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Delta Dental - Rude receptionist at the dentist gave me misinformation
I have Delta Dental PPO. I get 2 free cleanings per year. One xray per year.
Earlier this year, I got a cleaning and X-rays done at one dental office, but they dropped me as a patient because they stopped accepting Delta Dental. For my second cleaning, I scheduled with a different dental office. The receptionist there has been difficult to deal with.
I explained that I already had my X-rays done at a different office and only needed a cleaning. She pushed back and said, “How can you get a cleaning without X-rays?” She asked if i can email the xray images, so I contacted my old office and had them send the X-rays to me and then i sent the all the xray images to the new office. After i emailed the xray images, the receptionist said I would probably need to get new X-rays anyway, but that I could wait and see what the dentist says. I explained that I’m only allowed one set of X-rays per year under my plan and that I’m not due for another one until next February. She said, "I KNOW! But how can we provide proper care without knowing what is going on." I reiterated that I only need a cleaning and can wait until next year for another x ray and she seemed to understand but not without an attitude.
When I showed up for my appointment, she incorrectly said she checked my insurance and that I was eligible for another “free” X-ray anyway so it doesnt matter. I reminded her that I had already emailed them and dont need them again. She asked what email address?? She couldn’t find them in my chart until I opened up my phone to show my sent messages, then suddenly she “found” them and said never mind.
Despite that, they still insisted on doing a single bitewing X-ray and said I would need to return on a separate day for the cleaning. I’m frustrated because I feel like I’m being forced into extra appointments and services I may not need or be covered for.
Will I be charged out of pocket for this second X-ray, even though I already had one set done earlier this year? I thought Delta only covered one set annually. Has anyone else dealt with something similar?
I also want to add that the other receptionists, dental assistants, and dentists have all been very nice and easy to work with. It's just this one receptionist that is very difficult to deal with.
State Farm - Canceled joint insurance policy, they sent check in only my brother's name, any way I can cash it?
Hi, I recently canceled my joint insurance policy that was under my brother and i's names. They sent a refund but the check is only in his name, I asked if they could send another check in my name because he's not available to cash it, and they said that his name was the only one on the pay account for the policy even though the policy was in both of our names, so state farm will not issue another check in just my name, or in both of our names. Is there any way for me to cash it? I'm the only one that paid the bill for insurance for 2-3 years using my card, in my name every month. And I think it's a little stupid they won't issue another refund to me specifically, when it's my money being refunded.
Any help or advice at all would be greatly appreciated, thank you!
charter bus' insurance company - Witness ghosting me. Any recourse?
Hi, my parked car was scratched up on the side by a charter bus a couple months ago. A witness left a note with their number stating that they can send me the license plate photo. They seemed very willing to help and agreeable to making a statement if needed. I had opened a claim with the bus’ insurance company and sent the agent text screenshots of the correspondence with the witness. Weeks later the agent informed me they couldn’t get in touch with the witness and issued a denial because of that.
I texted the witness and asked if they could follow up with the agent and was met with no answer twice a couple weeks apart. Is there any other form of proof that I could present to strengthen my case? Thanks in advance!
Pets Best - Just Joined Pets Best - 40+ day SLA for Claims
Hey Everyone!
I brought home a new kitten on February 14th. We went to our first vet visit on February 15th. I uploaded the documents within a week of our visit and started the claim process the same day, to give my vet time to send their paperwork.
As of today, my claim is still not finished processing. I was told their email system was down and they're now processing claims in the order they came in. I was also told they have a 40+ day SLA to get it done.
Seriously? 40 days to process a "fast" claim? Why advertise speedy processing if you internally have a 40+ day SLA?
End Rant
Cigna - Blood work charges seem right?
In the past I never remember paying anything for an annual physical with blood work. I recently received my bill and my blood work/urinalysis was $1206 and after cost reduction I owe $1020.cigna covered nothing and I will have to call them and see exactly what they cover because I will be turning down the blood work for now on if this is what it will cost.
General health panel (CPT 80050)
$630.99
Blood test lipids (cholesterol and triglycerides) (CPT 80061)
$293.80
$20 for the needles and stuff
I rarely go to a doctor so maybe I'm out of the loop but everyone I mentioned this too says it doesn't seem right. So I wonder if it's a coding issue or Cigna really just doesn't cover anything until I hit the $1k deductible.
Odie - Update: ODIE IS A SCAM
**Odie is taking my monthly money and not holding up their end of the bargain.**
**UPDATE:** Odie responded to my Google review and processed my three claims. They denied coverage for all of them, stating in the EOB "preexisting condition." My dog developed this condition while a policy holder on ManyPets, ManyPets processed claims for this condition regularly (which is why we have the insurance), and Odie stated there would be continuation of care.
**I've filed a claim with my state insurance commissioner, thanks to the recommendation of this sub.**
I was switched to Odie from ManyPets when ManyPets sold and want the world to know: ODIE IS A SCAM. GET OUT WHILE YOU CAN & DEF DON'T SIGN UP. Aside from the significant increase in monthly cost and 20k coverage limit on a previously unlimited plan, Odie is...nowhere to be found. My claims are not being processed, nobody answers the phone, the chatbot isn't responsive, and I literally cannot get any information.
Healthy Paws - Healthy Paws Feeling the Heat?
Got this chat request today from Healthy Paws. I don’t have a policy with them, I just comment when I see the insane premium hikes they’ve been doling out lately.
Healthy Paws, folks are starting to ask questions about your rate sheets and what you publicly disclosed and what you actually charge consumers. I’m not an actuary, so I’m
no expert, but it’s wild to me that any state would sign off on a 200% 500% or even 1000% increase. Maybe they did. But it is feeling a bit shady. You should publicly disclose your algorithm and show us!
There are lots of people here who would love to see this information provided transparently.
We all expect annual increases. It’s the name of the game. But we don’t expect to pay faithfully for years and towards the end of our pet’s life, have our premium jacked up so high as to be an insult. So unless you have some kind of reasoning for that…or a promise to fix it, it’s impossible to recommend you anymore on this sub by most people with brain and a conscience.
Nationwide - "Approved Application" But No Policy Has Been Issued???
I have auto, home owners, etc and recently applied for Long Term Care Insurance with Nationwide. I did the application over the phone with the agent, then did the (hour long) Q&A. A few days/approx a week later, I got this email from the agent "Nationwide approved your application for CareMatters II Life with LTC policy."
I thought the vernacular was strange, because if an application is complete, the 'application' is approved but the policy isn't. I decided to let sleeping dogs lie and left it alone.
1+ week has gone by and still no policy. I followed up with the agent and was told "they would be in touch “shortly” with an updated timeframe". A week goes by and nothing.
I called the agent and he looked in the Nationwide portal and said the policy is still processing (I don't recall the exact term he said).
Does anyone understand what is going on? Is Nationwide still reviewing my healthcare records? If so, why would the agent conflate "approved your application" with the more colloquial "your policy is approved".
Fetch - Is it really worth it?
I’m paying close to $190 a month for my 7 year old medium sized dog and 8 year old small dog. They go to the vet maybe once a year and I figured it could be worth it as a preventative measure but it’s honestly really expensive. I’ve been reading about prices increasing too so I don’t know what to do… i have fetch
Liberty Mutual - home insurance non-renewal due to claims
just got non-renewal letter from liberty mutual. The reasons are the 4 claims in the last 3 years. All claims are from the repairs of a music instrument which I added as an addendum to the home policy. The 4 claims are <$1000 in total and the highest one is $400. As there are no duductibles and the liberty mutual customer service did not warn me of any consequence of these small claims, I just made the claims. I have quoted online 2-3 companies and answered "yes" when they ask claim history, they all rejected to provide coverage. Should I negotiate with liberty mutual to continue the policy by droping the instrument addedum? Or move on to a new company by telling them the details of these non-renewals and opt out the coverage of the instrument? With claims totaling less than $1,000, am I shut out of the insurance world?
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