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Spot - Pet Insurance - Pre-Existing Conditions
Hi All,
Looking for some advice/experience dealing with pet insurance. I have 2 sister cats, 5 years old. I just spent an obscene amount of money on dental work for one of them and am trying to determine if pet insurance makes sense for me going forward.
Cat 1 has had some eye infections in the past, at this point treated but she will flare up occasionally when she's stressed. I'm worried that will be considered a pre-existing condition and won't be covered because she's received treatment before.
Cat 2 is the dental work one, and I am anticipating more cleanings in her future. Does previous dental work trigger a pre-existing condition or have you seen that in your experience? She's also getting treatment right now for an ear infection and I'm worried she's susceptible to those as well and that will also be flagged as pre-existing.
I have no faith that an insurance company will deal with me fairly, so I'm wondering if it's even worth it if any of these issues won't be covered as they're what I go to the vet for usually.
I have a number of options for insurance based on my employer's perk programs. I see a place like Spot will cover issues after 180 days, but then it seems like they only cover $100 on dental cleaning? That doesn't seem like much when for cats they have to sedate them anyway?
I'm sort of rambling but I guess my ultimate question is - is it too late to get insurance for these cats because I've been diligent on getting them treatment in the past?
MetLife - I recently moved and have to pay my deductible again? Why?
So I’m (M22) new to all this Pet Insurance jazz. I just recently moved to my own apartment from my mom’s house, so I moved my cats pet insurance to my new address just so it’s easier and have a sense of independence. When I called MetLife to switch my address, the representative said NOTHING until the very end about me having to pay my deductible AGAIN and I would also be charged ANOTHER payment for my cat’s insurance as it would be getting restarted. I just wanna know if this is true or if I gotta make a phone call?
Cigna - Wisdom teeth extraction consultation
I’m really hoping someone who works in medical billing at a dentist office can help me understand this. For context, I have Cigna Dental PPO. I had an oral consultation today that cost $167. The oral surgeon said I definitely need the bottom ones removed, but said she isn’t worried about the top ones. Then here is an image of what I was quoted after. They said I would either be paying $5809 or $3789 depending on what my insurance says. She didn’t sound confident in what she was saying and was speaking to someone else prior. Then, they tried to make me schedule it with 50% down as if I have $1800-2900 just laying around. I could barely afford the consultation fee. I’m I being got or is this how much people are paying to get their wisdom teeth removed? I’m so lost…
Canada Post - Policy cancelled
Should I get lawyers involved?
In January 2025, I received a letter from my insurance company stating that my policy had been cancelled due to non-payment and that I now owe a balance. However, this was the first and only communication I received—prior to that, I had no notice that a cancellation was even being considered.
Here’s what happened:
In late 2024 or early 2025, it appears that one or two scheduled payments did not go through because my credit card had been temporarily locked by my bank due to a fraud alert. As soon as I became aware of the issue, I immediately made the payment manually and settled any outstanding amount.
I reviewed my billing history and confirmed that no payments were missed beyond that short disruption—and everything was brought up to date right away.
The insurer claims they sent me a letter stating that I needed to pay the full yearly premium in order to maintain my policy. I never received this letter.
This communication would have been sent during or shortly after the Canada Post strike (November 15 to December 17, 2024), which caused widespread mail delays well into January. It’s highly likely the letter was delayed or never arrived at all.
Again, the only letter I ever received was the final notice informing me of the cancellation and that I now owe a balance. By that point, I had no opportunity to take corrective action.
I believe the insurer failed to adequately notify me of their intent to cancel my policy, especially considering the known disruption in mail services and the fact that I had already taken steps to correct the payment issue. This situation has now affected my insurance record and left me scrambling to secure new coverage at a higher cost.
They sent it the underwriter and denied my claim what should I do?
Pets Best - Best insurance for 1YO chihuahua mix with a chronic limp?
Hi all,
I have been losing my mind trying to figure out which coverage would be best for my pup. He is a 1YO chihuahua/poodle mix who was rescued off the side of the road at 3 months with a broken hip. He has had FHO surgery which did seem to help reduce his pain and allow him to put more weight on the limb (left hindleg). He loves running and jumping around and generally acts like a happy puppy, but will likely always walk with a limp. I'm aware he may develop issues as he gets older from compensating.
We currently have Pets Best, which we have not had a good experience with. We have sent them the same documents three times and every time they said they did not receive it, even when I'm actively looking at the email to their claims department while on the phone with them. Then it takes a full two months for them to review the documents, only for at the end of two months for them to close my claim because they did not receive my documents.... and thus the cycle continues.......
Which insurance would you recommend? Should I just suck it up and accept that I'm likely going to have to pay in full for any orthopedic issues? I'm happy paying on the higher end ($70-$100 a month) for more full coverage that would include exam visits, medications, etc, but I'm having a hard time figuring out which insurance would work best for my pet. Any advice y'all have to give would be greatly appreciated and save me hours of going down this rabbit hole!!!
Insurance Company - Why is my home contractor getting my depreciation?
Hi all. I'm confused and a little suspicious.
Long story short, had a tree fall and cause damage last year. Work is done, and the invoice came to roughly $65k (Siding + roof for garage and house). Insurance gave me roughly $62k, however I opted for a higher quality siding than the basic, so $3k was coming out of my pocket. That invoice is paid in full.
For the main structure (house):
RCV is 49k
ACV is 42k
So there's about 7k Dwelling Recoverable Depreciation that is available. However, my insurance rep is making that 7k as a payment to a sub-contractor that I've never heard of and in the email stated that the 7k is going to my contractor.
Why are they getting 7k more when I've already paid the invoice? I'll push back on the payment but I want to go in with facts but I can't seem to wrap my head around it. I've asked the question to my insurance rep 4 days ago but she hasn't responded. Can anyone ELI5 what exactly is going on or am I getting bamboozled?
Thanks!
Progressive - LexxisNexxis won't remove erroneous insurance claims
In 2022 I made a small insurance claim for water damage, $2k, with Progressive. Since then, every time I get quotes for homeowners insurance I get denied, or have to accept high rates, because the Lexxis Nexxus database shows I made 3 claims. A year ago I disputed these several times, and got a letter from Progressive that confirms I only made 1 claim. When I talk to LN, they tell me they've removed the claims, but over a year later I'm still getting denied by insurance quotes and told they are still showing up by the insurance companies. Is there an agency like the CFPB I can submit a complaint to about Lexxus? Or do I need to get a lawyer letter involved? I already have to deal with living in a hurricane prone area with high rates and these higher rates are crippling.
LOCATION: TEXAS.
Trupanion - Trupanion is a waste of money according to my vet!
I had signed up for trupanion pet insurance after reading good reviews. Now my dog had a CCL rupture and needs surgery. They refused to cover ANY costs because they classified limping as a pre-existing illness. After my vet send them a lengthy letter (as seen in picture) they STILL denied coverage saying they do not cover any CCL injuries that occur within 18 MONTHS!!!!!!
Absolute waste of time and money. My vet hates them too. Have cancelled my subscription.
Blue Cross Blue Shield - My dietitian is no longer fully covered by insurance. Is there a way to get insurance to continue to cover my appointments?
i hope this is the right subreddit for this!
i just found out that my dietitian for an ed is no longer fully covered by insurance and my weekly appointments are now going to cost 90 dollars.
i’m wondering if there’s a way to get insurance to continue to cover? like could i have my primary care physician or psychiatrist refer me to a dietitian?
tbf i am not as aware of how insurance works as i should be so i have no idea if its even a possibility.
edit for clarity:
my insurance has not changed. i live in michigan and use blue cross blue shield.
i was unaware that they will only fully cover a certain number of appointments and i have reached that number.
Pacific Source - Math snafu = lost my Marketplace insurance. HELP!
Back story:
I have purchased health insurance via the Marketplace (I'm in OR) for the past 4 years, same company, same plan. Expensive but I use a LOT of health care. This year the increase was substantial - $990/mo just for me -gulp-
I knew there was a 90-day grace period to pay for the marketplace plans, and I (out of need, not playing games) basically went as long as I could without paying because it's sooooo expensive to afford and I am currently in a "borrow from Peter to pay Paul" situation.
I *thought* I paid in full by the end of March - I had a major surgery April 7 that had been prior-authorized, etc. Then when a friend went to pick up my post-op medications the pharmacist told her my plan had been cancelled.
Finally managed to get through to the insurance company and lo and behold, I was exactly $117 short of what I needed to pay for the full three months. So not only did they drop me before my surgery, but are actually dropping me retroactively to 1/31/25 and sending me my money back.
Despite much pleading on the phone to the insurance company (Pacific Source), they are telling me that because I purchased it on the marketplace they can't do anything at all to help me. Marketplace says they have no idea how they could help.
a) it's only $117 short out of >$2000 of premiums and b) we're talking 10 days past the due date, not like 30+.
Does ANYONE have any ideas here??? Not only do I need to have this VERY EXPENSIVE surgery covered (it's going to be well over $50k), but I will need follow up care for the surgery as well as all of my health care needs this year (ie I take a biologic that costs $8k/mo).
I'm literally panicking here....and no idea where to go for help or what to do.
Any ideas????
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