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  • Report:  #769813

Complaint Review: Humana Insurance

Humana Insurance Changing tiers of medications and co pays without warning Lexington, Kentucky

  • Reported By:
    Shasiti — Paulden Arizona United States of America
  • Submitted:
    Sat, August 27, 2011
  • Updated:
    Thu, September 15, 2011
  • Humana Insurance
    P.O. Box 14601
    Lexington, Kentucky
    United States of America
  • Phone:
    800-457-4708
  • Category:

Humana Insurance Fraud. When I first called to sign my husband for a Medicare Advantage plan I went over all medications to make sure they would be in tier 1 catagory. As all of them are generic they assured me the tiers and Quanity limits would not be changed for the year of 2011. 3 or 4 months into the plan I found out that 2 of his meds that he HAS TO HAVE had been changed to teir 2 along with Quanity Limits. I call representative whom got snotty with me and tried to put the blame on pharmedical companies, which in any case, even if it was true is not my problem

They sign a contract with phar company same way we sign one with them.
I asked for Teir reduction forms to be sent out immediately. Here we are almost 3 months later still waiting for decision. My husband is disabled with failed back surgery and has titanium cages in his back. We live on very limited income.

I would not recommend Humana Insuance for my Dog. Every month I have to make a call to them over one thing or another. I visit Senior Centers in my spare time and you can bet I will be doing everything in my power to steer elderly AWAY from Humana. I have AARP Secure Horizons, WONDERFUL! I have never had one problem with there services this whole year. So Rally, make up flyers, go to your senior centers, Walmart, Kmart. Stick flyers under windshield wiper. We have to stop the insanity.

They DO NOT CARE about the patient only there SHAREHOLDERS!!!

4 Updates & Rebuttals


I am the law

Chicago,
Illinois,
USA

The reason for the response...

#5Consumer Comment

Thu, September 15, 2011

Well, voiceofreason, the reason for my response is because I have no patience for liars;

especially for ones that lie about a company that has been extremely professional and kind to me and my family for over seven years. I've had nothing but good experiences with them and I would recommend them to anyone.

Now much like the author, my family and I have regular medications that we use, and, from time to time, those medications will bounce between those different levels. I have received somewhere in the neighborhood of thirty of those notices in the mail over the years, so the author is full of crap when they say that Humana makes no effort of inform members of these changes. On the off chance that one of those notices was lost in the mail or something, all of this information is available on their website or by, God forbid, calling them. Insurance companies, BY LAW, must notify their members of these sorts of changes. I'm confident in saying that Humana wouldn't risk getting a huge fine over something like that.  

I work in the billing/coding department for a major Chicago hospital and I can't tell you how many times people claim that we never sent them something, when the fact is that most people don't even read the mail we send to them. They don't even bother opening it and deposit it directly in the trash. I'd bet good money that that's the case here. Senior citizens are NOTORIOUS for this. For be it for me to stereotype, but I call it like I see it.


voiceofreason

North Carolina,
United States of America

Why the visceral response, Law?

#5Consumer Comment

Wed, September 14, 2011

She pointed out a sudden, unexpected and frightening change in drug policy several months into the plan, a pattern of forcing her to call them for other matters that probably should have been cut and dried, plus ease of use issues in comparison with a more friendly carrier. Why does that make her a moron?

Let's say everything they do and force her to do is spelled out somewhere in the docs she got after signing up, again, why does her calling them out on objectionable practices make her a moron?

I've read easily a dozen or more reports today where the OP might qualify for that appellation way before she would.


I am the law

Chicago,
Illinois,
USA

You are way wrong.

#5Consumer Comment

Wed, September 14, 2011

You are a total moron.

What do you mean that this information isn't shared with the members? Not only is this mailed to them, but it's also on Humana's website. Did you want a Humana rep to knock on your door and tell you everything face to face? 

Typical senior citizen, thinking that they shouldn't have to lift a finger in the business world.


I am the law

Chicago,
Illinois,
USA

You are way wrong.

#5Consumer Comment

Tue, September 13, 2011

You are a total moron.

What do you mean that this information isn't shared with the members? Not only is this mailed to them, but it's also on Humana's website. Did you want a Humana rep to knock on your door and tell your everything face to face? 

Typical senior citizen, thinking that they shouldn't have to lift a finger in the business world.

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