edward's complaint:
August 10, 2013

Insurance Company: Humana
Coverage Type: Health Insurance

• Underwriting - Premium Too High
• Underwriting - Refusal to Insure
• PolicyHolder Service - Unfair Negotiation
• Claim Handling - Fraud
• Marketing & Sales - Misleading Advertising
• Marketing & Sales - Misrepresentation
• General - I feel abused by this company

I am Humana Gold Plus (HMO) member. I am a Senior citizen on Medicare. Part of the Prime Care Inland Valley IPA/Center Name. I had a knee replacement operation done by the Gary Orthopedic Group, Pomona Ca. This is part of this (Prime Care Inland Valley) plan. They sent me to a number of laboratories, MRI, X-ray facilities, as pre-op procedure. I am a HMO member. That is all I have for health insurance. Gary Orthopedic sent me to out of HMO facilities without notifying me. I therefore am being charged >$100000 for out of network expenses. Humana told me over the phone that it was not their problem and to negotiate a pay plan on my own. Gary Orthopedic has not replied. THEY TAKE MY MESSAGAE AND WON'T RETURN MY CALLS.
HUMANA GOLD / PRIMECARE INLAND VALLEY ARE LYARS AND NEED TO BE CLOSED DOWN. I HAVE NOT GOT $10000 TO PAY THESE THEIVES. I AM ON MEDICARE AND SSI.

WHAT DO I DO?????????? I FEEL GARY ORTHOPEDIC IS RESPONSIBLE FOR ALL THIS GRIEF. DO I HAVE TO SUE THEM????? HOW?
CAN YOU RESOLVE THIS ISSUE???

PLEASE HELP

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