Humana medicare Don't use Medicare Plan D Humana Nationwide

This report is a bit hard to understand, but if someone at my company enrolled you when you said not to, that person needs to be terminated. I'd suggest calling a supervisor so they can pull the tape and verify if the employee did something wrong.

This problem would never have appeared on ROR, if Humana had a legitimate complaints department to handle matters of quality control.

Now there is a Humana employee running around loose, enrolling potential clients against their will to make a "commission". I am the Law is right that this is "not cool".

Not only is it "not cool", it is downright frightening. If Humana cannot control its employees, imagine what it is doing with our money!

Please Humana, PLEASE open a complaints department. Healthcare is in crisis mode, and we are in a recession. This stuff needs to stop. Please HELP!!

I do agree with Franzg in this case... for once.

The rep the author was talking to probably enrolled the person to get a commission or a quota. Not cool. (Assuming that the author's story is 100% true.)

But, I'm done arguing with Franzg, so if he wants to post a rebuttal of some sort, that's fine.

I do agree with Franzg in this case... for once.

The rep the author was talking to probably enrolled the person to get a commission or a quota. Not cool. (Assuming that the author's story is 100% true.)

But, I'm done arguing with Franzg, so if he wants to post a rebuttal of some sort, that's fine.

I do agree with Franzg in this case... for once.

The rep the author was talking to probably enrolled the person to get a commission or a quota. Not cool. (Assuming that the author's story is 100% true.)

But, I'm done arguing with Franzg, so if he wants to post a rebuttal of some sort, that's fine.

I do agree with Franzg in this case... for once.

The rep the author was talking to probably enrolled the person to get a commission or a quota. Not cool. (Assuming that the author's story is 100% true.)

But, I'm done arguing with Franzg, so if he wants to post a rebuttal of some sort, that's fine.

Humana enrolled person against his will

Humana unwilling or unable to mail requested information.

Humana has poor customer service, and no interest in quality improvement.

Are you actually requesting that everyone who has a complaint with a Humana employee or with an employee's phone etiquette file a written appeal letter? I would think that quite irresponsible to clog up the appeals process for claims with complaints about customer service.

However, it sounds like that is what you want.

Humana better get another PO box, because I would expect quite a few letters after reading all these ripoff reports.

Franzg, if you need to file a grievance with Humana, the address is Humana Grievance and Appeals, PO BOX 14546 Lexington, KY 40512. Remember, legally, all appeals must be done in writing. By the way, did you ever write your Congressperson and complain about that?

No

Sorry, but the original post is about someone who requested information about coverage, and instead got enrolled by a Humana employee.

In addition, Humana failed to send the requested information.

I think opening a complaints department would help with quality control and customer satisfaction.

Franzg is actually suggesting that Humana doesn't disclose benefit information to its members. That is the definition of laughable. Please don't pay attention to this person because he works for a rival insurance company.

Come clean, Franzg.

Sorry, but the original post is about someone who requested information about coverage. I don't think they were inquiring about their employer.

I don't know why you keep bringing up the silly rules and "certificates". There were no "certificates" involved with this complaint.

This is about a person who was enrolled in Humana by an employee of Humana after requesting coverage information. The person got upset, and asked to be "unenrolled". Information was never sent.

Seems if Humana opened a complaints department, they could squash these little misunderstandings before they get posted on Ripoff Report.

Granted, claims can be corrected by a provider a year later, yes, that's true, but it's not like the carrier can turn away a corrected claim. I'm sure Humana themselves may misprocess a claim from time to time as well and correct it later. What do you want them to do; let the claim sit in an incorrect status? That is illegal, my man. Claims must process according to that certificate. (DOI guidelines) And, for the millionth time, the employer is responsible for providing benefit info before the employee decides to sign up with the plan or not. I'll agree, I can't verify if all employers are doing that or doing it well, but still, it's not Humana's fault. Besides, the certificate is listed online as well as in the employee's benefit office. How else did you want Humana to convey the certificate information? Hold an employee down and tattoo it on their hand? Perhaps it would be to your satisfaction to have a Humana rep follow member's to their doctor's appointments and critique every action? Would that do it for you?

Geez, in this case, they did not.

Humana still denies claims it may tout to cover in its legal "certificate". Some over a year later. It is done by automated computer. As long as it documents it properly, it is "legal".

Why not allow the public to know what is covered before seeing the physician; like this person on ripoff report wanted?

Why not open a complaints department (like at Target), so these "isolated incidents" don't occur. Seems like this potential Humana client would have been much happier, and would not have posted on Ripoff Report.

Geez, in this case, they did not.

Humana still denies claims it may tout to cover in its legal "certificate". Some over a year later. It is done by automated computer. As long as it documents it properly, it is "legal".

Why not allow the public to know what is covered before seeing the physician; like this person on ripoff report wanted?

Why not open a complaints department (like at Target), so these "isolated incidents" don't occur. Seems like this potential Humana client would have been much happier, and would not have posted on Ripoff Report.

Um, ok Franzg, you think insurance carriers don't disclose BENEFIT information to perspective members now? You honestly think people would buy a policy without knowing what it covers? It's called a certificate of coverage, my man. That's where the benefit information is along with any limitations and exclusions. I'm sure they could get a paper copy or check Humana's website. Geez, man, come on.

And why do they use a "top secret" automated computer to deny medical bills?

Why not have a little disclosure on what will be covered, how much. and what the co-pay will be? Why not give the consumer access to automated computer so we can avoid the debt of denial?

My advice is to find a competent and trustworthy physician to care for your health. And above all, inquire about the best way to pay for your needed services.

This seems like an isolated incident to me. Humana has the highest rated customer satisfaction of any health insurance company in America. Even your best companies can be tainted by one bad customer experience. I think you're carrying your complaint to far by blasting them on the internet. I had a rude cashier at Target one time, but I still shop there because it's a good store and I won't let one crazy cashier ruin that for me.