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Medicare - Health insurance
I have met my Medicare deductible. I have plan G Medicare supplement which pays all co-pays, etc.
I am being billed by a doctor’s office in spite of the fact that I have no further liability for co-pays. What is the best way to resolve this as the doctors office keep sending me a bill.
UnitedHealthcare - Can an insurance company refuse to allow me to file a claim?
Long story short, I recently got a grant for my son who has autism spectrum disorder and was able to find a provider who had social skills therapy for him. The grant will reimburse me costs 100% however they need a copy of the EOB. I found a provider who was out of network but was the only one offering this therapy in the time period I needed it. She was upfront saying that we would have to file our own claim which I have no problem with. She provided the superbill and all of the codes.
Well today I logged into UHC to try to submit a mental health claim and the form is not available, then I called them and they told me that I cannot submit my own claim. I told them that my provider does not file claims but they were insistent on saying that the doctor would have to file them. Is this a common practice? I am just frustrated.
State Farm - Ohio roof damage
I live in Ohio and have State Farm for my homeowners policy. My roof was damaged by wind end of September 2024 and siding was torn off my house. I also have water damage inside my home. I had a contractor out and State Farm had their contractor out to assess damage. I have a $6k deductible and State Farm deemed it was repairable. Payout is $4k but I appealed because of the matching code in Ohio and I don’t agree the roofing repairs will match my current roof. In the meantime, another storm passed through and now shingles are flying off my house. I am 20 years in on a 30 year shingle. State Farm wants me to file a new claim, and a new $6k deductible. I believe they should have covered it from the beginning. Now what do I do?
Progressive - 21 yr old, single policy, insuring a brand new Cadillac paying $99 a month w/ progressive
I feel like this rate is insane for me being by myself 21 year old male in a brand new $50k plus Cadillac, I do need the snapshot through progressive (absolutely hate that) but I have been told my policy is half what it should be anywhere else. Clean record but why is my policy so low? I have average deductibles and had a third party review my account and said the coverage is right where it should be.
PetsBest - Thoughts on this insurance appeal for PetsBest
Recently, my cat had to be rushed to the ER due to urinary blockage (FLUTD) , I submitted his bills, which rounded up to 7k, but the insurance denied it as pre-existing.
* Pet had not prior diagnosis or sign of illness in the past with a clean record
* Vet stated that he had issues peeing in an instance of stress due to construction and not due to FLUTD, and recommended Feliway Diffusers
* Vet also wrote a letter for me specifying that the symptoms were not related to pre-existing FLUTD
Now at the time that he started to show symptoms of blockage and straining the policy was already active and the waiting period was over. Am I crazy for thinking that them using past symptoms that were specified to not be related to deny my claim is actually wrong, and this emergency should fall under coverage?
State Farm - State Farm Homeowner Claim
Long story short.
Storm came thru Pittsburgh region. Pretty moderate wind and hail damage to roof, windows, screens, gutters and downspouts.
Had 2 adjusters that never called me back.
3rd adjuster scheduled a “ladder assist” inspection.
Had 2 seek now inspections. (Needed a re-inspection since first one was done with a wet roof.)
Adjuster 3 said “I put you in for a full roof replacement”.
2 days later I now have adjuster #4 assigned to my case.
Adjuster #4 states “your old adjuster didn’t have the authority to issue you a full roof replacement, management is disputing your claim, we’re having a engineer come out to your house for an inspection, the hail in your area wasn’t that big in diameter”.
It’s been 40+ days since the storm and I have an interior leak…. They just came out 2 days ago to inspect the inside.
Has this happened to anyone else? What’s my next move?
I have pictures of my roof from September 2024 when I had my chimneys re-pointed with no damage.
Now you can tell I have shingles bent from the storm.
It at a loss on what to do.
Edit #1: 1” hail came thru the area.
Edit #2: Correction to edit #1 - Roof is 10 years old. Looking into weather report now. 1.75” hail in my location. 60mph winds. 1/4 mile away a roof was blown off a grocery store. 4 of my neighbors have already had their roofs replaced.
Pets Best - Pets Best - Incidental Finding during Waiting Period
Hi everyone!
We went with Pets Best for our kittens’ insurance, which starts for illness coverage on 8/21/25. Pre-anesthetic bloodwork was done last week in preparation for one of our kittens’ neuter scheduled on the 18th. The results came back a bit all over the place, which the vet wasn’t concerned by as he said it could be due to him being so young. However, the vet mentioned his T4 is elevated, which could suggest juvenile hyperthyroidism. We’ll need to retest in six months to see if it normalizes.
My question is: since this was found before the waiting period for illness coverage ended, and there are no symptoms, no official diagnosis, and no specific treatment or medical advice given yet, do you think Pets Best will consider this a pre-existing condition? A bit stressed that if it does come back as high in 6 months, something that seems like it may be a very expensive lifelong condition is going to be automatically excluded due to an incidental finding 😅
Farmers Insurance - Anyone else had problems with Farmers/Foremost Insurance not paying claims?
I've been a loyal Farmers/Foremost customer for 10 years, claim free. But when I had interior drywall damage, they wouldn't cover anywhere near the cost of the repairs.
I gathered three quotes, but the Farmers Rep said they were all "unreasonable" and suggested I keep looking for cheaper options. My rep told me he basically punches numbers into a computer, and that spits out the estimate. He doesn't actually talk to contractors, just does "what the computer tells him".
Anyone else experienced something similar with Farmers or other insurance companies? If so, open to sharing about it?
Nationwide Pet Insurance - Pet Insurance Recommendations
I've had Nationwide Pet Insurance for the past four years and up until recently they have been great. Recently my dog had a bladder infection and they paid out for that with no problem. We were told she needed to be seen again in two weeks for a follow up urinalysis and culture. However last week she started having difficulty urinating, called the vet and they wanted her to go back on the antibiotic for another week. I submitted another claim for the antibiotic and Nationwide only issued a quarter of the amount. I called them and they said we hit the annual limit they will pay out for a bladder infection, anything else they'll still pay, but this they won't until the policy renews next year. This was the first I was learning this, likely because we've never had the same issue go over the limit. As mentioned the vet wanted a follow up urinalysis and culture to be sure it was cleared up and they won't pay it. UTIs tend to be common in female dogs, so it seems absurd. We had the follow up yesterday and upon talking to the doctor, they used to recommend Nationwide frequently to pet parents, but not anymore and also said Nationwide has been dropping a lot of pet insurance customers lately and that it's seeming like they are trying to get out of pet insurance. They gave me some brochures for several different options they recommend and from what I'm finding Nationwide is the only one that caps limits on diagnoses. So I'm looking at changing providers and wanted to see what others recommend.
I'm considering the following:
\-ASPCA pet insurance (through my auto/renter insurer)
\-Figo (through Costco)
\-MetLife
\-Lemonade
\-Pumpkin
\-Embrace
My auto/renters insurance company does offer plans with ASPCA pet insurance and I believe Spot. I talked with them for some time the other day and I'm leaning towards going with them. They also offer a 10% discount because of my insurance. As for MetLife, my vision plan is with them and they've been amazing, but don't know if that necessarily means their pet plans will be as good. Also Costco is offering 15% off for members for Figo.
Fetch was recommended by the vet, but their prices were outrageous. I also had Pet's Best the first year of my dog's life prior to Nationwide and was not impressed by them.
If there's any I missed you recommend please let me know.
Thank you in advance!
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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