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Liberty Mutual - Insurer offering ~10% of repair cost
This is my first rodeo with homeowner’s insurance (Liberty Mutual) and it’s a nightmare. Looking for advice on how to proceed. The backstory is that a local company installed a new appliance in my home and bungled it. Their mistake caused some water damage to my kitchen and major damage in the finished room directly below. The appliance company gave information for their insurer, but when the initial water remediation was done and uncovered the extent of the damage, I filed a homeowner’s insurance claim instead and figured they would subrogate.
I currently have a wall in my kitchen down to the studs with some cabinet boxes, trim, and the dishwasher removed and sitting in my sunroom. The counter is being held up by a piece of scrap wood. There are some minor signs of gapping in the hardwood floor that is usually hidden from view, so I’m hoping to let it ride. Meanwhile the room beneath the kitchen is uninhabitable. One wall is down to the studs with no insulation (exterior wall), LVP flooring removed, and holes in the ceiling from water remediation equipment. I received a repair estimate from a local contractor for $25k (HCOL area, home value approaching $1mil). This includes insulation, sheet rock, plaster, paint, baseboards and trim, ceiling repair, LVP flooring downstairs to replace what was there, reinstall of existing cabinet boxes, and plumbing. It does not include new cabinets or counters.
My claim with Liberty has been in process for 8 weeks and a field adjuster came out 2 weeks ago with radio silence since then. The contractor has also been contacting Liberty for updates. Liberty called today and said the field adjuster calculated $700 to repair the kitchen and $2300 to repair downstairs for a total of $3k. I understand it’s an initial offer and figured I won’t come out of this without burning cash of my own, but it doesn’t cover the cost of materials let alone labor. And there’s not even a guarantee that my custom cabinets and counters will come out the other side looking the same.
What do I do from here? Do I eat $20k up front and turn around and sue the appliance company to be made whole? I thought that was why I had homeowner’s insurance but this is a real nightmare. And to top it off I’ll be adding a newborn to the mix in less than 8 weeks with my house in shambles and no dishwasher (first world problems, I know).
Nationwide - another nationwide post
pretty pissed tbh...my corgi went through a bad bout of emergency diagnostics early this year, all covered by nationwide at the time.
He went back recently to have a recheck, sent it into nation wide like I had already done, suddenly it's denied. I did the review request and provided tons of documentation from the doctors. they claim its preexisting, and also went and retroactively said that all of my other claims shouldn't have been paid out.
He was diagnosed with protein losing enteropathy, and they're saying that because he "vomited" earlier in the year (our first sign), thats preexisting. This is insane. Cancel your shit before you have an emergency and it happens to you
State Farm - Umbrella coverage; SF discontinuing rental property policy
State Farm is discontinuing the policy for my 3-unit multifamily rental property. My umbrella policy is also with State Farm. My agent told me umbrella will cover the rental property if a new policy I find is A-rated (i.e. by AM best, JD power, etc) and underlying liability limit of $500k is purchased. Is it really true that the new policy for my rental property must be an A-rated insurer? What if it is less than an A-rating or not even rated at all? Insurance is insurance, isn't it? It is becoming extremely difficult to find a good, quality top-rated insurer that will write a new policy for rental property (building) that is 70 years old.
Pennie - Clarification about guidance from Pennie about complex health insurance case involving legal immigration.. Help!
I attempted to enroll my wife in a Pennie health insurance plan with a July 1 start date, even though she won’t physically arrive in the U.S. until July 8. She’s entering as a lawful permanent resident, and as I understand it, that status only becomes official when she enters the country and gets the I-551 stamp or green card. When I called Pennie, I expected them to tell me to wait until she arrived. Instead, multiple reps told me I could start her coverage as early as June 1. They said as long as I uploaded her green card by the September 18 deadline, everything would be fine.
At the time, I followed their advice. But now that I’ve gone through the actual policy language from Pennie, I’m second-guessing the whole thing. From what I can tell, coverage can’t legally begin until someone is lawfully present. That would make July 1 an ineligible start date since she won’t even be in the country until July 8. It also looks like coverage normally starts the *first of the month after enrollment,* which makes me think August 1 is actually the soonest possible date.
So now I’m stuck wondering what happens if I submit her green card later and it clearly shows that she didn’t become eligible until after the start date I selected. Will the system flag it? Will coverage be denied or quietly canceled? Do I need to withdraw and reapply once she arrives?
I’m looking for input from anyone who really understands how Pennie processes these kinds of cases—ideally someone with inside knowledge, or a rep who has seen how this plays out in practice. Any analysis or clarification would help a lot.
Blue Cross Blue Shield - [Cook County, IL] $250 Medical bill sent to debt collections during dispute. What should I do? How will this impact my credit score?
A few weeks ago, I received the invoice for a medical visit that took place in November 2024. The invoice mentions two items: the visit to the doctor and a "facility charge." The first one is fully covered by BCBS except for a $40 copay, while the other is only partially covered, requiring a payment of $210, after the deductible. The code for the second item is **99204, "HC Office Visit New, Level 4.**"
According to various accredited bodies including the **American Medical Association:** 'Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using time for code selection, 45-59 minutes of total time is spent on the date of the encounter.'
None of this applies to the actual visit: the entire visit lasted under 10 minutes, and no special machinery or tools were used. The diagnosis was visually evaluated. In other words, it seems that the level of service was intentionally overstated.
I only have proofs that the visit lasted within 10 minutes, but no proof of what happened inside because obviously recording is not allowed.
I first tried contacting the billing office by email, but they only told me to speak with a representative. I called and asked for an explanation, but they just forwarded everything to the Team Lead, from whom I still haven't received any updates. Meanwhile, this morning, I received a message from Nationwide, a collector agency, as an attempt to collect the debt.
What do you suggest I do?
* Pay the charge to the collection agency and move on? If so, won't it affect my credit score? If I understand correctly, under $500 it shouldn't. Fortunately, I don't have money problems, it's the principle that bothers me. The health system is essentially a mafia, they can do whatever they want to and nobody cares.
* File a complaint with the Office of the Illinois Attorney General? I live in IL.
* Something else?"
Embrace - Ins. Recommendations for puppy
I’m bringing home a puppy in two weeks. This breed (golden retriever) is prone to cancer and foreign body ingestion. We also live in an area with a lot of Lyme disease and I heard the vaccine doesn’t always work, so I want insurance that covers things the dog is vaccinated against (because we can do our best but Lyme could still get us).
Anyone have any recommendations? I’m overwhelmed with all the options. I don’t care about paying the vet directly. We don’t mind a higher deductible- we really just truly want catastrophic coverage like cancer or surgery. Dental problems (not cleaning but actual problems) would be good too but it’s not 100 percent necessary.
No matter what option I start to go with when I look it up there seems to be problems. I’m leaning to Embrace because they would cover Lyme. Trupanion seems like the rates go too high over time. Healthy Paws won’t do Lyme. Lemonade seems like people don’t trust it.
Anthem - Anthem denied BRCA 1/2 test saying “once per lifetime” — but I’ve never had it before
Hi all,
Hoping someone here can help me make sense of this or share advice on next steps.
I recently had a BRCA genetic test done through Labcorp. Before the test, I received an estimate of $43.17 and got pre-authorization from Anthem. Everything looked good, so I went ahead.
Now I’ve received an EOB from Anthem denying the claim. They say I’ve reached my “once per lifetime” limit for BRCA testing—and they’re expecting me to pay $3,000 out-of-pocket.
I called Anthem, and they said the correct CPT codes were used and the denial is based solely on the lifetime limit. But I have never had BRCA testing before. It’s my first time. Anthem is now reviewing the case, but I’m trying to understand what might have gone wrong.
My theory is that their system may have logged the pre-authorization itself as a completed test, and when the actual test was billed, it triggered the “second” test denial. Has anyone seen something like this happen?
Thanks in advance!
biBERK - Biberk workers comp. Increased premium after policy was cancelled.
Hi everyone,
I wanted to share my experience with biBERK workers' comp insurance and get some advice or feedback from others who may have dealt with something similar.
I had a workers' comp policy with biBERK that was fully paid and I canceled a few days before the expiration date. A few weeks after cancellation, I received an audit request. I didn’t fill out the forms right away, and shortly after, I got an email saying I owed around $500 as an estimated audit charge since the forms hadn’t been submitted.
I called biBERK to ask about it, and the agent told me that if I filled out the audit forms, they’d be able to issue a proper audit and adjust the premium based on actual payroll. I submitted the audit form the next day.
To my surprise, after submitting the audit, the amount due increased to $1,300.
I called again and was told I could submit a formal dispute, which I did. I explained that:
I’m a small business with only one employee on payroll.
The policy was canceled early, before the full term.
No claims were ever filed.
I submitted the audit forms in good faith expecting a fair adjustment—not a higher charge.
Today I received the outcome of the dispute, and they only reduced the bill by $77—so I still owe $1,223.
I’m feeling frustrated and a bit taken advantage of, especially since the audit estimate was originally much lower and I submitted accurate data as requested.
Has anyone dealt with something like this before? Is there any recourse or further steps I can take? I appreciate any advice or insight.
Lemonade - Recommendations for older cat
Hello! I am struggling to find a good plan for my older cat. I am moving out for college and my apartment requires my cat has insurance. My family never considered pet insurance for her, so it's quite a struggle.
Im an undergrad and I love my cat a lot, I grew up with her. She's the cutest torbie short hair with a beautiful coat. But she is 12 years old, with quite a few preexisting conditions. She has arthritis issues and a pretty bad knee, a partially amputated tail from cysts, and has had teeth issues as well. Honestly, considering her pre-existing conditions, I know I will not get much from insurance besides maybe small coverage for check-ups.
Lemonade will not let me file for her because of her age. If anyone has recommendations, I am considering a cheaper policy. I am looking into FIGO, but obviously, I have seen bad reviews for every company so I am pretty stuck on what to do.
Bank of America - Bank of America small business card utter nightmare!
Fraudulent charges trying to get them resolved since October. Last month I finally got them resolved and they sent me a letter about the claim. Closed the account, 0 balance. Today they took back a credit for 78.20 and now the account shows a balance even though it is closed I cannot pay it! Already brought in CFPB!
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