before** the deductible is applied. So according to them, I’m responsible for 10% of $1,200 ($120), **plus** the $1,000 deductible, and they only covered $80. But their own website says this: "Co-payments, also known as coinsurance, represent the proportion of eligible veterinary expenses that the pet parent is responsible for after the deductible has been met. For example, if a pet insurance plan offers a 90% reimbursement rate, **the policyholder would be responsible for paying the remaining 10% of the eligible expenses after the deductible has been satisfied**." This seems contradictory. Has anyone else experienced this? Am I misunderstanding something?

I bought a car at Carmax within the week, and just got a call that the lender, Ally, is requesting a paid in full letter for a previous vehicle. The vehicle they are asking about was repossessed in 2021. I do not have a paid in full letter, but a cancellation of debt. I'm afraid to submit that and them not fund the loan. Will this hurt me?

I’m having trouble finding a provider I’ve applied to 30 different providers through the Anthem website (I was referred to this website through Med-iCal), when re-directed to many providers websites that can take supposedly take my insurance they usually provide a dropdown of insurances they take. I applied for California Med-iCal and am curious as how to describe my insurance? Is it an Anthem? Is it Anthem Blue Cross Blue Shield, is it a LA Care card, is it a Med-iCal card? I’d also like to add that there’s every combo version of what I just mentioned and not direct way for me to know which one? I’m am genuinely losing my mind, anyone with a similar insurance and help would be great. Yes I’ve called the numbers provided on the back. No help.