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Name Witheld due to Health Care Privacy from sound beach, NY says:
November 18, 2013

Insurance Complaint against: EmblemHealth
Coverage Type: Health Insurance

  • PolicyHolder Service - Inadequate Service
this weekend after seeing my doctor about an internal bleeding issue I was told by my md he wanted me to get a cat scan immediately. My insurance is emblem health HIP prime HMO my doctor who is in their plan put in a referral to zwanger pesiri we got an approval but they needed a specific approval for them and even though i have used them for 5yrs happily and they are 10 min from the office we were told by Health Care Partnerships who apparently administers my plan they refused to approve zwanger even though they are a HIP/Emblem provider. forcing me to go to a plan that had an office open in bayshore but i had to get there by 1130 it was 11am and i was in miller place i practically killed myself trying to get there. i raced to get there arriving at 1138 the provider gave me a hard time after making me wait 5 minutes starting out telling me i got there to late to be seen it was 1145 and she had to go to the other side and they couldnt guarantee me services but would try to see me in an hour and a half maybe. I left angry frustrated and clearly dissatisfied with everything that happened other than my primary who was very good i am now on the phone for 30 min trying to resolve the issue but just wanted to give people a heads up ab... Read More

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Dwaun from Cape Girardeau, MO says:
November 14, 2013

Insurance Complaint against: AAA Missouri
Coverage Type: Auto/Boat/Motorcycle

  • Claim Handling - Denial of Claim
In March of 2013 I was struck on the passenger front side of my car by a policy holder with AAA Insurance. They did an improper U turn on Normal St. in Cape Girardeau,MO. The driver was given a ticket for improper Uturn and we wnt to court and he had to pay a fine and everything I had put in a claim and it was denied not understanding why I then talk to people higher in the company and still was denied. How can they do this and I wasn't at fault clearly and didn't even get a ticket. The agent handleing this claim was rude and I just don't understand??????... Read More

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Robert from New York, NY says:
November 13, 2013

Insurance Complaint against: PET - Trupanion
Coverage Type: Pet Insurance

  • Underwriting - Premium Too High
I just got a 23% increase in my pets insurance with Trupanion. Please look into this outlandish increase Robert L. Williams... Read More

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Naomi says:
July 30, 2014 at 1:47 AM

They also don\'t respond to claims for over a month. They promise a free 30 day trial but if you actually need to use it in that 30 day period expect to get denied.

Carol from Vickery, OH says:
November 13, 2013

Insurance Complaint against: Erie Insurance Group
Coverage Type: Homeowners Insurance

  • Underwriting - Premium Too High
  • PolicyHolder Service - Inadequate Service
  • PolicyHolder Service - Incompetent Employees
  • PolicyHolder Service - Delays/No Response
  • PolicyHolder Service - Denied Access to Services
  • Claim Handling - Delays upon Delays
  • Claim Handling - Denial of Claim
  • Claim Handling - Unjustified Accusations
  • Marketing & Sales - Misleading Advertising
  • Marketing & Sales - Misrepresentation
  • General - I feel abused by this company
I live on Sandusky Bay. When Sandy came through on Oct. 29-31 2012 we had 80 mile and hour winds and rain for 3 days. I had water comming in under my casement windows, under my patio doors and dripping through my pot lights in the ceiling. I called Erie Insurance and told them about the wind driven rain comming in and that we also lost some siding and shingles, but said we think we could fix the siding and shingles but are not sure of what water damage is expected. We didnt see any damage until I went to open the windows in the spring, and they fell apart. First I called Pella who is in a class action suit against these windows, (DONT TRUST PELLA TO HONOR THEIR WARRANTY DO NOT BUY PELLA WINDOWS). Then I called Erie Insurance and placed a claim caused by Sandy wind driven rain. They used every excuse not to cover my loses even though wind and rain is covered. Now I have to have my lawyer fight this. Almost everyone on my street had damage, but ERIE INSURANCE IS DENYING MY CLAIM. DON'T BUY ERIE INSURANCE.... Read More

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WAI from MORGAN HILL, CA says:
November 13, 2013

Insurance Complaint against: Hartford
Coverage Type: Auto/Boat/Motorcycle

  • Claim Handling - Unsatisfactory Settlement/Offer
  • Claim Handling - Denial of Claim
I feel frustrated for the company's failure to recover repair costs on my behalf from the other party of the traffic accident on the pretext that the amount claimed was below my deductible. Staff from the customer service was impolite and increased my auto premium despite their fault in recording my age.... Read More

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Name Witheld due to Health Care Privacy from Forked River, NJ says:
November 12, 2013

Insurance Complaint against: Horizon Blue Cross Blue Shield
Coverage Type: Health Insurance

  • PolicyHolder Service - Inadequate Service
  • PolicyHolder Service - Incompetent Employees
  • PolicyHolder Service - Delays/No Response
  • Claim Handling - Denial of Claim
  • Claim Handling - Unjustified Accusations
  • General - I feel abused by this company
Prior to my gaulbladder surgery last year I was given the usual tests (scopes etc). I had the surgery. No problem. Then the bills started to come in. Horizon denied all claims, stating that I have a pre-existing condition. (Which I don't). Approx 3 years prior I had a hysterectomy. Prior to that surgery they did the same tests. They tested all my abdominal organs. Because I had these "tests" before Horizon is claiming that I have a pre existing condition. CSR are rude and even when prior insurance carriers spoke with them they admit that we are right but refuse to pay these bills. I've heard from my doctors billing dept that Horizon is famous for doing this to their new customers. The first time they file a claim it is always denied, due to pre existing conditions. I've called so many times and I've even spoken to supervisors (who refuse to give their full names or their emp id #. Everyone is waiting to get paid. My credit rating is very important to me and I'm still waiting. They told me that I can appeal ALL these bills, but it is obvious that they are wrongfully denying a good claim. Every month they take over $350.00 out of my bank account but they refuse to provide the services I'm paying for. ... Read More

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Name Witheld due to Health Care Privacy from Moore Haven, FL says:
November 11, 2013

Insurance Complaint against: Blue Cross and Blue Shield Association
Coverage Type: Health Insurance

  • Claim Handling - Denial of Claim
My husband Clarence D. Pottorff needs to have surgey on four disk in his neck. He has failed every nerve test. Has had MRI's and has been going to the doctor for this issue for years. The spinal doctor and the neurologist has said the only way to fix this issue is surgery. My husband has had this insurance company for the past 10 years. If my husband does not get this surgery he will continue to get worse. He will become paralyzed from the neck down or die. He can not ride are horses pick up anything over 30lbs. He says sometimes it feels like a fire cracker going off in his neck and he can feel it from the tips of his toes to the top of his head. He brought theis to the doctors attention and he said that is his spinal cord rubbing against the bone. The surgent wants to use two artifical disk and fuse two disk. The insurance company has denied the first claim so we appealed it on November 8, 2013 and they denied it again on November 11, 2013. The insurance comapany says it is investigational. Surgerys will stay investigational if surgents cannot do them. I dont want to lose my husband his quality of life is diminishing. My husband is only 46 years old. Please help my family. Sincerly Bilinda Pottorff... Read More

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Ted from Irvine, CA says:
November 11, 2013

Insurance Complaint against: Allstate
Coverage Type: Auto/Boat/Motorcycle

  • Underwriting - Unfair Surcharge
ALLSTATE forces you to pay a monthly payment fee/surcharge. $3.50 a month on a $15.00 payment! That's 20% a Month! The mafia charges those rates! Avoid ALLSTATE INSURANCE!... Read More

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Shawn/Independent Agent says:
December 18, 2013 at 5:55 PM

Hi Ted, Contact Dennis Rosene in Newport Beach. He is an excellent insurance agent, and he is with State Farm. They can get you a policy with only a $1 monthly fee if you want to pay monthly. No financing at all! He is at 949-645-6000.

Earl D. and June B. from Clearwater, FL says:
November 10, 2013

Insurance Complaint against: Progressive
Coverage Type: Auto/Boat/Motorcycle

  • PolicyHolder Service - Inadequate Reimbursement
  • PolicyHolder Service - Unfair Negotiation
  • Claim Handling - Unsatisfactory Settlement/Offer
  • Claim Handling - Denial of Claim
  • Marketing & Sales - Misleading Advertising
  • General - I feel abused by this company
We own a 41 foot park travel trailor, that was recently damaged by heavy rains this summer! We called Progressive Ins. Co. that have had for 4 yrs.at $1100. per yr. Notified Ins. Agent who had it moved to Parliament Coach Repair in Clearwater. We paid a friend to disconnect for moving! $600.00. It was taken there and repaired a large slideout badly damaged by water, at a cost of $12,757.00. Progressive refused to pay anything, even the towing all and all that was done! We were covered for towing also! We were never told that they do not cover water damage when we signed up for the Insurance! We are Seniors, that feel we have been taken advantage of! Can you help us as we had to put $10,000. on Discover in order to get our Trailor back right away! We are planning to pay this off in 30 days so no interest! It is putting our savings pretty low! Not fair!! Thankyou so much for your help!... Read More

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Leon from Richmond Hill, NY says:
November 08, 2013

Insurance Complaint against: Tri-State Consumer Insurance Company
Coverage Type: Homeowners Insurance

  • PolicyHolder Service - Inadequate Service
  • PolicyHolder Service - Inadequate Reimbursement
Tristate Consumer Insurance is a company you want to stay far away from, despite their competitive rates. The real test of an insurance company is not the rate it charges but how well it responds to and pays your claims. This company is fraudulent when it comes to settling claims and should be put out of business. I have experienced both sides with Tristate with vehicle insurance and with home insurance. Like many other who have reported, they did drop my auto insurance without cause as my premiums from excellent driving record was not profitable enough for them. My home’s roof was damaged by Hurricane Sandy. They literally refused to pay, and instead gave me, after arbitration, the grand sum of $4000 to “patch” my roof, according to what their estimator and process recommended. I ended up paying $12000 to replace the roof. My next door neighbor’s roof was fully replaced within two weeks by State Farm insurance without a hassle. When you see that company’s president Penny Hart herself taking the time to attend mediation cases against the company all week, you know that there is something wrong with that picture. She is in court literally a few times a week fighting off claim requests from customers who have been denied p... Read More

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