Humana Insurance Complaint - Humana Sells What It Doesn't Deliver
WHITE CASTLE, MINNESOTA -- I subscribed to Humana Part D Medicare Prescription Drug Coverage on 01/01/08. On my application I disclosed all the medication s which I take. Two of them are generics and are very cheap, one is a formulary treatment for type 2 diabetes which, according to their web-site and Medicare, Humana is supposed to cover. After I refilled the prescription for the first time, I received a letter stating that coverage was being denied and that they would no longer pay for this medication. Their reasoning ws that they did not have a record of a doctor's authorization for this med. My doctor promptly faxed them their form, showing that he had indeed prescribed this treatment.
Another denial letter followed with the same reasoning, stating that I was taking more than the prescribed dosage. Their little phone person said that their records indicated that I was taking 2.4 prescriptions per month, while the prescribed dosage was one per month. They didn't even know that 2.4 is the monthly dosage in Milliliters and when administered in 10 microgram doses, the 2.4 ml lasts 30 days. The last straw was when I appealed to Medicare and they said that Humana should be covering this drug and forthwith filed a complaint on my behalf. Humana responded that their pharmacy review committee had decided that I should not be taking this medication and thus they were again denying my claim.
Thank God I can afford this medicine on my own, since they have moved from insurance to primary care provider and their pharmacists can override my personal physician's prescriptions. Anyone who wants good health insurance better stay away form Humana as they are running one monumental rip-off.