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I had humana insurance and had to have a c-section to deliver my baby. Humana said in their contract they will pay if it was life threating. All of the paperwork had been submitted and the claims had still been denied. Their excuse was were do not have the right documentation to process this claim. I went to the doctors office and hospital made copies of the file and over nighted them to their office. Still nothing has come from it. I have filed a complaint with the insurance commission and have also spoken to an attorney. Stay away from humana. They look for every reason not to pay.
Humana is terrible. I had prescription coverage for a year and a half. When I finally got a prescription they cancelled my coverage saying I had moved. Have been in the same house for 3 years. What a a lie and lame excuse to avoid a $100 payment.
My sister use to work in BP Human Resources and said they had all sorts of problems with Humana. She said they were absolutely the worst. Too bad I didn't know that before I signed up.
My advice: STAY AWAY FROM HUMANA !
I agree with you that Humana will look for every reason not to pay. I have a group plan with a high deductible ($2,500.00). I met my deductible for the year (2007), and now Humana is denying most of my claims. They are refusing to cover a $6,207.00 surgery that I had done in September. I have contacted a legal council and the Illinois department of insurance.
Hood luck to you.
To anyone reading this: stay away from Humana if you possibly can!