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insurance - it's confusing

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  • #16
    Originally posted by moneybags View Post

    Thanks for this info. I spent a lot of time deciphering it. The Rx was not paid by the health insurance. They said our pharmacy plan (separate from medical) should cover it. I have submitted a claim to the pharmacy plan. Now I shall wait and see.

    The frustrating part is that 1. I would have just paid this if this thread did not pop up and 2. I spent a lot of time on what should be an automated process.
    Oh so I helped? I have no idea I am just waiting for all our bills from january to cycle in. For the most part I pay copays online when i get them. I call also them in or i pay. But right now with the dental and my kiddos other issues I have no idea what we are going to pay and it's so frustrating. You can't really budget every annually because you have no idea what is and isn't covered. And just because you hit the deductible doesn't mean it's covered.
    LivingAlmostLarge Blog

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    • #17
      Originally posted by LivingAlmostLarge View Post

      Oh so I helped? I have no idea I am just waiting for all our bills from january to cycle in. For the most part I pay copays online when i get them. I call also them in or i pay. But right now with the dental and my kiddos other issues I have no idea what we are going to pay and it's so frustrating. You can't really budget every annually because you have no idea what is and isn't covered. And just because you hit the deductible doesn't mean it's covered.
      Yes, by you starting this thread & disneysteve's comment, I am now $40 richer. I really pay attention to my bills, but this is one place I guess I need to be sharper on. So, thanks!

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      • #18
        So my car's sensors aren't working properly. I went back and the shop had to send it to another shop to reset the sensors and it's still not working right. I wrote to the insurance adjustor but she hasn't gotten back to me at all.
        LivingAlmostLarge Blog

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        • #19
          So now my car is repaired sort of. But the back bumper sensors weren't working so I took it back the auto-shop subcontracted out to get it fixed last thursday after I picked it up no Tuesday. So they fixed it and i picked it up on Friday. I was hit in the rear right light and bumper. And the light on the dashboard was on when I picked it up last tuesday.

          Now though I am stuck. Because now the eyesight sensors in the front aren't working. It was working. It would be auto on and could tell when we were driving and cross the line. It could also tell when people were next to me and now it can't. But the light isn't on.

          So the problem is the autoshop says it's not their problem they contracted out. The calibration company says they did what they were paid, but did they? I would argue they did not fix my car. Then I called my insurance and they said they already paid because it was agreed upon and in good faith they paid. I was like why would you pay for work not done? Now what?
          LivingAlmostLarge Blog

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          • #20
            Originally posted by LivingAlmostLarge View Post
            So now my car is repaired sort of. But the back bumper sensors weren't working so I took it back the auto-shop subcontracted out to get it fixed last thursday after I picked it up no Tuesday. So they fixed it and i picked it up on Friday. I was hit in the rear right light and bumper. And the light on the dashboard was on when I picked it up last tuesday.

            Now though I am stuck. Because now the eyesight sensors in the front aren't working. It was working. It would be auto on and could tell when we were driving and cross the line. It could also tell when people were next to me and now it can't. But the light isn't on.

            So the problem is the autoshop says it's not their problem they contracted out. The calibration company says they did what they were paid, but did they? I would argue they did not fix my car. Then I called my insurance and they said they already paid because it was agreed upon and in good faith they paid. I was like why would you pay for work not done? Now what?
            If the car didn't come back to you in good working order, that's the shop's responsibility. I would take it back and tell them they need to fix it. If they refuse, and your insurance company isn't being helpful, then you may need to get your attorney involved.
            Steve

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