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Pennie - Clarification about guidance from Pennie about complex health insurance case involving legal immigration.. Help!
I attempted to enroll my wife in a Pennie health insurance plan with a July 1 start date, even though she won’t physically arrive in the U.S. until July 8. She’s entering as a lawful permanent resident, and as I understand it, that status only becomes official when she enters the country and gets the I-551 stamp or green card. When I called Pennie, I expected them to tell me to wait until she arrived. Instead, multiple reps told me I could start her coverage as early as June 1. They said as long as I uploaded her green card by the September 18 deadline, everything would be fine.
At the time, I followed their advice. But now that I’ve gone through the actual policy language from Pennie, I’m second-guessing the whole thing. From what I can tell, coverage can’t legally begin until someone is lawfully present. That would make July 1 an ineligible start date since she won’t even be in the country until July 8. It also looks like coverage normally starts the *first of the month after enrollment,* which makes me think August 1 is actually the soonest possible date.
So now I’m stuck wondering what happens if I submit her green card later and it clearly shows that she didn’t become eligible until after the start date I selected. Will the system flag it? Will coverage be denied or quietly canceled? Do I need to withdraw and reapply once she arrives?
I’m looking for input from anyone who really understands how Pennie processes these kinds of cases—ideally someone with inside knowledge, or a rep who has seen how this plays out in practice. Any analysis or clarification would help a lot.
Lemonade Pet Insurance - Lemonade Pet Insurance Rate increase steadily, becomes 5x the price after 3 years!
We first joined at around $30 but it is now $150 just 3 years later!
While I appreciate that they respond through email, will make up reasons for care reimbursement rejection - and they don't seem to have a transparent appeal process!
Quest Diagnostics - Quest charged bloodwork to former school insurance
Basically what the title says. In July of last year I got bloodwork done at my doctors office back home after graduating from a 4 year university. A few months later I get a bill for 700$ saying that they charged it to my former school's insurance as opposed to my CA state insurance.
I've gone to my doctor's office multiple times and each time they've said they'll handle it but quest keeps sending bills
I'm back in college and need to save as much as I can, is there a way to resolve this with quest? A relative is saying I should send a notarized letter explaining the situation, but I've also heard if I call quest and give them my CA state insurance info it should be better. Is that still possible, or has too much time passed? What's the best thing to do now
Embrace - Weird Pet Insurance Dilemma
Hi all, I am in need of advice. I'm not sure if this is the most appropriate place to ask.
Ive had Embrace insurance for my two kitties for a year now. For one cat, it's amazing. For the other, Daisy, it's been kind of a nightmare. I had to increase her coverage midway through which restarted the medical review. That was my first big mistake, because while I knew it would come back with a temporary exclusion of a one time ear infection, I did not expect a permanent exclusion for ALL SKIN MASSES including cancer.
Now, yes she has a small polyp on her outer ear that has never been diagnosed officially. It has been told to me by multiple vets that it's not a big deal and to leave it alone since shes had it since she was 2 and it was harmless. So when I saw that exclusion, I went through her medical records and found that I mentioned to the technician that she had a "growth" in her ear that was not impacting the ear infection, and my statement was put on the official medical records despite the veterinarian never putting it on her notes or as a diagnosis. She had one diagnosis: ear infection.
A two month long appeal process would ensue where no one asked me anything despite me sending my specific concerns via email to the vet about wanting it known to the insurance it's not a cancerous mass, it's a polyp and it should not exclude all forms of cancer. The insurance would only speak to the vet who obviously had more important things to do than to deal with insurances, so it took forever for this process to come to a conclusion. The vet had no record of the mass, other than my statement to the technician, and ultimately that's what she told the insurance: There is no diagnosis of a mass and she has never noticed one on my cat. The insurance concluded that the mass didn't exist and officially documented the rescinded exclusion.
My next mistake: I didn't say anything after because who would?? After a nonstop, 2 month, constant back and forth to get everyone to work together, there was a solution so I shut up and let it go for peace of mind.
Now I feel absolutely f*cked because the polyp needs to be removed because she wont leave it alone and its turned into a deep cut that doesnt heal. The technician today wrote that she's had it since she was two and it's officially been diagnosed. Its a benign polyp, it's been biopsied after the appeal. Im so afraid to keep her insurance or submit a claim now in case im now "withholding information" or being fraudulent. I never denied she had a mass, I just denied it was anything more than a polyp and that's what I was trying to fight.
What do I do??? She gets it removed tomorrow. Im afraid this being found in her medical records will impact future claims and I won't be able to move forward with removing any other temporary exclusions like the ear infections. I also have another cat on the policy who really needs insurance and im scared if they drop her, they'll drop him too.
If you got to the end, thank you for reading this 🩷
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 ~$1400/month.
How do companies get away with “offering” healthcare insurance that isn’t subsidized at all? This seems very disingenuous
USAA - I was in an accident and the insurance company immediately folded. Please help
I was in an accident recently and i signaled and looked behind me and merged rightward into a middle/center lane. As I did so someone came flying up from behind me and I believe they very likely merged leftward into the same center lane, and I struck their aft portion of their car. Like their quarter panel and rear door (it was a four door car).
I hit with the front of my car. like my right-side turn signal and bumper cover hit their left-side rear door and quarter panel.
Not much damage to either vehicle but certainly much more to the other motorist's car. They will probably need a new doorskin and new quarter panel or at least serious bodywork to repair the damaged panels.
Anyway, my insurance coverage does not include collision or comprehensive. Which is fine. I prefer it that way.
I thought it should've been mixed fault or not my fault at all but in one week my insurance USAA has found me liable.
There were no other witnesses, no passengers in either vehicle, and no camera footage.
I forgot to take photos of either vehicle and so did the other motorist as far as I know. We only took photos of each others' insurance cards.
They said due to the location of the damage on both vehicles (i never sent them a photo of either vehicle so other than my words and the cop's words they don't know where the damage is on my vehicle) and due to the police report, they are making this decision.
I called the police department to get the report and not only do they want 10$, but they said the only way my insurance company could have the report is if they solicited to lexisnexis via snail mail. If that is true, then I suspect there is little that in ~6 business days they got the report.
I was unsure what happened and the old lady who hit me/I hit was very adamant it was not her fault, which I guess is what I should mimic in the future, even though anyone with half a brain knows that in many accidents, eyewitness testimony is unreliable.
I did not admit fault at the scene or to anyone
I have a career where my driving record is important and I really don't want my insurance to go up. The adjustor is being noncommunicative. Please help
Clements Insurance - Clements Insurance?
Has anyone used Clements Insurance? I'll be in Bangkok for 6 months to a year and I'm looking for full coverage on expensive personal property. They say they provide that coverage, but saying and doing....
Kaiser Permanente - Doctor Ordered Incorrect Genetic Test Which Caused Me To Lose My Sperm Donor
I will try to make it brief but can answer any additional questions.
My wife and I started the process to have a baby. I was insured with Kaiser Permeante (KP) and went to my KP OB. I requested a specific genetic test to be completed (in writing). The DR ordered the wrong test, and instead of the largest panel I received the smallest panel. The records that were sent to me with the results have the name of the largest genetic test despite it actually being the smallest genetic test. I did not realize the error until a couple of months later when my wife and I had selected donors and had to go to a genetic counselor to ensure we did not have any of the same diseases. I was unable to move forward with me selected donors because I did not have the appropriate genetic test. At this time, I was no longer insured with KP and was now insured with BCBS. I went back to KP a requested they proved the correct test, they were unable to without drawing blood again. I proceeded with obtaining the correct genetic test under my new insurance. While waiting for the results both of my two donors were no longer available for purchase and I am now in the process of locating another donor. My wife and I are black, and we are only interested in a black donor. There is a national shortage of black donors and the two donors that we selected were high quality donors (attorney and a doctor).
KP has acknowledged their mistake (in writing) and reimbursed me for the cost of the incorrect test.
Can I sue the doctor for ordering the wrong test?
State Farm - State Farm customer service line connects me to someone having a random conversation?
I go through the prompts, I get connected to someone, and I just hear a conversation between two people talking about random things that I can barely make out. They don’t respond to me so I hang up and try again, same thing. What is actually going on? Do customer service reps just answer and then ignore people so they’ll hang up?
MetLife - Intestate estate still open nearly 3years. Brother won’t sell. What to do?
Greetings everyone. I do but know where to go for help in this. I tried the court but that was useless. There is only one lawyer near us that takes our MetLife legal card. So my dad died augusts 2022. The estate is worth close to a million and there was no will. I tried to qualify as the administrator, but since I had to be bonded, my credit held me back, so my brother was able to qualify. Since then, he has done nothing. Two plots of land were sold for 300,000. It was sold for less than it was worth, but it was too family, and that was important to my dad. No personal items have been sold. There homes are in the country and the homes are full of mice that I’m sure have eaten everything! The cars have been sitting, uncovered the four wheelers the Farm equipment, all of it sitting and rusting. There is a double wide that’s about 15 years old and sits on a gorgeous lot and a three bedroom brick ranch that is still waiting to be sold and all of the personal effects but I cannot get my brother to do anything. He will not return a phone call or a text message. When we try to contact the court, they were of no help we don’t know what to do who returned to or what our rights are and trying to read online. It’s like it’s written in another language. I know this is a long Post, and if anybody has time to give us an idea of how to move forward from here what we can do it would be so appreciated. We are in Virginia if that makes a difference at all thank you in advance so so much.
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