HumanaOne Complaint - Nonpayment of ER visit

Review by tarynlovesyou on 2009-07-10
I went to the ER almost a year ago. My fiance and I were playing baseball and I ended getting hit in the head with the ball and suffered a concussion. Humana paid the hospital bill including the CT scan and everything, but refuses to pay for the ER doctor that saw me. A year later I'm in the middle of a 5 year medical history evaluation to determine if this was a pre-existing condition. How does an insurance company pay for the treatment but not the doc at an in-network hospital?

Humana is horrible, and their customer service never has a "supervisor" you can speak to. No explanations about why its not covered either. Avoid Humana.
Comments:1 Replies - Latest reply on 2009-07-10
Posted by Mommy4x on 2009-07-10:
Often doctors that work in the ED aren't affiliated with the hospital. Although the hospital you went to was in-network, it's possible the doctor wasn't. Of course you had no say in what doctor saw you and in an emergency situation, who cares? I'd continue to fight it.

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