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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.
Fire and Rescue - Fire and Rescue health insurance issue
I had to get ambulance twice between that time my job switched insurance company. Incident was in 4/2024 while I had old insurance, I just got an invoice this January. First notice, now I have new insurance and they aren’t covering it but I have one from January and my new insurance is covering. How do I go about this? I should have been got an invoice from the last year event that happens all the way in April, and just got both because I had an incident in January of the new year.
Moda Health - Provider Enrollment
The patient is enrolled in the Moda Health Beacon EPO plan, and the provider is listed as participating in the Beacon network. However, the claim was denied by the payer, citing that the provider is not a participating provider. Could you please clarify whether participation in the Beacon network includes all plan types such as PPO, HMO, and EPO?"
Blue Cross Blue Shield of Tennessee - BCBS TN PPO Plan
My ADHD prescription has all of sudden stopped being covered by BCBS TN. What’s the fastest way to contact them to resolve this? I have emailed, chat function not available, and I have now been on hold for 3 hours. Has this happened to anyone else? I’m currently at Walgreens don’t know if that matters. But again, it has been covered in the past. It’s not feasible to pay $100+ for a prescription every month nor do I want to.
HO6 - What happens if I get sued over a HO6 insurance claim that is closed?
I live in a condo in Los Angeles. My unit had a leak that caused some damage in a neighbor's unit, but when I filed the claim with my HO6 insurance, they found me "not negligent" and so "not liable." It took a while, but I eventually got paid to fix the issue on my end—but my neighbor was left to fix their damages through their insurance. Of course, they're now threatening to sue.
I understand that my insurance will defend me should there be a suit (they confirmed that I have coverage, but they won't pay because I'm not liable). My concern is that they sent me a non-renewal notice over this claim. My policy will expire in two months. This means the claim needs to be closed so I can shop and secure a new provider... So, what happens if the lawsuit comes after the claim closes and I'm insured somewhere else? Who takes care of the lawsuit then? Am I being screwed over somehow by my current insurer right now? I mean, the non-renewal surely felt so, but if I'm going to be left to handle a potential lawsuit by myself, I don't know what I'll do. :-( Thoughts?
Voya - Be careful if you use Voya - their new Edelman thing almost did something bad!
Just wanting to throw this out there - if you are enrolled in a Voya retirement plan, they rolled out this new "AI advisor" service to accounts. It allows you to have a Empower-like interface to where it can calculate your retirement income based on savings from various sources including Social Security. That part of it is pretty nice, no complaints there. Though I am a bit concerned about the visibility of other account data to my employer, though I'm sure there's privacy practices in place against that.
But when I was clicking around and not intentionally doing anything, there was a orange notice icon by a bell at the top. I clicked that and it had a dialog stating "Updates Needed for Plan Accuracy" - and that's where it's very alarming.
I'm under age 30. I should NOT be in bonds. I DO NOT want to be in bonds. Nor do I want to be invested international. For some reason, this AI advisor tool wanted me to re-balance to be 35% in bonds, and 30% international, with 5% of my contributions going to fees for the re-balancing.
So be careful with Voya.
Cigna - Employer offers three tiers of health insurance, open market plans are similarly priced
I work for an employer that does Cigna healthcare with three tiers, but the costs for all three plans are similar to the three tiers that Blue Cross Blue Shield offers on the open market. I currently have a premium plan with BCBS for ~$1400/month and my employer’s premium plan is also ~$1400/month.
How do companies get away with “offering” healthcare insurance that isn’t subsidized at all? This seems very disingenuous
Healthy Paws - Should I switch now?
Hi all,
I have a ragdoll cat who just recently turned 1. We’ve had no health issues thus far. I start seeing this subreddit pop up and saw horror stories of HP.
A couple questions:
1. I know a big part of if reimbursement is diligence. Our breeder did a health check on our kitten and gave us the paper work when she handed him over, but we still haven’t submitted it into HP (I know that’s on us). We started HP about 15 days after the exam. Will that paperwork be okay to submit now?
2. We are currently paying $30/month. Are we better off switching now instead of dealing with HP long term?
Thanks!
Delta Dental - Delta Dental not accepting debit or credit card, only wants checking or savings account info. Is that sus?
What kind of company does this where they don’t accept my debit or credit card for monthly premiums. They will do checks, but still.
Anthem Blue Cross Blue Shield - Coinsurance from total bill or allowed amount?
Anthem blue cross blue shield is trying to charge my 20% coinsurance from the bill total rather than the allowed amount. Is this correct?
AAA - AAA car insurance charging me interest on my insurance
Hi. I have never seen any insurance company charge interest on car insurance. I got the paperwork and my payment went up 70.00 a month from what he quoted me. The interest is 14.5 % for not paying it off in full. How many people can pay 6000 yearly in full. This is crazy. Please help me understand. Ty :)
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