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unknown - I met my max out of pocket for my insurance and the hospital is still saying I owe money
I had surgery on May 8th. At that point, I had not yet met my deductible or out of pocket max. I was told that I would owe $3,500. $150 to go towards my deductible and the remaining going towards everything else. I paid them $2000 as a deposit before the surgery leaving me with a balance of $1,500. I was told at that time that as long as everything was covered by my insurance. If at any point I met my max out of pocket, that I shouldn’t owe the hospital any more money, even if there was still a balance remaining.
I also had another surgery on May 12th. I knew that between both surgeries, I would cover my out of pocket max for my insurance.
I got two bills in the mail about a month later one for the first hospital for $1,500 and one for the second for about $2,000 I called my insurance and explained that I met my max out of pocket so I shouldn’t owe anything. They said they submitted claims to both hospitals and that it should be taken care of.
I was still receiving bills for both hospitals so I called my insurance again and they said that the second surgery was covered and the claim was being finalized but that they weren’t seeing anything for the first surgery as far as claims go and that I needed to contact the hospital and have them give my insurance a call.
I contacted the hospital and they said they would not contact my insurance because everything looks right on their end and that my insurance needs to contact them.
I have since contacted both my insurance and the hospital and they are saying that the other needs to be the one to call and that “we don’t call them, they need to call us.” The only thing is that the hospital suggested that maybe I put them on a 3 way call.
Anyone who knows about insurance and what I should do, please help. Also I’m sorry this is so long 😅
Anthem - Anthem Pre-Authorization
After a surgery consultation, my doctor submitted a pre authorization request to my insurance, Anthem (North Carolina). I believed it had been sent on March 17th, so I called my insurance to check the status last Friday. However, there was no record of any pre-authorization being sent. This turned into the insurance calling the office, and they confirm it was sent March 24th (so it is confirmed by both the office and the insurance rep who called). Now today, I called to make sure the information had been updated, and that the pre-authorization had officially been received. Once again, they say there is zero record of any pre authorization. This is my first time having to go through this process, and I'm just super confused. I know the expected date to hear back is within 15 days, but I at least thought the request would be on file. I don't want to have to call again, but I'm getting worried that the request won't show up in the Anthem system. Plus I can't schedule surgery until this is approved, and I need it done this summer so the longer this takes the more nerve wracking it is.
Basically, is it normal for my insurance to have no record of this pre-authorization request 14 days after it was sent?
Geico - Uninsured
Had my payment coming up of $519 ( 2 payments of 259, lumped together) I instacart for my income and it had become too hot recently to do as much as normal. I let geico know i could pay some not the full amount due, representative told me pay what I can.. thinking it was notated on my acct and id be ok.. (8 years of coverage) I continued to work although I started training at the job I finally got hired for, taking away time to instacart.. long story short I saw Geico canceled me on 7/21, I found out a few days ago because I don’t check emails often. They usually text me. Im in NY, To reinstate I need to pay off my balance 389 + 300 for new coverage.. I don’t get paid until the 15th.. anything I can do? what do I need to be concerned about? any penalties.. etc. Really thought the representative did me a solid, why not say it would still cancel?!
Geico - Geico Auto insurance
I was in a non injury auto collision accident with another vehicle. My car sustained much worse damage than the other car. I went to get an estimate at SHOP A and it's $3,000 to fix and only need 4 days. I then filed a claim through my Geico insurance. They say there is no fault on either party so we have to pay through our own coverage. Geico has set me up with their Auto Repair Xpress (ARX) locations. The ARX shop says it may take 2 weeks of back and forth with Geico to get my car back. And I'd need to get my own rental since my insurance doesn't cover rentals. My question is, can I use SHOP A and use Geico? Or do I have to go through ARX? How will Geico determine how much they will pay for if they don't inspect my car?
Healthy Paws - Healthy Paws is DOUBLING my dog's monthly premium to $135 — who can I move to that won't bend me over a barrel?
I love my dog but I cannot afford to pay $1600 a year for something I've hardly needed so far (since it only covers emergencies and not routine stuff). I do wanna insure him, but $135 for a healthy 7yo dog is beyond insane.
Is there _anyone_ out there that won't completely hose me on premiums?
Blue Cross Blue Shield of Michigan - BCBS of Michigan but located in Northern Virginia
I'm starting a new job in a month. It's remote, and I live in southern Arlington, VA. The health insurance the company provides is Blue Cross Blue Shield of Michigan, because it's a Michigan based hospital. My to-be manager (someone I know from a previous job) lives in Arizona and he said the pickings of doctors have been lacking due to it being BCBS of Michigan and he's in Arizona. I'm wondering if anyone has had similar experiences? Should I take the BCBS of Michigan health insurance (which doesn't cover anything birth control related so I'd have to get something to supplement that) and hope for good choices of doctors in Arlington, VA? Or go onto my husband's insurance with Kaiser Permanante even though it's more expensive?
Medicare - Health insurance
I have met my Medicare deductible. I have plan G Medicare supplement which pays all co-pays, etc.
I am being billed by a doctor’s office in spite of the fact that I have no further liability for co-pays. What is the best way to resolve this as the doctors office keep sending me a bill.
Allstate - All State
So I have auto insurance with All State here in Canada and I was provided a questionnaire for my renewal term which I filled out. All state says to fill it out otherwise there’s penalties and whatnot so I fill it out. They increased the premium on my last monthly payment before renewal and aren’t budging because we sent the questionnaire that they asked for before we paid the last payment so now they’re counting it as a policy change which is stupid. I work as an actuary in auto insurance and I’ve never dealt with this sort of stuff. What should I do?
Montana condo policy - Excavation covered?
Townhouse covered by condo insurance. Pipe in the ground(HOA property) breaks, excavation needed to determine the cause and replace the pipe. Insurance denied repairing the pipe due to wear and tear which is understandable,, but shouldn't they pay the excavation which was needed to determine the cause? There was other damage that was covered. Montana condo policy. Back up water/sewer damage coverage on the HOA policy.
Pets Best - Anyone actually had a good experience with dog insurance?
I’ve had Pets Best for about a year now for my mixed breed pup (healthy overall, just minor stuff like an ear infection and some stomach issues). I’m paying around $60/month, and every claim I’ve submitted either got denied or barely paid anything. They called one thing a pre-existing condition when it wasn’t even diagnosed until after I signed up.
Starting to feel like I’m wasting my money and might be better off just saving that monthly premium myself.
Has anyone here actually had a dog insurance plan that helped when you needed it? Open to switching if there’s a better option but I’m kinda losing hope tbh.
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