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Does anyone have problems with Humana HMO insurance?

asked by redhead (5)

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Tags:  healthcare  insurance

answers

The answer is YES! I have read where many people have had claims rejected because of minor infractions on their claim form. Since claims cannot be filed twice they are all rejected.

10 votes

In determining consumer complaints about various insurance plans, your state insurance department is a good place to start. Because insurance companies have to be permitted to do business in each state, your state government is the beginning place for gathering information.

7 votes

My family and I were covered by Humana HMO for 7 years and had no problems with them at all. Even through the death of my husband, they were always easy to deal with when the bills filled up the mail box.

6 votes

Many HMOs are notorious for poor service, coverage and restrictive care covenants. If you are receiving insurance benefits from your employer, petition them to supply alternative carrier options. If you have an ongoing dispute, consult the Insurance Administration in your state. This is a free consumer service that will contact Humana on your behalf and investigate your concerns.

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posted by Advisor (998)
6 votes

Many people have made complaints concerning Humana HMO. Most of these come out of issues with coverage not being provided when the person understood that they would be covered. These range from simple miscommunication to Humana refusing to accept paperwork showing a case was life threatening. These complaints however do not outnumber the people happy with their coverage.

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posted by kurigami (26)
6 votes

Yes. People have difficulty with both HMOs in general and this company specifically. You won't find any company in the world that has zero complaints.

5 votes

Humana recently mailed all of its Medicare Advantage customers a letter regarding the possible negative consequences of pending health care legislation. This has led to an investigation into Humana in general, but I have not heard of anyone having problems with the Human HMO plan or their Medicare Advantage Plan.

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posted by Lisa92 (49)
4 votes

I have Humana insurance and I have found their customer service people to be very helpful and knowledgeable. They also send Explanation Of Benefit forms very quickly. They have even reprocessed claims for me that were misdirected the first time.

4 votes

A problem that can arrise with having an HMO plan instead of Medicare is that some hospitals are not contracted with the plan - meaning they are out of the plans "network". One may have to pay more coinsurance, a higher deductible and copay with an out-of-network Hospital.

3 votes

Yes, some people have problems with Humana HMO insurance getting a doctor that you want and not one that they choose for you. Also, you always get a recording when you call company.

3 votes

No, Humans runs such a fine organization that I find it hard to believe anyone would have a problem with their insurance.

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posted by savhomer (16)
2 votes

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