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State Farm - Auto insurance deductible reimbursement through employer.
Good morning. I work for the State of Florida as a probation officer. Back in August of 2024, I was forced to utilize my personal vehicle for State purposed due to unavailability of a state vehicle. While conducting curfew checks at 5am in the morning, a stray dog ran out in front of me and I was unable to stop. Aside from the psychological damage caused by this being an animal lover, my vehicle sustained several thousand dollars of damage. Luckily I had decent insurance and my comprehensive deductible was 500. Prior to filing a claim with my insurance, I inquired about the damages being covered by my employer or their insurance coverage and was told I'd have to pay myself. I filed with my own coverage. I later found policy and procedure that states you can be reimbursed a max of 600 for damage in such a situation. I filed the proper paperwork with the powers that be and waited. After the body shop and getting everything together I filed in November of 2024. Fast forward to February when I inquired what was going on i was given the claim number with department of financial services. They stated they would only pay on claims where I damaged someone else's property while using my vehicle for State business. I contacted the Florida police Benevolent Association as I am a member and they investigated but wound up telling me they can not assist, despite their contract with my employer stating articles, statues etc that cover me for reimbursement. I contacted my insurance regarding possible subrogration with my employers carrier but I was told this is not possible on a comprehensive claim. I know it may not seem like a lot, but I'd definitely like to be made whole on my 500 deductible. Any advice would be greatly appreciated. Thank you.
Additional info on statutes etc:
Its article 19 in the Florida pba contract with Security Services Unit of Florida Department of Corrections. Additionally items or statues listed are aca/cac standards 5-aci-3a-27 and Florida statute section 944.0611.
Progressive - Progressive motorcycle people, care to answer a question?
I brought my 2022 Low Rider ST (model FXLRST) down to Florida for Daytona bike week, and unfortunately I was hit by a Ford E450 and my bike was totaled.
When progressive calculated the motorcycle’s value they used JD Power and with “standard” equipment they said my motorcycle is worth $16,040. However, if I were to select “options” I’m able to select all standard equipment that isn’t optional and it increases my motorcycle’s value to ~$18,300. That’s a significant difference.
The “optional” equipment in question are things like a full fairing, oil cooler, cruise control, high performance exhaust, security alarm, saddle bags, and a standard suspension. All those aforementioned features come on the bike straight from factory and are in fact not optional at all. They are as standard as A/C and AM/FM radio in any modern car. The bike just comes with that stuff and that price of those things are factored into the MSRP.
This is completely separate from my accessory coverage to cover things like a custom seat, better headlamp, new foot pegs, flat out crash bar, etc… those are all aftermarket and wouldn’t count towards the base price. I’m aware of the difference and am not talking about those items.
I’ve forwarded my bill of sale to show that none of those features were options that were installed at the time of purchase and any field adjuster could with the help of a service professional could identify every feature on the bike. So why is Progressive so confused? Where is the disconnect?
GEICO - GEICO Insurance
Hey! I have a question. I reside in Tallahassee, Florida. I have one car here (2025 Toyota Corolla) and a car in Miami (2005 Toyota Camry). I informed Geico that the Camry is in Miami, and my sister is the primary driver. Geico informed me yesterday that they will drop the car from my insurance because they think that it’s her car (it’s my car in my name). They told me I needed the registration that shows the car is mine, and it needs to show the address where I’m at, which is the mailing address in Tallahassee (I go between Tallahassee and Miami). Anyone has been through this? Please advise.
Wawanesa Auto Insurance - Wawanesa Auto Insurance
Hi I would like to hear your thoughts on Wawanesa Insurance? Plan to switch from AAA to Wawanesa. AAA double my insurance, no accident or traffic ticket. Please let me know. TIA.
Healthy Paws - Healthy Paws has been great so far, but considering switching to a safer option.
My five year-old spayed female Pomeranian mix has been insured by Healthy Paws since I got her at eight weeks. They have reimbursed me for the full amount of my coverage within 36 hours every time, no questions asked, and our monthly premium has only increased slightly over the last five years ($40 to $45). However, I have heard a lot of stories about people who have had their monthly premiums with Healthy Paws increase by obscene amounts as their dogs get older. My pup does not have any history of medical issues so far—I am considering switching to something else while she is still young and healthy. Is that a good idea? What would be a better option? Any advice would be appreciated. We live in Los Angeles.
Thanks!
unknown - CPT code confusion
I had an MRI arthrogram ( contrast for hip labrum and joint) and it was coded 27093, 77002, and 73722. And then the pharmacy drugs.
My insurance is trying to bill this a surgery as they say code 27093 is under the surgical code section in the CPT guidelines. Normally I would have 100 percent coverage for any outpatient clinic ( non hospital) MRIs. My insurance says even though this was not done at a surgical centre or with a surgeon ( only a radiologist), they can charge me as if it was a surgery and therefore also charge the radiologist as surgeon fees.
Does this make any sense at all? That way they say I have to pay 20 percent of the whole package of MRI ( 73722), Radiology diagnostic ( 77002) , and the local anesthetic used by the radiologist prior to the iodine injection ( 27093).
So even though my work insurance normally would cover radiology diagnostic and all imaging at 100 percent, they say because of 27093, this is now a full blown surgery and only covered at 80/20 rather than 100 percent.
Is this true? I will post in CPt code section.
Figo - Is making a switch from Figo worth it at this point?
I have a six-year-old lab mix (50 lbs) who is in good health, but a couple months ago, she was limping a little bit and had an x-ray in which the vet I saw said there was some minor flattening of one of her hip joints. I have a family member who is a vet in another state, and she said from the scan she saw, there was nothing worth noting or treating and she seemed to be in perfect health for her age. She’s also stopped limping entirely about a week or so after that appointment.
However, I know that the vet we saw does have it in her chart. I tried to file a claim on this, but as with literally every other claim I have ever made (nothing serious or crazy expensive so I let it go), it was denied. I have had Figo since I got her at 1.5 yo (rescue), but the same plan that I still have since I signed up shortly after adopting her started at about $25 a month, and now is creeping up to almost $125. My annual renewal date is mid February, so I have been thinking about making the switch.
However, I am wondering if because of this last visit, if she were to develop hip dysplasia later in life, they would use that as an excuse not to cover anything. Barring any accidents or random injuries, it doesn’t seem at this point that anything else is concerning or showing signs of future problems at this point. She’s an inside dog and has always been up-to-date on her shot and flea, tick, and heartworm meds. The vet did bloodwork when I took her in for x-rays, and everything came back crystal clear, as it has any other time she has had blood work done.
I’ve just become increasingly frustrated with Figo given the price hikes every year and their refusal to accept anything. I feel like I’m wasting my money, but don’t want to get screwed over later on if a new company sees it a pre-existing condition. But I’m also too anxious to not have any insurance at all.
Anyone have experiences similar to this? Any advice? Do I just tough it out and keep shelling out the cash just in case? I know I should have probably switched years ago, but here we are.
Aetna - Incorrect deductible charge from hospital. Any chance of getting money back?
I had a pre-op call with my hospital today prior to my bilateral salpingectomy (preventative birth control) procedure next week. I have a new Aetna plan with a $2k
deductible, so it didn’t seem crazy when the hospital said I owed $2k.
But now I’m hearing that my procedure should be free under the ACA. I was told I’ll get my receipt for the charge at my pre-op appt on Friday. Any chance of me getting this money back if I dispute? Can I do a chargeback on my card?
Ascension SmartHealth - Negotiators
I’m getting fed up with navigating these PPO plans. 3 tiers in network, out of network. Lab fees from pcps being sent out of network and charged outrageous amounts specialty providers working out of our primary hospital apparently “not covered”. I know there are others on here with worse situations.
Surely there has to be a health insurance negotiator/broker that will help correct and track these charges to make sure we’re not getting wrecked by these incorrect charges. Something like a rocket money that will work through the fine print in the insurance contract and make sure we’re not being overcharged.
I’m here for all the suggestions. We use Ascension smarthealth for reference and if you’re curious about it, stay away.
Travelers - POC Information
Hey Team, if I get 'ghosted' by an adjuster how would one find their manager's contact information so I can send them an email? This is for Travelers in the Mid-Atlantic Region USA.
Still haven't gotten any reimbursement for my personal property after a fire... and several attempts to contact them.
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