insurance - Doctor listed as in network, months later is in network the follow month of visit
2024 I met my deductible for the first time so I decided to see a sleep doctor. Found the doctor through my insurance portal as in network. Went to my visit, no payment as my insurance is accepted. A few months later I was billed as out of network. I call the doctors billing office and they assure me they are in network, they will resubmit to insurance. I get another bill, doctors billing department reassures me that they are in network, resubmits. Now in 2025 insurance and doctors office confirm that the doctor only became in network for my particular plan 10/1/2024 and my two appointments were in September 2024. Very suspicious.
Is there anything I can do to get out of paying? Everybody was on the same page so I am not sure what happened? I suspect the doctor forgot to renew with my plan and so it went into effect the following month of my visit?
primary insurance - Conflicting information regarding in-network hospital
I am due to give birth end of May. The hospital that my obgyn is partnered/contracted with is where I went on 03/01 because I had a pregnancy scare. I went straight to Labor & Delivery and was there for a couple of hours. The on-call obgyn is the one that saw me.
I have NOT received a bill yet, only an EOB from my primary insurance, stating that the claim was denied. In the EOB- it was stating that the hospital is an out of network facility. However, I’ve spoken to my insurance directly few different times who said the hospital that I went to indeed is an IN-NETWORK facility. Now the last agent I’ve spoken to today told me “address where the service was rendered is confirmed to be outside the network for the facility. Here is what adoress of the facility showing on the claim” and it’s a complete different address than the hospital I went to, like in a whole different state. The first agent that I spoke a couple weeks ago stated the claim type says “outpatient hospital non contracting”. The last time I tried contacting the hospital themselves, the agent was saying I need a bill/statement account number, which I didn’t and still don’t have because I was never sent a bill as of today and he said to wait until I get a bill. It’s been over a month and I still haven’t received a bill from the hospital from when I went to 03/01. I was going to explain my situation and how I still haven’t received a bill but the billing office is now closed.
I do have secondary insurance but they didn’t even receive a claim from hospital, which I am assuming they didn’t even bill my secondary.
I’m just so confused and overwhelmed! Does this sound like the hospital submitted the claim incorrectly?
Texas Farm Bureau Insurance - Personal Items
My spouse was in a not at fault accident that resulted in being in the hospital for two weeks. Since I had zero info on the other driver and the police report would take awhile I decided to open a claim with my insurance the same day of the accident while I was at the hospital.
On the call, which I recorded, my intake adjuster stated they would pack up and ship our personal items from the vehicle and not to worry about it, just focus on the spouse getting better. There is no need to go to the impound lot.
Fast forward two weeks and I asked my total loss adjuster where our stuff was and they said they have no notes from the intake adjuster to pack anything up and they'll make a note to do so now.
Long story short, they cannot find our stuff nor can they find photos of the third party inspection of the vehicle after two months of back and forth. They said they don't pay for lost personal items and if I want the $1600 in items reimbursed I would need to open a homeowners claim and prove they were in the vehicle.
While I understand this may be standard operating procedure, I told them I don't think it's right that we are being punished with a new claim after the intake adjuster failed to take due care and ship our items and how can we prove items were in a vehicle if they told us not to worry about it and no need to go to our vehicle in the impound lot while themselves are unable to find photos. I provided the recorded call and requested a supervisor, now my own insurance won't respond and has ghosted me.
Shouldn't my insurance be held responsible if they offered to ship our items and failed to do what they said which sounds like negligence? Should I request this from the at-fault insurance company instead? Would filing a department of insurance complaint do anything?
EDIT: TX
Nationwide Insurance - Nationwide Insurance - RIP OFF!
Right after the hurricane, my car insurance with Nationwide went up to $220/mo (was $150). They told me it was the best rate they could get for me...yeah right! With a late fee of $30, I have been paying $250/mo! I just went with progressive and am back down to $150/mo with good coverage...200 deductible, car rental, roadside, etc. Nationwide was a total rip off.
ISO insurance - Need help
Hi
I’m an international student currently in the U.S. on a STEM OPT extension. Recently, I was admitted to the hospital due to severe pain, which turned out to be a kidney stone. I had to undergo surgery, and now I’ve been hit with a $50,000 medical bill.
I have ISO insurance, but they’re refusing to cover the charges, saying it’s a pre-existing condition—even though this was the first time I ever experienced it and didn’t know about it before. As a student, I don’t have a high income, and this amount is overwhelming for me.
I’m looking for any advice or guidance on what I can do to get help with this bill—whether it’s negotiating with the hospital, financial aid, or any legal options. Any direction would mean a lot right now.
Thank you so much.
old insurance company - Suspended Permit, Insurance Issue, Court Coming Up Lawyer or Public Defender?
So a state trooper pulled me over the other day because my license plates were suspended. Turns out my old insurance company didn’t notify the MVA when I switched providers, so the plates got flagged.
The trooper asked for my license — I only have a learner’s permit — and I handed it over, along with my passenger’s license since he has a full one. When the trooper came back, he told me that my permit was suspended and then took it from me.
I went to the MVA and paid a $400 fine for the plates, and while I was there, they told me my permit was suspended because I never completed a Driver Improvement Program (DIP) from two years ago. Thing is — I actually did complete it.
I called the driving school, and they admitted they forgot to submit the completion to the MVA. They basically just said “sorry,” but now I’ve got a court date, and the letter says there’s a possibility of jail time.
Now I’m freaking out. I’ve got about $1,000 to my name. Should I try to hire a lawyer, or go with a public defender? I really don’t want to risk going to jail over something like this.
Location: Frederick,Maryland
Homeowner Insurance - Power Company Equipment Failed - Pushing Onus to Homeowner Insurance
Alright so... I live in GA and GA power services my home. Recently the neutral wire on GA power side (prior to meter) became heavily degraded and caused half of the house to receive double voltage. I attempted to make a claim with GA power, but I guess they have it written into their contract with the city that they don't cover incidents resulting from "squirrels chewing through the steel wiring." They said to make an insurance claim instead. Does all that sound right? We had a number of items (dishwasher, stove, ceiling fans, computer, etc) fry due to the double voltage. We have an ongoing open claim from Hurricane helene unfortunately as well so trying to determine best recourse. Thanks!
Healthy Paws Pet Insurance - Healthy Paws Pet Insurance Warning
Created a Reddit account to share this year's premium increase on every post or topic re: Healthy Paws. As a loyal customer since 2011, who has been dealing with the already massive price increases every year since 2020/21 but forced to deal with it, I can't anymore and am being forced to cancel. Sharing this for the greater good, and won't even share further details in hope the numbers you see below speaks for itself. Apologies that I cannot seem to post a screenshot. Started around $34 in 2011. These numbers are for 2 small dogs, with the majority of the increase related to the old one).
Policy Information
• Protected Since: 06/08/2011
• Current Monthly Premium: $431.58
• New Monthly Premium Starting in 63 Days: $1,207.12
renter's insurance - Mold in apartment, not sure what to do next
Location: Washington State
I’m dealing with a housing situation that has gotten increasingly serious, and I could use advice on whether I have a legal case and what my next steps should be. I don’t qualify for free legal aid, but I also can’t afford to hire a lawyer outright. I’ve already spoken with the Tenants Union of Washington State, who suggested I update my complaint with the city’s code enforcement office on Monday because the situation has escalated significantly since I first reported it. They also mentioned I might be entitled to compensation that my landlord isn’t disclosing (either intentionally or not). I’m wondering if I should wait to hear from code enforcement again or if I need to start pursuing legal representation now.
My story begins at the start of the new year. On January 6, I submitted a service request because the floor in my entryway was visibly warped and I was having trouble closing my front door. On January 8, maintenance came out, removed the weather stripping from the bottom of the door, and marked the request as complete even though no inspection was done and the root issue wasn’t addressed. At that point, I figured I had at least documented the damage in case they tried to blame me later, but I had no idea how bad things were about to get.
On March 26, I submitted another repair request because there was now visible water damage and possible mold along the baseboards next to my front door, along with the floorboards becoming even more warped. In my bathroom, there was a significant colony of black, furry mold that had grown between the wall and a small stepstool I had propped up against it. I had also noticed that there were "blisters" in the paint on the walls in the hallway leading up to my apartment where water had obviously started to pool. Maintenance showed up the next day, told me they would "call someone," and once again closed the ticket without fixing or really even looking at anything. On March 29, I went into the leasing office to speak with someone in person because I felt like the issue was not being addressed properly and I wanted some answers. I explained the problem to the leasing agent and he asked me to send him an email describing the issue (which I did) and that I should open yet another repair request for the issue (which I also did.)
On April 1, the maintenance person showed up again. This time, he brought a pipe wrench and literally tried to hammer down the warped floorboards (no joke). Then he sprayed two sprays of mold inhibitor on the wall next to the front door “just in case.” That afternoon, I was told that a water restoration company would be out the next day to inspect the unit.
The water restoration company came first thing on April 2, while I was still in bed. They found significant moisture behind the walls and suspected the presence of mold. The property manager came by a few minutes before noon, took photos, and informed me that my apartment was currently uninhabitable. He told me to file a claim with my renter’s insurance for a hotel. I work from home and was in the middle of my work day when he told me that the water restoration company would be arriving shortly to start dismantling my bathroom to start looking for the cause of the leak. I ended up making a claim with my renter's insurance (even though I believe property management is responsible for the cost of temporary housing) but without a statement of cause, my insurance wouldn't help me find a place to stay so I had to make arrangements on my own for myself and my dog. I'm currently staying in a hotel down the street from my apartment building that is being charged to my credit card.
On April 3, the leasing manager called me to inform me that my apartment is unlivable and they have no timeline for repairs, so I have the option to either break my lease with no penalty or move into another unit (with them paying the moving costs). I asked him to send the offer via email because I needed a written record of the offer before I would even consider anything. He sent me an email the next day (April 4) briefly outlining my two options: either I transfer to another one-bedroom unit in the building at my current rental rate, or I break my lease with no penalties. That’s it. He didn't even include the offer to cover moving expenses to the new unit.
I'm stuck in a frustrating situation with no real solutions. My renter's insurance isn’t covering my hotel costs because they won’t pay without a statement of cause, which I still don’t have. Even if they do cover it, I’ll still be out $250 because of my deductible. I expect the property management company to take responsibility for that since the damage was caused by their neglect. The options they’ve offered don’t even begin to address the full scope of the inconvenience and stress I’m dealing with. There’s no mention of covering the moving costs, or even offering rent relief for the time I’ve been displaced. Neither of these options account for the impact this situation has had on me and my dog.
What should I be doing next? I’ve already filed a complaint with the city’s code enforcement office and plan to follow up on Monday, but I’m not sure if I should be waiting for them or moving ahead with other options, including legal advice. I know I can’t afford to hire a lawyer outright, but I also feel like I’m being jerked around by the property management company and my renter's insurance. Any advice on what steps I should take next?
Mapfre Insurance - How long should it take for appraiser to asses damage?
Hello. I have mapfre insurance. I had a minor accident 2 weeks ago and submitted a claim on March 27th. They had me take pics of the damage(front bumper damage) I got my estimate from their electronic appraisal. I dropped off the car at an in network shop on Sunday, March 31st.
That Monday the shop submitted a supplemental appraisal to have someone to check the car to approve more funds to get the car fixed from insurance. Since then there has not been an appraiser to come check my car at the shop. It’s been a week and it’s beginning to get frustrating. I was told many different stories on when an appraiser will come up until on Thursday an appraiser told me there was an issue in their system that prevented them from assigning an appraiser. I was told this past Friday that one has been assigned and will call the shop to schedule an appointment.
The damage is minimal and the shop can fix the car in 2 days but can’t proceed without insurance. What are my options to make sure they have someone come on Monday? I’ve been without a car for a week and it’s been difficult to get around. Would love some advice on this issue!
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