mary jane's complaint:
February 15, 2013

Insurance Company: Humana
Coverage Type: Health Insurance

• Claim Handling - Fraud
• Claim Handling - Denial of Claim
• Marketing & Sales - Misleading Advertising
• Marketing & Sales - Misrepresentation
• General - I feel abused by this company

I applied for Medicare Replacement with Humana and as part of the application process I was asked to provide a list of my doctors and my prescription medications. I was told by the sales person that the plan she recommended provided coverage for all medications and that all my doctors were in the plan. When I first filled my Diabetes medication (the one I had listed) it was refilled, but shortly thereafter a letter came saying that this drug was not covered and in order to continue using it I need a "pre authorization" from my doctor--I called and complained that this was not what I was told initially and a representative said he would fax the form to my doctor which should take care of the problem. The next month came and the refill was denied pending the "pre authorization". When I called again I was passed along to quite a few different departments and finally told that the "pre authorization" was denied due to lack of information. I feel that I was tricked and deceived by this company as I never would have taken their coverage if I had known this drug was not going to be covered. I do no understand how they can say it is covered and then decide it is not. When I enrolled there was a lengthy phone conversation which they said was being recorded in which they reviewed all my medications and the copay associated with each. FRAUD, FRAUD, and more FRAUD!!! DO NOT CONSIDER THIS COMPANY.

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