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Report: #1215124

Complaint Review: Humana - Kentucky

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  • Reported By: mevoy — port charlotte Florida USA
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  • Humana Kentucky USA

Humana Humana & The Marketplace incompetent Kentucky

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MARK EVOY

(((redacted)))

March 8, 2015

Humana Billing

PO Box 14168

Lexington, Ky 40512-4168

Ref# (((redacted)))

In the spring of 2014, I enrolled in Humana’s Direct Silver 4600/6300 plan. My premium was $39.60/month with a $500.00 deductable. I needed

major surgery in the fall. Humana took care of everything, I couldn’t have been happier with their service. Sometime in October, I received a letter in the mail saying my premium increased to $166.00/month for the same coverage, and that I did not need to do anything except pay the premium.

I attributed the increase to not having any income when I first applied. Recently I am on SSDI and receive monthly benefit payments. Towards the end of the year I contacted Humana several times to make sure my coverage did not lapse. I also went to the Marketplace to renew my policy.

 

In January 2015, I suspected there was a problem when I was to get a bone scan and it was going to cost $400.00. I tried logging in to both

Humana & Marketplace websites and was not able to access my accounts. I found out later Humana drafted $658.95 out of my checking account. I

contacted Humana and they set up a conference call between me, Humana and the Marketplace. Apparently my Federal tax credit had not been

applied. Meaning I was paying full price for the plan and not even receiving the same prior coverage as before. My deductable was at $9,000.

Since that conversation, Humana drafted an addition $658.95 from my checking account. I contacted Humana again and a second conference

call was setup. Again, tax credits still not applied. I not only renewed my policy myself, but had two Marketplace representatives renew again on

two separate occasions. The Marketplace turned it over to the Advanced Resolution Center to expedite a solution and would contact me in 5-7 days.

After 10 days I called the Marketplace. They told me ARC tried to contact me by phone. If they did, then they never left a message.

Finally on 3-2-2015, the Marketplace applied my tax credits to my Humana premium, lowering the premium to $241.95 but still with a much

higher deductible $3250.00 v/s $500.00 in 2014.

 

On 3-6-2015 I contacted Humana because I was still getting bills for the $658.95 premium. I asked the representative to place this account in

dispute and he would file a Request for Refund. I never authorized Humana to draft anything more than the original premium of $39.60/month. So far they have drafted $1317.90 of unauthorized payments. Had I not put a stop on the auto pay, Humana would still be drafting $658.95 each month;

this is nothing less than stealing, or at least fraud. Because of this situation, I’ve had to put off much needed surgery on my hip. I can’t afford to be stuck with a $9,000.00 deductable even though I’m eligible for a much less deductible. I still want to know why I can’t get the exact same coverage that I have 2014?

 

I insist hearing from Humana regarding this ridiculous situation and when can I expect a full refund. I am forwarding copies of this letter to the

Marketplace and also the Florida State Division of Consumer Services.

Respectfully,

Mark Evoy

This report was posted on Ripoff Report on 03/11/2015 09:47 PM and is a permanent record located here: https://www.ripoffreport.com/reports/humana/kentucky/humana-humana-the-marketplace-incompetent-kentucky-1215124. The posting time indicated is Arizona local time. Arizona does not observe daylight savings so the post time may be Mountain or Pacific depending on the time of year. Ripoff Report has an exclusive license to this report. It may not be copied without the written permission of Ripoff Report. READ: Foreign websites steal our content

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