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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.
Insurance company - Insurance cut me a check and then I had repairs but did I pay double $500 deduction
I swiped the side of my car (no lien) and Insurance company adjustor said take pics and put in portal. Said damage was worth$3700 and cut a check minus the $500 deduction; $3200. As I checked with bodyshops I deposited check as one guy said it doesn't hurt with final claim. Several weeks later used an insurance approved shop, over a month to repair. That shops original estimate was $5800 then final $7,700. So they charged me a $500 deductible and then Said to pay them the $3200 from insurance check. But Insurance check already took out $500 deductible and the shop just charged my CC $500. Shouldn't it be $2700 I pay Sthem (3200-minus $500) Insuirance already held theduditble and then I get charged by the body shop too?
UnitedHealthcare - I had 2 doctor visit back to back days. One I saw the PA and the other I saw the NP. But the medical claim with my insurance says I saw the doctor.
So like the title says I had 2 doctor visit back to back days. One I saw the PA and the other I saw the NP. But the medical claim with my insurance says I saw the doctor. I received a bill from the clinic stating I owe an additional $76.93 for the PA and nothing additional for the NP.
Both doctors are from same clinic but different specialties.
I reached out to my insurance and they said it was both bill coded as me seeing the doctors. Is this correct? I reached out to the billing department of the clinic and it’s been almost 2 weeks and they haven’t gotten back to me yet.
Is this correct?
I paid $220.63 both times (I have a high deductible plan) I think. I don’t have a copay - I pay for everything my insurance doesn’t cover(which they don’t cover very much)
If you have more questions to help answer this let me know. In the last month I’ve spent $1600 in medical and I want to make sure I’m being billed a surplus amount.
Edit- I’m 29F from Texas and I’m insured through my job with UHC
State Farm - Rear ended a car driving my friends car with no insurance.
WA
So this is kind of a long story but I really need some advice. In 2011, I was active duty stationed in Everett, WA. My shipmate was at the casino and called me to come pick him up because he was drinking. His car was on the naval base and I was living in the barracks. He left his key on his tire and told me to find it and come get him. I picked him up and then rear ended a car. He gave the cop an insurance card and everything was dealt with and we left the scene. He later told me the insurance card was from 2 years previous and he couldn’t believe the cop took it and let us go. He didn’t have insurance on the vehicle. We then went on a 6 month deployment and I never heard anything more from the situation. I got out of the navy and went back home to Michigan in 2014. Some time in 2014 I received papers for a court case adjudged against me. I didn’t understand how this went to court and I was never notified or able to give my side of the story. Regardless, I planned on filing chapter 7 bankruptcy if they came after my wages. They didn’t. I heard nothing more until today. I got a letter from a law group representing State Farm insurance stating I owed 99k and it needed to be paid within 6 months. 14 years after the accident occurred! Do I have any options at this point besides filing bankruptcy? Thanks in advance for any responses. I’m stressed out beyond belief. (I’ve never owned a vehicle without insurance on it and I wouldn’t have drove that one if i knew it was uninsured.)
Travelers - Home Insurance Claim in Appraisal, Insurance Company Hired Lawyers
Hi all,
(Reposting because I didn't know how to format)
TL;DR: Insurance denying approximately 40K worth of costs (approved line items, just more expensive in the region than their estimate), went to appraisal with adjusters, umpire selected, month later learn that insurance company is now represented by lawyers.
We experienced a water damage claim impacting a 3-story townhouse, all continuous wood flooring, walls, and kitchen cabinets, counter, backsplash, with Traveler's in Dec 2023. We are located in King County, Washington; the house is built into a slope not directly accessible to the street and is stand-alone (no shared walls) on a plot with 3 other homes.
My initial quotes from contractors up to 100K. I went with a contractor who quoted around 80K, good guy. Escalated through several Traveler's adjusters in Winter 2024 until an adjuster came in person in late Winter and agreed with our contractor and the work moved forward. The insurance company adjuster recognized that the costs were going to be pretty high and was working well with our contractor, it seemed.
I handled cabinets, backsplash, and counters directly with a subcontractor and my contractor handled drywall, paint, flooring, pack-out and move in, and more. I got approval from insurance adjuster along the way and ended up getting approval for all of the kitchen work, fully covered, around 33K.
Due to delays from Travelers and subcontractors, with materials being hard to come by, our kitchen floor was unfinished with nails sticking out until May 2024. We wanted to keep things moving and settled on cheaper flooring than an exact match that was available sooner than the Fall, so we moved out in May (I had gotten approval for housing costs in early May from insurance for several weeks). Then, for whatever reason, their adjuster stopped responding to my contractor for a few weeks in, approximately, late-May and June.
The flooring and painting work was finally done and the cabinetry, counters, etc. mostly got done in mid-late July. The work was mostly completed by August except for a few small things. The final costs of the new installation of cabinets, counters, backsplash in the kitchen, which I had handled and which had been covered, was approximately 33K which has all been paid out and completed. Mitigation was done for 6.6K with a separate company. The remainder of the tear down, pack out, dry wall, painting, flooring, cleaning, plumbing, electrical, etc., onwards from my contractor ended up being 105K. With the previous adjuster, the claim was sitting around 70k estimate from the insurance side with an expectation that it would go up conveyed verbally with their adjuster several times.
In this period, since the insurance adjuster had stopped responding, my contractor had reached out directly to Traveler's. At some point a new adjuster was assigned and then, in June/July, the case was passed through, I believe, 3 more adjusters. The final adjuster basically went through and wrapped up the claim, including recoverable depreciation, but didn't really acknowledge the actual costs of the materials, labor, compared to their estimate and essentially closed the claim at approximately 95K total, which included mitigation, kitchen, and the contractor's work. That left a gap of approximately 40K still due to my contractor.
After a month or so of back and forth, we agreed with the final insurance adjuster, to go to appraisal in November. We selected an adjuster. It seems that nothing was happening for several weeks and then eventually Travelers selected their adjuster and he actually came to inspect the house in December. Then per our adjuster, unable to be reached/unresponsive for several weeks. Once they did get into contact and went back and forth in late February, they finally agreed on an umpire. Then, out of nowhere, in mid-March, the third party adjuster representing Travelers informed our adjuster that Traveler's had assigned or hired lawyers to handle this claim and they were no longer continuing the appraisal as previously agreed upon.
Here is the policy language regarding appraisal:
...7. Appraisal. If you and we fail to agree on the amount of loss, either party may demand an appraisal of the loss. In this event, each party will choose a competent and impartial appraiser within 20 days after receiving a written request from the other. The two appraisers will choose an umpire. If they cannot agree upon an umpire within 15 days, you or we may request that the choice be made by a judge of a court of record in the state where the “residence premises” is located. The appraisers will separately set the amount of loss. If the appraisers submit a report of an agreement to us, the amount agreed upon will be the amount of loss. If they fail to agree, they will submit their differences to the umpire. A decision agreed to by any two will set the amount of loss.
Each party will:
a. Pay its own appraiser; and
b. Bear the other expenses of the appraisal and umpire equally.
My question is - why did Travelers go with attorneys after there was an umpire selected?
- Could it be something as simple as the timeline being so protracted? We have emails showing the umpire was agreed upon a month ago.
- I am concerned that, as I see in this community, our adjuster was filling the costs to try to get a better negotiating position... Not sure if that would play into this...?
- The work was expensive and challenging to complete but there are no line items that were not previously approved - they just cost more than what the insurance company estimated.
I have not heard anything directly from Travelers. My contractor has been wrecked in this process, it's been tough for me as well. The idea that we need to face an attorney is rough.
Appreciate anyone's insights or guidance!
TL;DR: Insurance denying approximately 40K worth of costs (approved line items, just more expensive in the region than their estimate), went to appraisal with adjusters, umpire selected, month later learn that insurance company is now represented by lawyers.
Progressive - Progressive is canceling my policy because I filed a claim within the 1st 60 days of the 180 day policy. Is this normal?
If this is normal I'm not going to fight it, just stupid because I had NEVER been in an accident before and mine would've been minor had it not damaged my front radar sensor.
GEICO - Partially at fault for an accident I was not involved in.
I am being found partially at fault for an accident I was not involved in, and I need some advice. Here's the situation:
I was driving up to a busy intersection where the traffic lights were not working. I was in the left turn lane, waiting for my turn to go. Cars to my left were crossing, and once they passed, it would be my turn to proceed. As those cars started passing, I began to pull out, but I noticed a car behind them, still approaching the intersection. This car did not stop and just went through, even though it was not their turn.
I kept going a little, hoping they would stop since it was clearly not their turn, but when they didn’t, I stopped to let them pass. At this point, I was already in the intersection, close to their path but not in the way. They could have passed me without hitting me. However, as they started to pass and I was completely stopped, they suddenly swerved left. I think they either didn’t notice me initially or assumed I was still moving forward, and they ended up hitting the car in the lane to their left—another car that also went out of turn.
Since I didn’t think I was involved in the incident, I didn’t stop and just continued on my way. About a week later, I received an email saying that a claim had been filed. The car that was hit was a Tesla, and it had a camera that recorded my license plate number.
I called my adjuster, and they told me the police report placed me at fault. The report claimed the officer saw video footage from the Tesla showing that I didn’t have the right of way and went when it wasn’t my turn. I asked my adjuster if he had seen the footage, and he said the attorney (both cars are claiming injuries and filing lawsuits) had sent only the footage from the Tesla's side camera. The attorney refused to provide footage from the front camera. Even from the side camera, my adjuster noticed a car ahead of the one that swerved which would indicate they went behind the car in front of them and did not have the right of way because they never stopped at the stop sign., but when he pointed it out, the attorney claimed he was mistaken and insisted the other driver had the right of way, not me. They refuse to provide any other videos or even a longer version of the video that would show they never stopped at the intersection.
I actually have a dashcam in my car, but I didn’t think to save the footage, and by the time the claim was filed, it had been overwritten on my memory card. I gave a full statement to my adjuster detailing my version of the incident. I also contacted the insurance companies for both other vehicles (both GEICO), and they said they were accepting 100% liability for the car that swerved and didn’t need my statement.
Two weeks later, my adjuster called and told me that, because the police report said the officer saw video footage placing me at fault and both claimants agreed I was at fault, he would be accepting 50% liability and paying out policy limits to the injured parties.
Is there anything I can do at this point? I requested the body-worn camera footage, but it would cost $245 and wouldn’t be available for 6-9 months, so that seems pointless. I am actually a PD claims adjuster myself, but I’m just flabbergasted and don’t know what else I can do.
AAA - Has anyone had luck with getting your insurance to pay for stolen items such as jewelry that wasn’t appraised?
Was on family vacation when burglars robbed our home and ran away with our jewelry and watches adding up to $49K. Insurance (AAA) denied claim and paid $2500 for sub limit and for damages to the home adding up to $6K. I did not realize we were supposed to appraise each item, until this episode. I had a personal property coverage of up to $150K. Any guidance on how I may recover more here?
State Farm - State Farm: Ensuring that vehicle modifications would be covered in the event of a total loss?
Greetings, I have State Farm insurance on my truck, which I've been gradually making improvements to for off-road use over the past 2 years I've had it. As of right now, I have about 18k invested into it excluding labor.
I've asked my SF agent aboput gettin an endorsement and they verbally said that my current policy should cover it as long as it's bolted to the vehicle and that I've kept photos and receipts, but I still worry I could end up in a situation where the vehicle is stolen or wrecked in an accident, deemed total and I'm offered far less then it would cost to purchase a similarily equipped truck used on FB marketplace. I'm a bit skeptical of whether or not this is accurate or whether i'd be severely low balled.
I live in a fairly urban area where property theft and unisured reckless drivers have been sharply increasing.
I skimmed over my policy but nothing stood out to me in reguards to modifications, but perhaps I missed something? I'm just trying to make sure that I'm not screwed . One scenario I'm worried about is getting a low ball offer for the vehicle and then hoping there is an avenue to buy it back so that I can transfer the viable parts to another vehicle of the same model, selling whatever is leftover for part and taking a huge loss.
State Farm - I need help
I am a 37 year old female. I have one child age 10. I do not smoke or drink. I have applied for 2 life insurance policies. One thru all state 6 years ago. One thru state farm 30 days ago. I am a recovering addict and have been clean for 12 years . I have passed every drug screen since than. I keep getting denied because I'm in a matt program. I have taken this medicine for 12 years. I have been denied because on this medication. Any advice on where I can apply?
Aetna - Is this a surprise act violation? Need help
Update: Thank you for all the responses and suggestions. This is my first time ever dealing with insurance so was a little confused. I believe I have figured out what the issue was.
I was seeing an in network gynecologist and they requested I get an ultrasound. The gynecologist had me scheduled with the hospital but said I can cancel and find another provider to try and find a cheaper place. I found an imaging clinc that says online that they take Aetna and so I scheduled with this place. They took my insurance information and I called them 3 times prior to my appointment to confirm the price of the service. They had stated the service was $245 every time I called and that I wouldn't owe anything more then that. I went to the clinic and before getting the ultrasound done again asked about the price. They said it would be $245 and so I swiped my card. I asked again if I would get another bill later and they said no that this is all that I would owe. I did the ultrasound and before I left I had them print the bill. They printed it for me and it shows that the good faith estimate was $245, which is what I paid upfront. A month later I received a bill from the clinic for $400 and upon checking the insurance claim I see $400 going to deductible and another $401 saying "pending or not payable" with my total share being $801. It seems my insurance is not covering anything. I had no idea that they would not cover anything or that this place was "out of network" as it literally says they take Aetna. I was reassured multiple times that the $245 was all that I would owe. I told them many times that I would cancel my appointment if there is the possibility that I would be charged more. The good estimate bill doesn't even show the actual price of the procedure nor how much my insurance would cover. I am so mad. How do I debate? Do I file a complaint? It also seems like my insurance is unaware that I've already paid $245. Please help!!! Another $800 bill on top of the $245 is insane.
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