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APOLLO GLOBAL MGMT 26.19
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BCBS OF MI 40.72
Zander - Zander/ExamOne - Strange
Hey Everyone, I had a strange occurrence about signing up for term life insurance. Zander scheduled a person to come out to my home to draw blood from me, despite me telling them that I would like to come out to one of their affiliated locations. When I declined the offer a second time, I left a message for Zander, who did not call me back. Next, I reach out to Zander again and the agent tells me that they would like to make it more convenient for me, as they do not have locations nearby. Turns out, they have a location 10 minutes away, as ExamOne is affiliated with Quest Diagnostics. When I call them, they are strangely indifferent on the phone and are telling me that they will do a full 45 minute physical. When I asked if the results will be shared with my primary physician, they do not give me a straight up answer. When reading up on it, it seems like they do not even publish the results for the patient online. What are your thoughts?
State Farm - Statefarm canceling my insurance.
So I recieved notice today that Statefarm is canceling my insurance because of three accidents going back to 2022. Two were not my fault, I was rear-ended in both. Is this typical? What insurance company you recommend?
TIA!
Sedgwick - (US) My Protected Health Information (PHI) was Shared with my Employer and they Retaliated Against Me. Can I Sue?
I am located in the US and like the title states my PHI was shared from my companies absence manager (Sedgwick) to my employer. Essentially someone at Sedgwick forwarded all my documents needed for the leave to my employer and they retaliated against me by accusing me of being too sick to return to work even though my doctor cleared me. This went on for about 10 months before I was allowed to return.
I spoke with a representative from Sedgwick on a recorded line and they stated it would be against the law and HIPAA to disclose my records with my employer beyond the fact I was approved for the leave. I am in a high earning job ($150,000) and lost out on nearly $120,000 worth of wages during this time. Would I be eligible to sue Sedgwick for the lost wages considering I was cleared to return to work and my documents were leaked to my employer resulting in retaliation and harassment?
MetLife - Best affordable dog insurance?
I have an emotional support dog and he helps support me with my panic disorder everyday!! I know some people think dog insurance is a joke, but I’m disabled (for physical reasons) and want to be more prepared/protected with pet insurance so I won’t be stuck with a giant bill with a budget income. (Yes, I understand you have to pay it all upfront at the first before you see any money back from insurance.) Would love to hear some decently priced options for mostly full coverage!
I have MetLife, but thought I’d ask for recommendations before I switch because $90/month isn’t exactly budget friendly for me 😕 Thanks for making it this far!! 😎👍🏻
Blue Cross Blue Shield - "All inclusive" copays
I'm going to keep this as short and to the point as possible..
Before my job forced us to change insurances, my BCBS plan had an all inclusive copay, meaning when I visited my specialist(or anyone for that matter), I paid $70. That was it. I had been getting bimonthly infusions that cost just under $10,000. All covered under the $70 copay. Rad.
When we were forced to switch, we had our choice of hundreds of plans. I tried SO DAMN HARD to get insurance plans to tell me what my infusions would cost under their specific plans and got stonewalled every step of the way. I had all of my billing codes and everything. Long story short, I ended up choosing one that I believed had a similar setup to my last plan: all inclusive copay. Turns out, it is, but they are trying to bill me for the prescription used during the procedure($9,000+). I have to pay for that($300 specialty tier med) AND the copay. They couldn't explain why that is a loophole.
My infusion is a buy and bill, which means it is billed under MEDICAL, not prescription benefits. What am I missing here??
TLDR: "All inclusive copays" have loopholes apparently?
Pets Best - Annual premium increase
I have a Pets Best insurance policy on all three of my cats, and on one cat who has passed. I have had good experiences with the company who has saved me thousands in bills (across four pets). I have been a pets best customer for over 6 years.
I just got an email saying that one of my cats premiums will increase from $225 to $378 dollars a year. The only reason they give is that he's a year older (now four years old).
I am wondering if anyone has experienced a similar jarring increase. Will it be the same for my other two cats? Does pets best negotiate premiums? Is there a cap or should I expect this annually?
I know there are issues with getting coverage for preexisting conditions so changing providers for this car isn't an option, but I could explore different coverage for my other pets.
Please advise. Thanks!
Lemonade - Lemonade Pet Insurance Claim
My dog was thrown off a balcony by what I believe was the neighbors kid. Broke both of her front legs.
I have the police involved and investigating. The vet bill was over $13k. Her bones are being fused to reduce the chance of lifelong pain from this.
Here’s the deal, I put $5000 down for the surgery (and paid another $1500 for the initial emergency vet visit.) The claims rep is asking for proof the balance I owe the vet is 0 and that the invoice is paid in full.
I read the policy and there’s nothing in there that says I have to prove that it was paid in full.
The closest I found was this:
“Submitting your claim
To expedite your claim review, please file your claim as soon as you can. However, in cases where this isn't possible, we'll accept claims for review up to 180 days from the date of treatment. We require itemized invoices and receipts detailing your pet's information, date of treatment, cost of the services, and the vet's information. You must provide all requested information and documentation during the claims process. All claim payments will be made to you, unless otherwise assigned by you and agreed to by us.”
I pointed this out, told the agent I provided all the listed information and also pointed out that she has already tried two times to falsely deny my claim. (Initially she said I had coverage with someone else then said my policy was canceled.) I also asked her where in the policy I am required to provide what she is asking.
Can they force me to pay this in full before they refund me? I put the $5000 on credit cards with a 40% interest rate so I’m trying to get this resolved asap. I’m beyond stressed, but thankful the vet at least allowed us to put $5000 for surgery instead of forcing us to put her down because I don’t have access to that sort of money. Even the $5000 was difficult to acquire.
Yes I realize now I made a bad insurance decision but that doesn’t help me in this immediate moment.
Travelers Home Insurance - Roof claim timeline
Travelers Home Insurance. Claim filed 6/3. 1st agent came 6/11 and my roofing contractor was present. He quit the company the following week. New guy assigned. Came 6/27 then went on vacation.
A few weeks later he calls and mentioned he wants an engineer to look at the roof because he agrees there is hail damage but doesn’t agree it’s a full roof rebuild. Fine.
7/16 engineer comes out. Contractor present. It rains before he took photos, so he has to come back on 7/21. Fine.
It’s August 5 and the travelers insurance guy says he still doesn’t have the engineer report.
Is this timeline normal for a claim like this? Does this breech the law that states 30 days for insurance claims to be investigated?
Nationwide - Nationwide warning
My pup just got cancer, and I’ve had her on nationwide for 12 years, I signed up when it was 90% coverage, excluding wellness and they used to pay out reasonably well.
They hide it in the small print but they have extremely low limits for most categories - meaning I will be paying 70% of this out of pocket.
The diagnostic limit alone is $1650 which is 25% of an MRI in my area.
My other dogs are with healthy paws and pets best - I am sick that I didn’t move her sooner.
If you see this please just move your pups rather than suffer.
Amica - Home Insurance Renewal Time. Need A Great Rate.
We've had several years with Amica, they've been great. However the new rate even with a 1.5k deductible is a lot.
If you've got a good non-first tier insurer that we can trust, I'd like a recommendation.
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