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g/diminished-value

got $4,200 in diminished value on a 2023 RAV4 that got hit while parked - here is exactly what i submitted and what the carrier pushed back on

posting this because every DV thread i read before starting this said "good luck, third party DV claims are basically impossible" and that turned out to be wrong in my case. wife and i bought a 2023...

Posted by stressedPolicyholder830•9h ago
5 comments
g/medicare-claims

Medicare just denied the rental-to-purchase conversion on my CPAP after 13 months of "compliance proven" use. what is going on and how do I fight this?

genuinely confused and hoping someone here has been through this. quick background: im 71, diagnosed with moderate OSA in april 2025 with an AHI of 22, sleep doc prescribed a ResMed AirSense 11 with a...

Posted by confusedseller627•11h ago
5 comments
g/life-insurance-claims

settled my dads $400k Prudential life insurance policy 11 weeks after he passed - here is what actually moved the claim and what slowed it down

my dad passed in late march, completely unexpected (heart attack at 68, he had been doing fine at his physical the month before). im the executor and the named primary beneficiary on a $400k...

Posted by confusedHomeowner197•15h ago
6 comments
g/uninsured-motorist

rear-ended at a red light by an uninsured driver 6 weeks ago and my own carrier (Geico) is dragging its feet on my UM claim. what does the actual path forward look like?

looking for people who have actually been through this because im starting to feel like im being slow-walked on purpose. setup: sitting at a red light on the way home from work in early may, full stop...

Posted by worriedbuyer6•17h ago
6 comments
g/workers-comp

the IME doctor spent 11 minutes with me and cleared me for "full duty" 5 months after rotator cuff surgery. my actual surgeon says light duty only. now comp is cutting off my checks

i need to vent because im about to lose my mind. tore my right rotator cuff (full thickness supraspinatus, confirmed on MRI) in january pulling a pallet jack that a coworker had loaded way over spec....

Posted by patient_seller_971•1d ago
5 comments
g/theft-claims

Safeco wants receipts for everything stolen in our break-in, including stuff we bought 10+ years ago. what actually counts as proof of ownership?

came home from a long weekend at my sisters place to find our back slider pried open and the house tossed. police report filed same night. they took my wifes jewelry box (her grandmothers ring, a...

Posted by anxiousresident589•1d ago
6 comments
g/total-loss

Progressive's first ACV offer on my totaled 2019 F-150 was $19,400 - got it to $27,600 in 3 weeks of back and forth. here's the documentation that actually moved the number

quick context. rear-ended at a red light in late april by a teenager who admitted fault on scene, no question of liability. my 2019 F-150 XLT, 4x4 supercrew, 5.0L V8, 88k miles, well maintained, just...

Posted by stressedClaimant865•1d ago
5 comments
g/pre-authorization

Anthem denied prior auth for my 9 year old's tonsillectomy/adenoidectomy after a sleep study showed severe pediatric OSA (AHI of 14) - genuinely stuck on what to do next

looking for advice from anyone who has been through a pediatric pre-auth denial. my son is 9, has been snoring loud enough to hear from down the hall for almost 2 years, sleeps with his mouth open,...

Posted by curiouspolicyholder528•2d ago
5 comments
g/beneficiary-disputes

my dad died 3 weeks ago and Nationwide says his policy still lists his ex-wife (my mom) as beneficiary from their 2009 Ohio divorce - what are my actual options here

not really sure where else to ask this and the funeral home director suggested looking online. my dad passed pretty unexpectedly last month, heart attack at 64, no warning. me and my sister have been...

Posted by curious_buyer_981•2d ago
4 comments
g/business-interruption

Hartford bumped our cafe's business interruption claim from $87k to $164k after a grease fire shutdown - what actually moved the number

tldr on what happened, then what we did. we run a 38 seat breakfast and lunch cafe outside Asheville. back in early february our hood vent caught a buildup grease fire during the saturday breakfast...

Posted by stressedClaimant789•2d ago
4 comments
g/pip-claims

Florida PIP is exhausted at $10k but my PT says i need another 8 weeks - what are my options before i blow up the medpay or go to health insurance

got rear ended at a light in St Pete back in january. my car was fine-ish (DV claim is a separate fight for another day) but i had what they ended up diagnosing as a moderate cervical strain plus an...

Posted by annoyed_driver_75•2d ago
6 comments
g/mold-claims

found mold behind the drywall 9 months after Liberty Mutual closed a "fully repaired" dishwasher leak claim and they tried to make us open a NEW claim instead of reopening the old one

last september our dishwasher line started weeping into the wall behind the cabinet. didnt notice until our 3 year old started waking up with a stuffy nose every morning that summer and we tracked the...

Posted by nursePractitioner_Mel•2d ago
7 comments
g/short-term-disability

Lincoln Financial denied my STD claim after a C-section saying 6 weeks is "not medically necessary" - has anyone fought this and won

my wife had our second daughter march 14th via scheduled C-section. her OB filled out the disability paperwork for the standard 6 week recovery, which is what every doctor and hospital we have talked...

Posted by annoyed_claimant_120•3d ago
5 comments
g/water-damage

frozen supply line under our kitchen sink let go while we were at my in-laws for thanksgiving and Travelers tried to call it "wear and tear"

we live in a 1996 split level outside minneapolis and we left for thanksgiving the wednesday before. set the thermostat at 62, double checked the doors, the usual. came home sunday night and i could...

Posted by confusedseller260•3d ago
6 comments
g/prescription-claims

insurance moved my biologic off formulary mid-year and now im paying $1,400/mo cash - is there any way to fight this

looking for anyone whos been through this because im at my wits end. i have crohns and ive been stable on stelara for almost 3 years. infusion every 8 weeks, life is good, no flares. open enrollment...

Posted by stressed_resident_326•4d ago
5 comments
g/collision-claims

at-fault driver's insurance offered me $3,200 for a repair my shop quoted at $7,900 - the games they play are exhausting

so back in april some guy rear-ended me at a stoplight on his phone. clear-cut, he admitted fault on scene, his insurance (geico) accepted liability within a week. great, easy claim right? not even...

Posted by confusedseller627•4d ago
6 comments
g/storm-damage

hailstorm claim went from a $3,200 initial offer to a $41,800 settlement after i hired a public adjuster - sharing what actually moved the number

june 2025 hailstorm dropped golf ball sized hail on our neighborhood in oklahoma city for about 12 minutes. four roofs on our street were obviously trashed. mine looked fine from the ground. i was the...

Posted by frustratedPatient1•4d ago
7 comments
g/out-of-network

surgeon was in-network but the anesthesiologist hit me with a $4,800 surprise bill - is this still legal under the No Surprises Act or am i missing something

genuinely confused and getting nowhere on the phone with anyone. had a scheduled outpatient shoulder surgery in march at a network hospital, with a network surgeon. did all the homework. called my...

Posted by determined_seller_657•4d ago
7 comments
g/long-term-disability

Unum approved my LTD claim on appeal after 14 months and the lawyer was worth every cent - sharing the full timeline because i would have killed for this when i was in it

quick background. ive had ankylosing spondylitis for almost a decade but stayed working in software through it with accommodations until late 2024 when it progressed into my cervical spine and i...

Posted by policynerve•5d ago
5 comments
g/bad-faith

is what my homeowners carrier is doing actually bad faith or am i overreacting - they "lost" my submitted docs three times now and the clock keeps resetting

need a sanity check from people who actually know this stuff. small kitchen fire claim with travelers, filed in late january. nothing huge, total scope is around $19,400, mostly cabinets, countertops,...

Posted by policynerve•5d ago
5 comments

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