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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.
Blue Cross Blue Shield - Rawlings Company
I received a letter today from Rawlings Company on behalf of my insurance company BCBS. I was in an auto accident in 2024. Single vehicle. I was the driver and my daughter was the passenger.
Thw letter is confusing and it mentions that I was making a claim to another party's insurance or my own.
It goes on to mention a settlement. And ends with if I choose to hire an attorney please provide their information.
What in the heck is this? I'm so confused
Aetna - Same provider, same service (acupuncture). Why did Aetna deny coverage for one visit out of six?
I have Aetna with acupuncture coverage. I had seen a provider 6 times, 3 times in 2023 and 3 times in 2024. All of the visits were coded CPT Code 97811 and CPT Code 97810. In 2024, I saw the provider in January, June, and July. For some reason, the visit in June was denied and Aetna said it was experimental. But the provider billed using the exact same code as before and after June 2024. All other claims had been paid.
I'm at a stage of appealing this decision. But I'm wondering if anyone has any insights into why a claim would randomly be deemed experimental when it was paid as normal otherwise?
Progressive - Release of All Claims
Someone hit my house with their car and caused property damage. The driver was determined to be liable and has Progressive insurance. I have an active third party claim with Progressive. The adjuster provided an estimate for the damages and a release of all claims form to sign in order to receive the settlement. Once signed, the release prevents any supplemental claims from the accident.
I believe the estimate should cover the repairs, but I am not comfortable signing the release until the repairs are finished, or at least started, so I know for sure there are no further damages that are not visible.
Do I have to sign the release before starting work or is the expectation that I would sign it at conclusion of work? Is there a specific amount of time in which I am required to sign the release of all claims form after it is initialized? My preference is to wait, but this is all new to me, and I am worried about making a mistake. My adjuster has not been very forthcoming with information, so I wanted to come here first for advice.
Any info, especially related to Progressive third party claims, is appreciated.
homeowners insurance - Condo water leak question
Very long story short, condo had a water leak 4 months ago. My homeowners insurance says that based on the HOA bylaws, the HOA is responsible for the damage. HOA is saying the opposite. So I’m at a stalemate. What do I do? I’m assuming an attorney is my next step but who pays those legal fees if I win? Condo is in South Carolina if that matters.
To make it more complicated, my insurance sent in water mitigation contractors that completely ripped my kitchen out. They did this before asking me for a copy of the HOA policy and determining they’re not responsible for yet it was their contractor that came in. Now I have no kitchen and both parties saying they’re not responsible. Ugh.
Allstate - Allstate Hassle
Hello everyone, I have a question.
I was recently involved in a not-at-fault accident with an Allstate-insured driver. Unfortunately, my own insurance canceled the night before the accident, so I did not have PIP coverage. Allstate has informed me that I’m responsible for a $7,400 medical bill, despite them reserving $5,500 for future medical expenses related to the accident.
If they have funds set aside for medical expenses, why can’t those be applied to the existing bills? I do not feel they are actuinh in good faith. Would it be advisable to seek legal assistance at this point?
Thank you for any insights.
State Farm - Question about Renter's Insurance
I’m moving to a new state and currently have renters’ insurance with State Farm. I filed a claim for a theft in my building a couple of months ago, where a large amount of my personal items were stolen from what was supposed to be a secure mailroom.
Last Friday, I contacted a State Farm agent in my new state to set up a policy for my next apartment. After taking the weekend to get back to me, she said she had spoken with the underwriting department and they couldn’t write me a policy because of that claim. She specifically said I couldn’t have an active claim in the last **24–36 months**.
That doesn’t make sense to me. Why would the rule be a range instead of a clear cutoff? Is this standard insurance practice, and I’m just unfamiliar with it, or did she give me incorrect info? The vague timeline feels odd, and I’m wondering if she was just making it up or if she has the information wrong. I ended up going with a different insurance company anyway, but just wondering if she was BSing
Nationwide - Nationwide warning
My pup just got cancer, and I’ve had her on nationwide for 12 years, I signed up when it was 90% coverage, excluding wellness and they used to pay out reasonably well.
They hide it in the small print but they have extremely low limits for most categories - meaning I will be paying 70% of this out of pocket.
The diagnostic limit alone is $1650 which is 25% of an MRI in my area.
My other dogs are with healthy paws and pets best - I am sick that I didn’t move her sooner.
If you see this please just move your pups rather than suffer.
Root Insurance - Think i'm screwed, what to do (Hail Damage)
Okay so I have a new vehicle, and I decided to use Root Insurance. Usually the insurance websites automatically add comprehensive and collision when you state it's financed. So I thought it had. Anyway, it was liability only. Now last week there was a hailstorm and it did some damage to the car. Not hardcore but it js noticeable up close. What can I do? All I can do is fix it right with my own money? Will the bank go after me? I'm just so lost right now any advice would be appreciated.
Anthem - Anthem Pre-Authorization
After a surgery consultation, my doctor submitted a pre authorization request to my insurance, Anthem (North Carolina). I believed it had been sent on March 17th, so I called my insurance to check the status last Friday. However, there was no record of any pre-authorization being sent. This turned into the insurance calling the office, and they confirm it was sent March 24th (so it is confirmed by both the office and the insurance rep who called). Now today, I called to make sure the information had been updated, and that the pre-authorization had officially been received. Once again, they say there is zero record of any pre authorization. This is my first time having to go through this process, and I'm just super confused. I know the expected date to hear back is within 15 days, but I at least thought the request would be on file. I don't want to have to call again, but I'm getting worried that the request won't show up in the Anthem system. Plus I can't schedule surgery until this is approved, and I need it done this summer so the longer this takes the more nerve wracking it is.
Basically, is it normal for my insurance to have no record of this pre-authorization request 14 days after it was sent?
KIA Insurance - Totaled car, no collision coverage, still owe money on loan. What do I do?
I hope I'm in the right sub for this but I'm not sure, if there is a better place for this post please let me know.
So I got into an accident that I was at fault, I do not have collision coverage, and I still owe about $19,000 on the vehicle. I asked my insurance and without coverage there is nothing they can do. It is not drivable and the air bags deployed. There is heavy front end damage but the rest of the vehicle is fine. I've only taken it to one shop for an estimate because I don't want to keep paying for a tow to get different quotes and they all end up being close to the same amount anyway. The estimate I got was $20,000 to fix it, so I'm not going to be able to afford that, and even if I could I don't see how that would be worth it. The car before the accident was probably worth $20,000 - $25,000 at most. (2022 KIA K5 GT LINE). I have pictures of the vehicle as well but wasn't sure if I was allowed to include those in the post.
So as far as I see it, it's going to just sit somewhere until I pay off what I owe. So instead of paying a storage fee to keep it somewhere (my apartment doesn't allow vehicles that aren't drivable to stay in the parking lot), I want to either sell it or scrap it. Whatever I decide to do with it, I want the next tow to be the last.
If I can make a little bit of money on it, great, if not then like I said if I can at least avoid a storage fee or paying to tow it several times that's a win for me. Anything I do make would go straight towards paying it off anyway. I'm already pretty screwed, paying on a car that I can't drive so I'm trying to see my options and cut my losses.
I've gotten suggestions to declare bankruptcy, sell it, scrap it, keep it, sell all the parts individually, sell it as a whole for parts. A lot of the issue is, I don't think I can sell it, even to a salvage yard, without paying it off first, so what do I do with it until then? That's going to take a long time for me. I can't afford to fix it, can't sell it, scrap it etc. What do I do?
And I understand I'm not going to make money on this, I understand I'm screwed either way, I understand that I will not financially recover from this for quite some time. So I'm just asking what is my best course of action to cut my losses as much as possible? Is there a way to sell it before paying it off? Do I need to let the lender know about the accident? Is there a different way insurance can help even though they said they can't? Is there a service or organization that helps with this sort of thing? Should I declare bankruptcy?
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