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