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Humana / claims and reimburssment

1 Nellysford, VA, United States Review updated:
Contact information:
Phone: 434-989-5510

Health insurance is on the front burner of most political conversations. I offer a honest and complete story regarding Humana's health insurance polocies. In short, I have seventeen pages docuementing phone calls, written letters, and actual bills to support my previous statements. In the worse case scenario, you lose an hour by reading about Humana's detailed fraud. At best, you are the first to break a story involving health care that will "blow everyone out of their seats." While I am 98 percent sure you will write me off as a crazy person looking for revenge, I hold onto the other two percent. I'm offering a story that is important to all persons. Please give me the option to send you my previous docuementations. (I can't spell!!). thankyou, jenny schmitz

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  • Ja
      11th of Mar, 2011
    0 Votes

    My direct experience with Humana Health has been anything but pleasant. Unfortunately for me, Humana is an employer insurance plan. My unpleasant and direct experiences with Humana stem from 2004 and 2010 experiences. In 2004, I had a routine procedure and Humana twice told me over the phone of a lower co-pay than what I was actually charged. Humana then communicated they no record of the calls, and when I communicated my record of the second call, the representative denied she communicated to me the lower co-pay. After a number of exchanges, I finally told Humana the representative and I would have to undergo a polygraph test to get to the bottom of the discrepancy. I then never heard back from Humana. In 2010, I paid out-of-pocket for a claim Humana told me I could get partially reimbursed for. Humana advised where I should file the claim, which department denied my claim because it wasn’t filed with the right department. As again advised by Humana, I re-filed with a second department with a claim form and my receipt. Humana then paid the supplier, whom I had already paid, which was an overpayment. Humana went on to advise I should “contact the provider
    for any eligible reimbursement.” Hence, Humana’s advertised guidance in my case has been lies and deception when you need it least.

  • Ja
      22nd of Jun, 2013
    0 Votes

    I know this complaint is true. It is similar to my experience. Humana is the provider for my employer. They are absolutely terrible. They freeze coverage without warning. You can send them a claim via their message system and they will deny receipt of it. They will claim not to be able to read faxes that they request. They assert their 60 day review period in an attempt to delay payment as long as possible. They ran out the clock on my HSA claim effectively stealing almost $400 from me. It was clear to me that what they were doing was intentional. .

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