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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.
State Farm - State Farm valued total loss truck at 25k and tried to send payment of 22.9k
Buddy of mine is really having issues with State Farm. After a long back and forth they came to a number of $25,750 minus the $500 deductible for a total of $25,250 for his truck. He was hit in mid February of this year. He finally received an email today saying he could accept the payout and the number was almost 10% less at $22,999.19. What in the world is going on here? What recourse does he have and has anybody experienced this? Thanks in advance
Aetna - Can a doctor be within an insurance network and no longer be licensed?
I believe that a Psychiatry doctor within my Aetna Network is no longer licensed or have an active license in Texas. He has a NPI and Medicare number and part of multiple insurance networks. But, I cannot find an active license for Texas and Aetna actually says that they do not verify if a doctor is still licensed?? This is not good! Would you assume that a doctor is active if he's a part of a network?
DentaQuest - Did anyone able to get the reimbursement from DentaQuest ? For root canal
I took a $2,000 medical loan for the root canal, and now DentaQuest is not reimbursing me. They are asking me why I didn’t go to one of their in-network endodontists. The reason is that I was in severe pain, and it took DentaQuest 2-3 weeks to find an endodontist, but they couldn’t find one in time. I eventually had to take out the loan and get the procedure done on my own. Now , still waiting for the DentaQuest reimbursement .
insurance - Back and forth between adjuster and contractor; no work done to my damaged home
Last year, my home was hit by a vehicle and became unlivable. I was advised to create a claim with my insurance company. I had a disaster restoration company come out, provide a quote, paperwork signed, my insurance paid out a portion of the estimated total, I paid the deposit to the restoration company out of that. That was six months ago and no work has started, and here is (allegedly) why:
1. My siding has asbestos. Contractor says they cannot fix the damage without disrupting the asbestos on the two undamaged sides, therefore insurance needs to pay for four replacement sides, not two. According to contractor, this is an EPA regulation. Insurance says because it’s not township code, it doesn’t matter and they will only cover two sides.
2. My hardwood flooring is original to 1950 and has no subfloor. The subcontractors won’t fix without installing subfloor, as the type of hardwood used in 1950 does not exist and today’s would not be strong enough. Insurance will only cover fixing the damaged area, which means I will have a visible difference and seam in the hardwood. Again, because it is not code, Insurance is pushing back.
I have not received an actual denial letter, I’m just being told by the adjuster that nothing is happening. I requested to escalate to a supervisor two weeks ago, still no updates.
I’m overwhelmed and I’ve been out of my home for more than six months.
Questions:
1. Do I need an attorney, and if so, what kind? Google hasn’t been helpful.
2. Am I within my rights to get a new quote for the siding and hardwood flooring separate from the other repairs?
3. Why is this going through my insurance and not the insurance of driver who hit the house?
I only filed with my insurance because I was panicked and a neighbor told me to, and I’d rather argue with the bad guy’s adjuster instead of mine. I feel like I have to play nice with everyone, but the anger and resentment and frustration is building.
her insurance - Rear ended at a stop light in California
Good morning,
So on my way to work I got rear ended at a traffic light and me and the girl who rear ended me pulled over. She apologized profusely saying she assumed I was going to run a red light. We exchanged insurance info and number. She then started texting me begging to not go through the insurance for this and that reason and that she’ll pay me $500 out of pocket if we don’t go through the insurance. I refused and went through the correct route of reporting it to her insurance… but after a couple weeks of waiting, they denied my claim reasoning that I made an unsafe lane change which I didn’t. I did swap lane from left to right and as I was merging the light turned yellow and I eased in on the break to a stop… she assumed I will run the red light which caused the crash. She hit me on the rear end and most of the damage is in the left side of my car… I showed their insurer the texts exchange between me and her… I also reasoned that it’s untrue that I made an “unsafe” lane change because why would the damage to my car be on left side?
So I’m wondering what my options are? Thank you for listening!
Geico - Uninsured
Had my payment coming up of $519 ( 2 payments of 259, lumped together) I instacart for my income and it had become too hot recently to do as much as normal. I let geico know i could pay some not the full amount due, representative told me pay what I can.. thinking it was notated on my acct and id be ok.. (8 years of coverage) I continued to work although I started training at the job I finally got hired for, taking away time to instacart.. long story short I saw Geico canceled me on 7/21, I found out a few days ago because I don’t check emails often. They usually text me. Im in NY, To reinstate I need to pay off my balance 389 + 300 for new coverage.. I don’t get paid until the 15th.. anything I can do? what do I need to be concerned about? any penalties.. etc. Really thought the representative did me a solid, why not say it would still cancel?!
Montana condo policy - Excavation covered?
Townhouse covered by condo insurance. Pipe in the ground(HOA property) breaks, excavation needed to determine the cause and replace the pipe. Insurance denied repairing the pipe due to wear and tear which is understandable,, but shouldn't they pay the excavation which was needed to determine the cause? There was other damage that was covered. Montana condo policy. Back up water/sewer damage coverage on the HOA policy.
old insurance company - Suspended Permit, Insurance Issue, Court Coming Up Lawyer or Public Defender?
So a state trooper pulled me over the other day because my license plates were suspended. Turns out my old insurance company didn’t notify the MVA when I switched providers, so the plates got flagged.
The trooper asked for my license — I only have a learner’s permit — and I handed it over, along with my passenger’s license since he has a full one. When the trooper came back, he told me that my permit was suspended and then took it from me.
I went to the MVA and paid a $400 fine for the plates, and while I was there, they told me my permit was suspended because I never completed a Driver Improvement Program (DIP) from two years ago. Thing is — I actually did complete it.
I called the driving school, and they admitted they forgot to submit the completion to the MVA. They basically just said “sorry,” but now I’ve got a court date, and the letter says there’s a possibility of jail time.
Now I’m freaking out. I’ve got about $1,000 to my name. Should I try to hire a lawyer, or go with a public defender? I really don’t want to risk going to jail over something like this.
Location: Frederick,Maryland
Allianz - Allianz and pre existing conditions
I unwisely booked a 4 day festival ticket that I don’t think I can attend. I have a pre existing condition and at the time, I didn’t consider how my impaired my mental and physical stamina is.
I’m trying to file my claim but I’m worried because pre existing conditions are excluded.
I’m seeing a psychiatrist and therapist about OCD however (which factors into why I can’t go all four days). Will Allianz accept this reason and documentation for it?
Lemonade - What’s the deal with lemonade pet insurance!?
I submitted a claim on 4/12 for my three year old domestic shorthair cat for a diagnosis of FHS. On the claim I asked for reimbursement of the medicine ( Gabapentin ) and the cost for the emergency visit. I submitted all medical records as requested. Today 4/29 and the claim is still in review. I signed up for Lemonade when my cat was a kitten. He has no pre existing conditions and I take him to all his annual vet appointments. Lemonade is not very communicative. I only received correspondence when I reached out to them asking for an update. They say they are working on processing the claim as quickly as possible. Is this normal turn around time?
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