Humana Wall-Mart RX Preferred Prescription Drug Plan - Eleven months of battling an incompetent company.
inconsistant coverage and pricing plus other incidents. - Complaint
MEDFORD, OREGON -- I spent several days going over my prescription list with a representative to insure Humana had all the information they needed to price my first Medicare approved Prescription Drugs or Pat D insurance plan. I accepted the plan and terms and it went into effect January 1, 2012.
The first time I went to the Pharmacy to pick up my medicine for Parkinson's disease, the prescription was filled for 24 days when it should have been for 30 days. The pharmacist told me it was Humana's decision to restrict their coverage to 8 pills per day and not the 10 pills per day as prescribed by my Doctor. I went around and around with Humana and finally a representative told me she put an override order on the restriction and assured me the problem was fixed. Next month the same thing happened. I asked about the override placed the previous month and was told it was a one time only override. The representative I was talking to told me to take the prescribed amount and come back for a ten day supply to carry me into the third month and everything would be resolved by then. It was not. In fact Humana informed me they were no longer covering the medicine in my plan, We are talking about the number one medicine prescribed to Parkinson's disease patients. I gave a copy of the letter to my Neurologist and he managed to convince Humana to reverse their decision.
I also have Diabetes and early inn the year, my doctor gave me a prescription for Insulin prefilled cartridges or "Pen injection system. I could not afford even my copay so I asked for an alternative lower cost system and was prescribed for the same medicine n vles that would load into syringe needle for my injections. My copay for this system was a third of the cost of the pen system. Last month a new prescription was written by a different doctor who mistakenly wrote it for the pen injection. The amount Humana quoted the Pharmacy was much lower than the previous quote. My wife was picking up the prescription. She was unaware of the mistake. I was out of Insulin and used the pen system since my wife paid for it.
Now we are in the eleventh month of the plan and I have just entered the gap coverage or "doughnut hole and now I pay full price for all of my medicine. The prescription cost in the pen system for one month is more than $275.00. I called my Doctor and asked to have my prescription modified to the vile and syringe method. the pharmacist told me the injection method was changed but the price remained the same. I called Humana and this time had two reps and a supervisor involved. They reminded me I was in the donut hole and expected to pay the full amount which by the way was over five hundred for a month. I asked why was the price quoted 275.00? From that point on all they were focusing on was why their own company quoted a discounted price and told me they only price they had on my insulin was the vile and syringe system. Well this is open enrollment time and as of January 1, 2013, I will have a new plan in place. I only hope I can make it that far without my medicine. no change, not resolved. :(