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I thought about contacting my state's Attorney General's office, or Medicare, but feel I should probably put this aside for a few days to get my thoughts in order. In the meantime, I wanted to get some outside perspective, or perhaps even the perspective of anyone who's encountered a similar situation.
I feel Human is either being fraudulent or incompetent.
This is an email I sent them Monday morning:
Quote:
In late October/early November, I called to opt-out of Medicare Part D. I was told by one of your reps that the letter I had received informing me that I was going to be enrolled in part D and would be required to pay a $41.00/mo premium was a mistake and there was nothing I had to do. I told I could disregard the notice. Now I am enrolled in Medicare part D and have received a past due notice of $92.00!
Now I'm saying again, I would like to opt-out of Part D, and respectfully insisting that Humana reverse the charges I'm being billed for the part D premium.
This is an excerpt of a reply I received from them a few minutes ago (semi-personal information included but I think it's safe to quote). I have copied the text verbatim. The first time I read it, I found it confusing. The second time I read it, I realized *why* I found it confusing - there are several statements that are worded using extremely poor grammar:
Quote:
Dear Andrew,
Thank you for your recent inquiry submitted through the Humana Message Center.
We are responding to the below email regarding disenrollment with Humana.
I apologize for the delay in responding to your inquiry. We have been experiencing very heavy e-mail volumes. Humana strives to answer all inquiries within two business days.
I am sorry for the miscommunication regarding your Humana premium. After review of your account I do show that you are enrolled in the HumanaChoice (PPO) plan this plan includes part D coverage. It is not an addition premium amount added to the policy your premium that you pay to Humana is a supplement to Medicare.
If anytime you decided to go without the part D coverage you could be subjected into a late enrollment penalty that is for any policy holder who is a Medicare member and does not have part D coverage.
After reviewing your billing I do show that your premium for 2015 was $41.00 every year plans can change, Humana does notify via mail you also can use the humana.com website for plan information.
If you are still wanting to disenroll from your Humana plan then please contact the Disenrollment/Cancellation Team at (800) 285-7197 they are available from 9:00 a.m. to 3:00 p.m. Eastern time.
Every year we evaluate our expenses and set our prices accordingly. Premiums can go up or down from year to year based on expenses. This allows us to provide coverage over the long term to anyone wanting to enroll in a Humana plan.
Unfortunately I do show for the 2016 year your premium has increased to $51.70, no payment has been processed, and an accumulated amount of $144.40 is due. Your payment option is Coupon Book you also have to option to make payments online by visiting Humana.com.
I don't know the correct avenue here except to contact them and talk to a person who classifies as a supervisor who agrees that they are empowered to resolve this. Make a note of who you spoke to and when. Sending email and letters can lead to "form" responses, of which I classify what they've sent to you.
What you see are also a divisiveness between what they sent to you originally in a bill and what they're telling you in their response regarding billing, and entirely ignoring your statement that you reject this coverage entirely. They've clouded the issue and made it appear unclear whether or not you can reject this coverage, while also implying that you merely need to call their number to make changes to reject things and also warn you that you'll be subject to a penalty if you choose to reverse you mind on the matter in the future.
I'd start by calling that number and also start by telling the person answering the phone that this is already a matter in dispute and that you'd like to speak to a supervisor. Then do not disconnect with them until they answer these concerns fully.
I haven't seen the bill, so maybe you have a piece of paper showing something different? But the way I read their reply they are saying that you have their PPO and that Part D is included in that price and is not a separate charge.
Further, if I understand them, if you want to drop Part D that would mean a change in your plan; which would make you late b/c it's past time to do that.
it's an outrage that they don't bother to reply in understandable sentences (probably outsourced to india - sorry, i have nothing against indians).
i'd insist, if i were you. of course not to the point of going to court, but at least to the point of talking/writing to an actual employee who is authorized to deal with this.
because the reply you got basically says: i'm a minimum wage person who's just replying to emails.
An American probably wrote the letter, but likely one with a high school education at best. I agree the complete lack of punctuation make the complex and run-on sentences impossible to follow.
Last edited by vmccord; 01-29-2016 at 05:00 PM.
Reason: fix my own bad grammar
I agree with everyone who said you should call and ask to speak with a supervisor on the phone. Don't even start with a rep. Ask right off for a supervisor. Try to come up with a date when you called in October or November. It's quite possible that there is a record of Humana's contact with you on that date, but that information likely won't be offered unless you ask about it. There is probably a record of the notification that was mailed to you so that's a place to start. Based on your description of the conversation it sounds like the representative did a look-up of your information. It is also possible that there is a record of the look-up too.
I doubt the rep was being deceitful, but customer reps are under-educated in general (note your email response), under-trained on the products they support, and under enormous pressure to get you off the phone as quickly as possible.
Being old and grumpy, I signed up for Medicare a bit ago and did extensive research before I did.
If you qualify for U. S. Medicare (Parts A and B--and D, if desired), it is best to get it directly through the U. S. government (medicare.gov); the sign-up is smooth and straightforward.
Part C (getting it through an insurance company) is in my opinion little more than a ploy to allow insurance companies to take a cut of benefits you would have gotten in any event. The primary concern of U. S. commercial health insurance companies is paying for country club memberships and private jets for their CEOs, not anyone's health care.
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