Has anyone been billed twice the copay amount by Humana?

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PostPosted: Wed Feb 04, 2009 6:00 pm   Post subject: Has anyone been billed twice the copay amount by Humana?  

Has anyone else had trouble being billed by Humana twice the amount you actually owe for your copay? I have consistently had problems with this, but didn't know if it was just me. Any insight into this problem would be great. Thanks Smile

aknutson
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PostPosted: Thu Feb 05, 2009 9:21 am   Post subject:   

Hey, are you getting charged for the same service? If so then you may need to contact their billing department. Often times its the billing department which makes mistakes in bills. Also you should get in touch with your agent immediately and inform him about this problem.



However, just check that you haven't received additional services which may add to the co-pay, like- if you ask the doctor to sign some forms for you he may charge the fee for which you'd be required to pay the co-pay.

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PostPosted: Thu Feb 05, 2009 10:54 am   Post subject:   

OP, you may need to read the policy document once more to see what it states regarding charging the co-pays. If you are being charged wrongly you may have to complain with the Humana grievance cell. If this sorts the matter out well and good, but if not then you have to complaint against the company with the Commissioner of State Insurance Department.


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PostPosted: Thu Feb 05, 2009 1:29 pm   Post subject: Humana  

We signed my parents in Humana prescription plan when we were required to find a plan. The first year was great, but since then we have had nothing but problems with them. Several times we got letters saying our payments were late(the monthly preminum was taken out of the bank electronically--go figure) and they absolutely are very hard to get answers from about anything! This year we told them we were going to another company and to stop payments from the checking account--which they did but are now sending us coupon books!


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PostPosted: Thu Feb 05, 2009 4:20 pm   Post subject:   

I have complained about it, and they always take the second charge off, but the fact that they have been consistently charging me double my co-pay amount worries me. I didn't know if anyone else has experienced this problem with Humana. It seems they are doing this purposefully in hopes I will mistakenly pay the amount on the bill rather than calling them on it. Any ideas about this?


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PostPosted: Fri Feb 06, 2009 8:56 am   Post subject:   

hey do not hurriedly blame it to the humana for their service. just ask them any clarification first,it might be that the problem with the software which they are using (yes it has happened several times with me).



sometimes machine makes some mistake & we blame people & ruin the relations but if the problem is not with the software also then you need to take this issue very seriously.

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PostPosted: Tue Feb 10, 2009 11:48 pm   Post subject:   

It also may be an issue of in network or out of network coverage. Usually the copays double if you use an out of network provider. This may be the case...



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PostPosted: Wed Feb 11, 2009 7:20 am   Post subject:   

That's a very good point Beatup....it could be a case of out-of-network services. OP, you may have to review the services that you have availed during the billing period. However, if they indeed are charging you wrongly, you should report them to the authority.


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PostPosted: Wed Feb 11, 2009 10:26 am   Post subject:   

Network or out of network coverage could possibly be a issue with this case,but it is for very sure,if it would have been so then at least the company should have conveyed it to the policyholder about the situation. So,it would not have created misunderstanding in the mind of the policyholder. Rolling EyesRolling Eyes



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PostPosted: Sun Mar 15, 2009 12:09 am   Post subject:   

I'm just guessing here, but I had this happen to a client. His Primary Care Physician co-pay was $15 and $30 for a Specialist. He was constantly being charged $30 every time he went to the doctor's office, and it was Humana's error. They had his doctor listed under a pain clinic (that shared an office building with his doctor) and as a result he was billed for a specialist visit each time.



Humana, just like any large company, is going to have their complaints and their problems. To their credit, not only did they fix the problem...but they also sent him a $45 refund for his last 3 doctor visits.



Another point to ponder is that it may actually be the service provider that is charging the wrong co-pay amount. If the provider charges too little, the insurance company will no doubt jump to it's feet...but if they charge too much - probably not. The co-pays change with a lot of these plans with some of them even changing annually, so the providers have a hard time near the beginning of the year. A call to customer service should fix the co-pay issue, but if it doesn't..feel free to contact me and I'll see if I can help!

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PostPosted: Sat Jul 11, 2009 12:46 am   Post subject: copays  

If i am the pirmary and my husband is the secondary. My copay is $15.00,and my Husband is 25.00 which one am i supposed to pay.


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PostPosted: Mon Jul 13, 2009 6:06 pm   Post subject:   

That does not sound right - especially if they are changing in after you call. Perhaps it is time for new health insurance.



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PostPosted: Mon Jul 20, 2009 5:14 pm   Post subject:   

Quote:
If i am the pirmary and my husband is the secondary. My copay is $15.00,and my Husband is 25.00 which one am i supposed to pay.




I'm not familiar with many companies charging different copays for individuals within the same policy. Typically the same coverage levels apply to everyone covered by one policy (husband, wife, kids, etc.)
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PostPosted: Wed Aug 03, 2011 6:35 pm   Post subject: Co-pay  

I pay 15.00 for office vist .Than I get bill from the Dr for 9.00 More, what is this for? More co-pay or what.


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PostPosted: Mon Aug 04, 2014 10:16 pm   Post subject:   

Yes.



HUMANA NOW CHARGES A SINGLE CO-PAY OR A DOUBLE CO-PAY FOR THE SAME AMOUNT OF INSULIN. That is like saying if you buy a loaf of bread and use 3 pieces a day you pay $3 for the loaf and if you use 5 pieces a day you have to pay $6 for the same loaf.



This past week, I tried to get my prescription pens with insulin (Lantus SoloStar) filled at Walmart, which they have been filling for years. I found the co-pay had suddenly doubled. After numerous calls and going back and forth to the store. I was amazed at what I found out. Humana insisted that the insulin co-pay priced on how many units I take each day and not by how it is packaged. That means if I take 50 IU a day, the pre-packed dosage of five pens of 300 IU is a 30-day supply and the insurance ask for one copay. If I take anything less than 50 IU a day for the same amount of insulin supplied (pre-packaged) by the drug company, let us say 30 IU or even 49 IU, and they double the co-pay from $45 to $90.



I often have to change the amount of insulin established on 2-3 day readings, which means I can take at times 30 IU and sometimes up to 50. Before each dosage, you have to purge the pen losing 2 IU or more to get rid of the bubbles. This makes it impossible to calculate how many dosages one gets from a pen or a 5-pen prepack. I would encourage everyone who has Humana to file a report with the State Attorney General’s Office, State Insurance Office and if it is under Medicare online on the Medicare Beneficiary Complaint Form


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