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insurance company - Totaled car market value - does this adjustment of value seem fair?
I have a 2012 Prius V that was totaled in an accident. It has 40k miles on it (I got it from an eldery couple who almost never drove it). The insurance company came back with 3 comparison vehicles, all were same year/make but all have 90-100k miles. They are saying that the "adjustment" of value for the mileage difference is only $1500... Does that seem right?
Blue Cross - 56 year old living in Georgia health insurance dropped him
Location: Georgia, USA
Hello everyone-
My brother was in a motorcycle accident April 6, 2024. He was in ICU for a month and discharged in July, 2024. During that time he did not have his phone, access to email, or ability to check standard mail.
My brother was a PE Teacher and football coach in the state of Georgia for 27 years. All of his insurance premiums were paid for once a month in his paycheck. The state of Georgia agreed to early retirement with benefits beginning July 2024.
Blue Cross informed him last month they were dropping his insurance for delinquent payments. His appeal was denied.
My brother is looking into COBRA as well as ACA.
Does my brother have a case agains Blue Cross? What steps should he take to have Blue Cross reinstate him?
Thanks!
Aetna - Denied due to no pre authorization
My husband had a emergency surgery for his appendix on February. We just received his EOB and it says denied because the provider didn't pre authorized the service and that we shouldn't be billed for it. The bill is $37,000. Our insurance is through Aetna. What does this mean? Do we really not owe anything? Or will the hospital still bill us? TIA
Unable to call insurance since they are already closed.
Edit: The hospital is in network.
United Healthcare - United healthcare prior authorization
I am 20 years old and on my parents insurance. I got prescribed a medication under the impression that they would not be notified but my dad got a call about the prior authorization being approved and also a letter in the mail. Does anyone know how to change this/prevent this happening again in the future?
Progressive - "Progressive" filed accident claim without consent, concerned about insurance rate impact
Seeking advice. I had an accident very recently where the other car hit my car while doing improper lane change. Even the police said by seeing the dash cam video of my car that the other person was at fault, I called my insurance company in order to report the accident but they filed it as a claim without confirming with me first. Even though I told them I don't want to use my collision coverage as the accident was not my fault, they still filed a claim without confirming with me first. The claim was closed next day without any pay as they suggested to contact the other person's insurance because I am not at fault. Now I am afraid that this claim will increase my insurance rate from now on, what should I do now? How much it might increase? Is there any way to remove it from the record? Any kind of suggestions will be appreciated.
community public liability insurance - Settled claim privately, Insurance won't let me claim
Brief background:
My boss lives in a private gated community. Last week a resident neighbour was driving out of the grounds, and as she was going through the gate one of our staff walked in front of the gate. I honestly don't know what happened but her car was damaged as the gate closed on her car.
The neighbour said our team member was at fault. The gate mechanism is absolutely faulty and to blame. My boss said just to settle it and we paid her 1k for the damage (she got a garage quote).
Now the community public liability insurance is saying that because we amicably settled with the Third Party, no claim by us will be entertained.
I know that by rights the neighbour should have claimed on the community insurance, but my boss just wanted it dealt with and didn't want animosity with a neighbour.
Do we have any recourse with the insurance company?
My next plan will be legal action against the property managers, but I'd prefer not to go down that road!
Edit: spelling
Allstate - Washington State Wreckers License?
Received this correspondence from our go to body shop. Pre repair/estimate of record phase. Can someone tell me what this means? Wondering if I should look for a less expensive shop, or if this is the case for all legit WA state auto body shops (and our best bet is to ask AllState to pony up). Thank you in advance —
THEM:
Hi,
Allstate has selected a used headlamp from Texas junk yard. I’m not able to buy used parts out of state unless they have a Washington State Wrecker’s License.
This could be an out of pocket cost to you up to $1000 if Allstate does not budge on this subject.
‘
Thank you,
Fetch - Is it worth switching pet insurance? (Fetch Vs Pets Best)
I have a two year old mixed breed dog he has been on Fetch pet insurance since I adopted him as a puppy. I was paying about $25/month. The first year I did not make any claims so it did not increase. This past year I did have to make about $5,000 in claims which led to an IBD diagnosis. I have not made any claims since then. I just got my renewal notice and the new monthly cost is around $60/month. This doesn’t seem reasonable for the low coverage limit I have.
This seems like an excessive increase. Is it worth switching pet insurance to something that has better coverage and is less than half the price but won’t cover pre-existing conditions and just saving the extra money for when it’s needed?
What would you guys do?
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.
Nationwide - Nationwide Dropping Coverage Amount
Just got my renewal notice for my dog, whom I've had on their policy since I adopted her 7 years ago. It's literally saved her life at least once with an emergency surgery being 90% covered. I'd noticed a year or 2 ago they were no longer offering the 90% reimbursement plan to new customers but figured as long as I maintained my payments (which had gone up SIGNIFICANTLY) I'd be held in that same plan as long as I wanted. Not so. When I opened the renewal letter this morning, I noticed the premium dropped by about 30 a month but the reimbursement amount also dropped to 50%. Very disappointingly, the letter said that to maintain competitive pricing, they needed to make this change. I think I'll be shopping around for a new provider but am fearful that starting a new policy means my dog's chronically arthritic leg and hip (she was mushed when she was a puppy before I got her and never treated) won't be covered nor will her supplements and so forth that keeps her from feeling too much pain. Any advice?
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