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Healthy Paws - Should I switch now?
Hi all,
I have a ragdoll cat who just recently turned 1. We’ve had no health issues thus far. I start seeing this subreddit pop up and saw horror stories of HP.
A couple questions:
1. I know a big part of if reimbursement is diligence. Our breeder did a health check on our kitten and gave us the paper work when she handed him over, but we still haven’t submitted it into HP (I know that’s on us). We started HP about 15 days after the exam. Will that paperwork be okay to submit now?
2. We are currently paying $30/month. Are we better off switching now instead of dealing with HP long term?
Thanks!
Blue Cross Blue Shield - Help! What are my options?
Hi all, thanks in advance for reading this. My situation is this: I’ve started a new job that had 3 options for health insurance. All were blue cross blue shield. 1 option was no hsa but in and out of network coverage. 2 options had hsa’s but one had in and out of network coverage and the other didn’t. I figured I’d get the was with a hsa and no out of network coverage. BCBS is very common where I live and figured no issues.
Well, my son had to have surgery but before hand, we gave our new insurance to all the doctors and they said they accepted it with no problems. After the surgery, we received a $16,000 bill with a statement saying all procedures are not covered because we didn’t use in network doctors. So I make some calls and come to find out the nearest doctor or hospital that is in network is 2 hours away! Nothing around me is in network!? BCBS told me I should have chosen the insurance plan with hsa and out of network coverage.
I have a 18 month old and a wife. I can’t wait till open enrollment to change health plans… what do I do?
Blue Cross - 56 year old living in Georgia health insurance dropped him
Location: Georgia, USA
Hello everyone-
My brother was in a motorcycle accident April 6, 2024. He was in ICU for a month and discharged in July, 2024. During that time he did not have his phone, access to email, or ability to check standard mail.
My brother was a PE Teacher and football coach in the state of Georgia for 27 years. All of his insurance premiums were paid for once a month in his paycheck. The state of Georgia agreed to early retirement with benefits beginning July 2024.
Blue Cross informed him last month they were dropping his insurance for delinquent payments. His appeal was denied.
My brother is looking into COBRA as well as ACA.
Does my brother have a case agains Blue Cross? What steps should he take to have Blue Cross reinstate him?
Thanks!
GAP insurance company - I'm stumped on what to do with my auto loan, GAP insurance etc
Location: Missouri
Alright long story short, I had a car accident earlier this year that totalled my vehicle. I had full coverage insurance that covered the majority of the auto loan I had. The other party, the GAP insurance is to take care the rest of my loan. I got a piece of mail from the GAP people saying the check has been issued to my lean holder on February 11th, was told it should take no more than 30 days for that money to hit that account. So I called my auto lender to ask what's going on, turns out the GAP insurance company sent the check to the wrong address, that was March 11th. 30 days since the initial start of the GAP claim, I called them again today, March 25th to figure out what is going on. Come to find out they issued a new check on March 18th which was last week. It's been 7 days, nearly 45 in total since my auto loan should of been taken care of but it hasn't and I haven't been able to get a new loan due to my current outstanding loan that the GAP insurance is supposed to take care of.
Basically I don't know what to do at this point, I'm still paying on the current auto loan cause I don't want it to effect my credit but at the same time I no longer have the vehicle since it's been totalled and taken by my auto insurance, what do I do in this situation, is there anything I can do?
United Healthcare - Prior Authorization Question
Hey all,
I’ve been having issues with my insurance trying to approve a surgery. My surgeon submitted a prior authorization and they denied it. They resubmitted it with a different diagnosis to meet the criteria. They usually take 5-10 business days. But within 48 hours I checked my UHC account and it said “cancelled”. What does it mean when it’s been “cancelled” and not actually denied?
I have United Healthcare through my mom’s work.
Thanks!
Priority Health - Priority Health: how is "$2000 out of pocket" not "$2000 out of pocket"?
So my son receives ABA services through a tier 1 provider. This goes through deductible and coinsurance. $650 individual deductible, $2000 coinsurance (minus prescription and copay, solely for him, the numbers mentioned don't apply to family deductible). $0 is covered until the $650 is hit, 80% is covered until $2000 is hit, then 100% covered after.
So I call up insurance because last year's bills are much higher than expected. I don't even know the total yet for just last year. And I can't look at the online EOBs yet until tomorrow.
So, $650 is covered very quickly. Then there's a $6000 bill (for one date of service) sent to insurance. 80% is covered, we cover 20%. This is where I get so confused. Apparently because the first day wasn't processed first ($11,000) and this $6000 was processed first, she said we are actually paying so much less money overall for the year. We have to pay for the 20%... But it doesn't sound like it counts towards the $2000? We might be paying a total of $4,000-$5,000 once this is all said and done.
It went like this...
"So if I've already paid the $2,000 towards ABA, why do I have to pay over that?"
"Because you're responsible for 20% after the $650 is paid until you reach the $2,000. You're actually paying so much less because that $11,000 wasn't processed first, so you're coming out on top. Otherwise you would have had to pay $2,2000."
My brain hurts. I don't know what's going on. That would have put me over the $2,000 and it sounded like he still wouldn't have been considered as reaching the $2,000....
Someone please explain 😭
Allstate - other driver's insurance repairing (not replacing) my car: what are your thoughts?
hello. i posted about this before, but three weeks ago, a drunk driver hit me and totaled my 2016 subaru. we just got our bill (to be paid by his insurance, all state): around $9,500, and an additional $1,000 to $2,000 with a rental. i need to go over my belongings for damage, but i had a $600 dog kennel (gunner) too: waiting on an email to see whether or not this needs to be replaced like children's car seats.
his insurance wants to fix it, not replace it, although we only bought my subaru at around $10,000 (we spent a few thousand on repairs, but not anything big: my parents wanted new brakes for peace of mind). how badly will a rebuild that large damage our ability to sell? should we fight it: and how do we? we live in colorado.
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....
State Farm - Lapse in payment
When I turned 18 I too out a universal life insurance policy with State Farm. I took a “loan” out on my policy to pay for school loans when I was about 24. Since then I fell behind in paying back the money and the policy itself.
I was unaware and uneducated on the whole process when I borrowed the money.
Does anyone know if the policy is canceled, do I still owe what I borrowed? Or not considering it was money I had already paid towards my own policy.
It’s crazy that we have to pay back what in reality is out money.
Lemonade - Having issues with Lemonade pet Insurance
I’ve been using it for my dog for a few months now and I’m starting to feel uncertain about whether it’s the best option. The claims process has been much slower than expected, with a lot of in review updates and I haven’t received any reimbursements yet. It’s making me a little nervous especially since my vet bills are starting to stack up.
I’m just looking to see if others have had similar experiences and whether you think I should stick it out or switch to another insurer.
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