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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!
Progressive - Why does Progressive want me to pay more for no coverage.
Citizens - Appraisal for homeowners and halting ordinance in law/personal items coverage.
Hi all! So I'm in the appraisal process for my homeowners- mine is a hurricane claim (wind only not flood damage). Do they halt processing stuff like ordinance in law while they are in the appraisal process? What about personal inventory items (yes, 5 months since milton and they have done nothing with that)? I want them to see the house stripped down so we still have another month until appraisal. What should I do? I have waited a very long time to replace things. I need stuff like a frige and other essentials. Atleast for the personal items i feel like i should get atleast an "estimate/supplement" thing generated before they start using it as a tool to negotiate paying me less.They said it will be resolved at the end but they have not been forthcoming to resolve anything nor do we see an end in sight. We are kinda going out on a limb and assuming that we are going to sue even after appraisal.
It's Florida and this is with citizens if that info is relevant.
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.
AAA - AAA Agent said I needed to get auto insurance if I wanted home insurance?
I just got a good quote on home insurance but the car insurance is more than triple what I’m currently paying (I don’t think that’s what they want the triple to be known for).
Has anyone else experienced this with AAA? I triple checked with her that I heard her correctly. I work from home and rarely drive so I have a mileage based plan. This is not that. She said at least one vehicle needed some kind of coverage and it could just be liability.
Fetch - Fetch insurance deleted my pet’s medical records!!
I just thought about checking on my fetch insurance, went on to the medical record page, and found out that ALL my pet’s medical records were deleted!!! It says no medical records at all, but I’ve been updating my pet’s medical record since I adopted him in 2023.
There are 4 records that I updated, including annual wellness check and initial baseline.
I have the confirmation of medical records emails from fetch last year.
I called them and reuploaded all the files. The customer service was nice but she said that she has no idea why this happened, and no further clarification on how to prevent this in the future.
This feels so shady. Everyone with Fetch, please have the habit to check on your records regularly, because I’ve had experiences of them refusing my claim because I didn’t post annuals check up record every year.
I can’t even imagine what could’ve happened if I didn’t think about checking the insurance today… still in shock
Embrace Pet Insurance - Embrace pet insurance
Going through Reddit before I got my Italian greyhound puppy, I came to the conclusion that dog insurance was a NECESSITY with this breed. I did a lot of comparing companies as well as reading reviews of each company with different scenarios and decided on embrace.
I currently pay ~$70/month and it’s been so worth it for me!
Deductible of $250/year with 90% reimbursement afterwards.
Well my Finn boy fractured his leg and we were devastated and overwhelmed by the guilt/fear/etc. We went straight to the ER and found out he needed surgery to have it repaired. (~$6,000). By reading the contracts and stipulations of the insurance agreement I knew it would be covered and there was no way we could have afforded it without insurance.
It did take a lot of hassle on my end. I had to call them several times to get my claim moving. I had to submit all of his documents (several different times). After calling a 4th time and them claiming they did not get the documents I ended up emailing the records to them as well. My claims were then put on “hold” due to insufficient documentation. I was at my wits end trying to come up with anything else they could possibly need. I called again explaining absolutely everything and the worker put notes into the file and sent it back to the adjusters. FINALLY a couple of days later (1 month total of waiting) I finally got reimbursed 🥳.
It was such a shit show but I was so relieved that it covered basically everything. My only complaint is that if you don’t pester them they don’t get anything done. The workers told me that the first claim always takes the longest to process and the next ones should only take a week or less. I hope that’s the case- hahah!
State Farm - Does the primary owner need to be insured if they live in a different state?
When I bought my car in 2022 i was living with my dad in florida and he signed for the car with me, in order to bring my payments down a bit the dealer recommended he be listed as the owner and i am the co-owner. I have since moved to Illinois and I was looking to bring down my insurance by getting my own policy, but he ended up receiving a threat to suspend his license for the car not being insured even though it was, so i just added him to my policy anyway. Now I’m trying to get a new policy because unfortunately my dads been in like 3 accidents in the last few years so State Farm dropped me after i added him on. Does anyone know if the primary owner HAS to be insured even if across the country or if he could file something specific proving insurance without him being listed? Or would i be able to just make myself the primary owner even though i’m still financing the car?
Hippo - Home insurance agent recommendation in Houston
Anyone has a good recommendation?
My roof is 14 years old and existing insurance co. (Hippo) refused my claim...my current policy is insanely high with 5% deductible
TIA
Embrace - Pet insurance that actually covers hereditary conditions?
I just dropped Embrace pet insurance. My dog has a soft palate and breathing problems which are hereditary. The woman on the phone said they do cover hereditary conditions as long as it wasn't something that was detected before the policy began or after the waiting period, because then it gets listed as a pre-existing condition, which no pet insurance covers. I'm so confused. If the condition is hereditary then of course it was detected early on. I've literally spent 10k on vet bills for my dog (who's only 10 months old) and I've never been reimbursed fot a single thing because everything she went in for is considering "pre-existing", whether its seizures, bladder issues, bowel obstruction, or anything related to breathing. She gets aspiration pneumonia like every 2 months because she throws up and then it goes back into her lungs and then I have to pay for x-rays and give her antibiotics. The waiting period for it to not be considered pre-existing is 180 days. That's just not possible in her case. Literally the only way I'd ever be reimbursed for anything is if she broke a leg or something. Is there any pet insurance that will cover hereditary health issues without listing them as pre-existing? Do I just go to a different vet and not give her insurance info from her previous vet or what? Her vet bills are becoming unaffordable at this point. Just at a loss of what to do. Anyone who can give me advice would be greatly appreciated. Thank you.
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