Have an issue with your insurance?
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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.
Virginia Medicaid (Cardinal Care Smiles) - Denied dental services on medicaid- what's my next move?
Virginia Medicaid (cardinal care smiles) helped me see a dentist for the first time in a hot minute.
Long story short, I just received correspondence that the crowns I need have been "partially denied." The exact denial was worded as, "We decided to partially deny the request.". They did not elaborate on why.
What do I do from here? They stated "Your provider can ask to talk to our dentist that made thsi decision."
So, do I have to reach out to the practice to REQUEST they advocate for me? Or were they also now notified?
I was so excited to finally make headway with my dental health. I'm feeling like the grandma from that one scene in the incredibles right now haha.
Thanks for any and all advice.
Pumpkin Insurance - Breed Selection Pet Insurance
So, how do you go about selecting a breed when buying pet insurance when you have a mutt? I did a DNA test on my dog and she's like 2/3 Cattle Dog and Chihuahua, and then 1/3 3 other breeds.
I bought Pumpkin Insurance and selected Mixed Breed 11-25 pounds (she's 22 pounds and shouldn't get any bigger). Here's the kick in the pants- I asked what to do if she gets more than 25 pounds. They said, well, they won't accept Mixed Breed and they base breed on vet records. Why...why do they even have Mixed Breed as an option, then??
It's going to cost me an extra $136 a year to change her to a Cattle Dog Mix. It frustrates me because my dog weighs 10-27 pounds less than the average ACD.
I can still cancel Pumpkin, and I'm tempted. But will it be any better with any other company? I assume they all operate the same way.
MetLife - Avoid MetLife pet insurance
Got metlife pet insurance to cover dental work needed for my dog. I got the Preventive Care plan add-on so her teeth cleaning would be covered. Right in the policy it lists Spay/Neuter or Teeth Cleaning: $150, per pet. Submitted my claim on 12/17 and finally got processed today 1/17. They rejected the claim on grounds of it being a pre-existing condition. My dog's teeth had plaque on them so they denied the claim. How in the hell do you get teeth cleaning covered then?
Allstate - Please, Allstate, come to the 2020s
I decided to delve into my homeowners policy to understand it in more detail because of a current potential claim. I was amazed that the 30-page document that I had from Allstate didn’t include may details beyond our coverage limits. There were 8 “amendments” listed, but only 2 were included. After chatting with a customer service rep, it appears that the information I need is in the “policy jacket”. Amazingly, I can’t get an electronic copy and have to wait 5-7 business days to get a copy in the mail. So much for paperless.
Farmers - Waterproof Vinyl Question
I just had a pipe bust in my attic that flooded my home for about 40 minutes before it was stopped. It’s ruined the insulation in my attic, all ceilings in 80% of my home, the walls, and the baseboards. The adjuster (farmers) is saying the floors he believes are waterproof vinyl therefore took no damage and can be dried out. When they removed the baseboards i did go around and see the corners of the floors are peeling up and have water under. It is continuous throughout the whole house with no breaks. I tried to google and can’t find anything on this issue, has anybody dealt with this before? Can vinyl floors have no damage under? I’m a new home owner and I have little knowledge in this, thank you in advance!!
ASPCA - Shopping for Quotes
Our pet insurance (ASPCA) for our 7yo pit mix is up for renewal in May and they're raising his monthly premium by 30% ($75->$100) so I'm looking to shop around. What pet insurance do y'all have and do you like it? I've looked at a handful of quotes (Pets best, Figo, Trupanion, Nationwide) and they are all around the same price as ASPCA or higher, except for Lemonade (quoted at $81/mo).
His current coverage and what I'm quoting with other companies is; $5,000 limit, 90% reimbursement, $250 deductible, wellness/routine coverage.
Thanks!
Medi-Cal - Medi-cal kept on renewing my family even I submit my income
We have been on medi-cal since 2020. Husband and I both lost our job. When we started working, we reported our income. We had a child and our income still within theamount that qualifies.
2022, I reported my income. And they still renew.
2023, I did not work, we qualified.
2024, I got a new job July, I called and they said my medi-cal will be cancelled by August. I enrolled in my job's medical insurance.
Fast forward 2025, got a letter we qualified. I kept in my record that I always submit proof of income. What should I do?
Delta Dental - Delta Dental
This has happened twice now where I have received my EOB in the mail, panic because it says I owe several hundred dollars still, and then when I check my billing with my dentist it says that insurance has covered everything and I don't owe anything other than what I paid the day of my visit.
If the office isn't billing me anything extra, then I'm fine right? Is my dentist just good at negotiating with Delta Dental?
Humana Dental - Humana Dental is Insane
I was following up with Humana dental for a denial of a filling of $482 The filling was on a tooth that had a partial crown that fell off and had to be recemented. Their policy now is if you have a tooth with any type of crown; full, partial, or onlay, no matter how old, they will not cover a filling in the same tooth.
Progressive - Progressive count against me since had 3 accidents but it wasn't my fault at all.
I got new policy update and they was telling me that I can't get any better rate because I had 3 accidents it wasn't my fault. 2 of the accidents just policy report but never file a claim or follow up since it's not bad damage.
Any advice how to take on this??
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