Humana Medicare Claims Customer Service Issues

I visited the pharmacy to pick up a prescription and was shocked by the $[redacted].00 price. Prior to purchasing it, I contacted Humana. A Humana representative named Margaritta assured me I would receive a 75% reimbursement if I paid for the prescription out of pocket. It has been approximately 6 weeks now, and despite assurances from a Humana supervisor named Yusaf about the reimbursement, I have yet to receive anything. Humana's Board of Directors has denied my reimbursement requests, even though I was promised this benefit on three separate occasions. I have taken steps by recording all my calls with Humana, and a local TV station will soon be running a consumer fraud report based on my experiences. They mentioned that depending on the response, this story might even make it to national news within the next week.

Dear Sirs, I am extremely disappointed with the service provided by Humana. It took them nearly 2 months to refill my Olmesartan medication. Despite multiple reference numbers and assurances, the medication was only shipped on May 19 via regular USPS mail, which will not arrive until May 26 – long after I will have run out. I find it unacceptable that, despite being reminded to refill my prescription, Humana only notified me six days before I run out that there is a bureaucratic issue dating back to March 7, [redacted]. This lack of communication regarding authorization expiring is concerning, especially when my health is at stake. I urge you to prioritize timely shipments and effective communication to avoid putting customers' health in jeopardy. Thank you, George S Costa

1. I am having trouble registering for an online account due to a recurring "system error" message, despite contacting Customer Service multiple times. The browser used does not seem to make a difference in resolving this issue. 2. My wife has been dealing with incontinence for some time, and I rely on the Bard/Liberator Pure Wick System for her care. I have found that Medicare covers the purchase and repurchase of the Wicks, but Medicare Advantage Insurance Companies do not currently support it. I have been suggesting to Liberator Medical to engage with Humana Advantage Medicare due to the product's necessity and innovation in both hospital and consumer settings. Each box of thirty Wicks costs $[redacted].00 for consumers. I am exploring options for assistance in covering these costs and wondering if medical professionals should provide prescriptions. Have Bard/Liberator Medical reached out to your Intake Group regarding their products?

Subject: Question on PENRAD Imaging Bill for MRI Procedure Dear Sir/Madam, I am writing to seek clarification regarding a recent statement I received from PENRAD Imaging for an MRI performed on my wife, Nancy Gimm Golden. Her Humana ID is H[redacted]2 and the PENRAD Imaging account number is PR109861, with a date of service of 01/12/[redacted]. Nancy was brought to Penrose ER on the evening of 01/11/[redacted] for an acute massive stroke and was later admitted to the Penrose ICU on 01/12/[redacted] as per the doctor's orders. I have observed that on 02/01/[redacted], Humana made a payment of 38.78 towards a $[redacted] bill, with an adjusted amount of [redacted].22. Subsequently, I received a statement on 02/12/[redacted] from PENRAD Imaging requesting a $[redacted] co-payment. I believe that inpatient cost-sharing should begin on the day of admission for Humana Covered patients. As per my understanding, a $[redacted] co-payment for each of the first five days of hospitalization should cover services like lab tests, X-rays, and other radiology services. While an MRI may not be an X-ray, it is considered an imaging procedure and should be covered under the initial five-day hospitalization co-payment terms. I have already paid the $90 ER co-payment on 01/11/[redacted] and cleared the remaining balance of $[redacted].00 with Centura Health. Despite my wife's passing due to complications related to her condition, I am committed to fulfilling any legal obligations for her care. I kindly request your assistance in clarifying the situation regarding the PENRAD Imaging bill in relation to our Humana Medicare Advantage plan. Sincerely, Dan L. Golden Husband of Nancy Jean Gimm Golden