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Blue Cross Blue Shield of Arkansas - BCBS Billing/denial question
I had a liver transplant in 2023 at Mayo in Arizona. I live in Oklahoma. I have BCBS of Arkansas through Walmart, where my wife works. Regular lab draws are required and I have a DLO (Quest) and few minutes away from my home. I checked DLO's website which stated they accepted my plan. I got my labs drawn many times over the course of 6-7 months before receiving bills from the lab for the full amount, insurance was paying nothing. After contacting insurance, they said the particular location was not in network. No idea why one would be out of network but other locations of the same company are. However, after conferring with both BCBS and DLO, I was told that BCBS of Arizona is being billed because that's where the ordering provider is from. No one seems to be very helpful on either end as far as getting anything resolved, and there's nearly 20K worth of labs being denied. Does this seem accurate from both the insurance perspective of billing another state's plan as well as why they would deny one location but not another of the same company? Any suggestions on what I should do or how to handle? Thanks!
Pets Best - Is pet insurance worth it at this point?
I currently have Pets Best for two of my dogs. I have the more expensive package (not just for Wellness and/emergencies). I got this insurance over the summer when my vet recommended it. One of my dogs, Eve, has pretty bad dental disease and will more than likely need dentals every 1-2 years. Pets Best denied everything related to her dental due to it being a pre-existing condition. Fine, I guess, although I was hoping they would at least cover her pre-surgery blood panel. While she was under, she also had X-rays done of her hips to check for hip dysplasia due to some gait issues. They also denied that as a pre-existing condition. Okay... My other dog, Cora, is currently being worked up for something. She has a dexamethasone test to rule out Cushings. This test was also denied as a pre-existing condition.
Here are my questions
1. Should I try to argue with them to cover any portion of these things for my dogs? Is it even worth it?
2. Is there another insurance company who is a bit better?
3. Or should I forget pet insurance and just use the cost of the premium and put it in a separate savings account for my pets health specifically?
I should add - I expected to pay for Eve’s dental. I know dental disease is rarely covered under insurance. My vet and I were hoping they would at least cover some blood work and the hip X-rays
Update: I just called and canceled my policy with Pets Best. The customer service rep was actually really sorry when I explained the situation. She even got me a refund for the remainder of the month that I already paid for. I’ve decided to just setup another savings account which I will pay monthly into to save for my vet bills.
Davis Vision - Can I dispute this??
I went to LensCrafters for an eye exam and new glasses and gave them my insurance information, signed the usual intake documents and paid for the retinal imaging. They told me I was all set and didn’t owe anything else. I have Davis Vision which is covered under LensCrafters but apparently my exam is not covered as I received a call from them asking me to provide a second insurance and that the coat is $179 if not. No one told me before, during, or after my exam that my insurance wasn’t in network and I didn’t think anything of it bc Davis Vision is almost always within network.
Even during my visit, one employee had me wait so they could “double check my insurance information”. That would have been a perfect opportunity for them to tell me it’s not in network and discuss the subsequent payment.
What do I do here? Can I dispute this?
Progressive - Is there a time limit for claim payouts?
Got into an accident last September and filed a claim back then when it happened. Since then I’ve been scraping together the money for the (1k) deductible. Now i’m worried progressive won’t pay out because I took too long. Is that a thing or do they still need to pay out for it??
Mercury - Mercury wants EDR data 1yr later
Hey folks, my son was in a n accident a year ago. A driver hit him and a number of other people on the freeway. Son was NOT at fault and took the least of the overall damage. Mercury had me send the car to their adjuster and repair. It was fixed a year ago. All done I thought. Now I’m getting messages from the adjuster ranking for the EDR data from the car. What are my obligations here? The car was in another slight accident after this(hit a pole).
Neither accident had airbag deploy.
The letter they sent was quite demanding.
Geico - Insurance wants to total car and offer pennies. Can’t afford to get another vehicle
Title pretty self-explanatory. A lady hit my car in the mall parking lot while I was inside shopping. Car is a 2005 Chevy Malibu with 306K miles on it and a few minor dents and scratches. The damage caused by the lady who hit my car is significantly worse than any previous damage incurred and exceeds the value of the vehicle, so her insurance company wants to deem it a total loss and offer about $2K. I took the vehicle to a body shop to get my own estimate, which came out to be $3.7K. Insurance company doesn’t want to budge on previous estimate.
I get that the car is old and not worth anything, but I’ve learned how to keep it running and can afford its maintenance. I can’t currently afford to get a new or spiffy used car, but I’m also not sure $3K is enough to get a solid cash car that won’t break down on me. I also live in Georgia, where having a salvage title isnt really an option.
What would you do in the predicament? Any advice is appreciated.
Ambetter - I have an Ambetter policy through ACA (Pennie.com) and I am wondering if there is anyway to get out of it? It is the worst insurance ever.
They have declined every single submission I have made, saying out of network on everything (including doctors that are on their list). They won't even apply out of network payments I have made myself towards deductible. The insurance is a joke, I have to resubmit everything multiple times. I've been a massive fan of ACA till now (blue cross, Capital, etc).
Is there anyway to get out of this insurance?
Progressive - Credit Dispute with Progressive Insurance
I was with progressive and I stopped being with them after an accident happened that I was put at fault, even though I wasn’t. Due to my lack of knowledge of how to even report an accident. After I paid my final bill from progressive they issued me another fee and so I didn’t pay it and now it’s affecting my credit which I want to get the claim off, but I don’t know how to explain that I was charge additionally for something that I honestly don’t know what the fee is for.
Farmers Insurance - Homeowners liability coverage
I am trying to understand my Farmers insurance homeowners liability coverage and farmers isn’t being helpful at all. Basically what happened is while my wife and I were out of the country, my child accidentally kicked my sprinkler line near the drip system and broke it. Long story short, it flooded a room in my neighbors home over about a 7 day period. They just kept mopping it up and hoping it would stop. I’m not sure why they let it go on for that long but they did. Anyway it ruined some of the floor and caused some moisture to settle into the drywall. It was about a 15 ft x 15 ft area of water damage. Will my homeowners liability insurance cover the water damage in this situation?
Blue Cross Blue Shield of Illinois - Am I doing something wrong
I have a BCBS of Illinois community health plan, and I've been looking to find a dermatologist that's in network and when I go on the website look under the "in network" tab, everyone I call says they do not accept my insurence. This isn't the first time I've dealt with this either... Even when I call and get a list from that it's the same story. Am I doing something wrong? By the sounds of it a lot of the offices I call make it seem like they asked to be removed from these lists and never were.
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