Humana Inc. - Humana Insurance Fraud

Posted on Thursday, July 15th, 2010 at 7:59pm CDT by Anonymous

Product: Humana Inc. Insurance

Company: Humana Inc.

Location: 1000 Cliff Mine Rd Ste 420
Pittsburgh, PA, 15275, US


Category: Other

My name is Renee Jackman and my complaint is against Humana and its sales associate Dennis Gabauer. My parents are paying monthly on a policy that is supposed to cover my mother's prescriptions.The above mentioned associate met with my parents in their home approximately 3 months ago. He explained to them that my mother's prescriptions would be covered and that she would not end up in the so-called "donut hole" for a long time. I am not sure if that is what happened or if this associate just lied to them just to make a sale. Maybe he was told this by Humana Inc. just so that he could lure more people in. Either way my mother's prescriptions have not been covered and they total over $500. a month. My parents are in their 70's and do not have the income to pay for her prescriptions so my mother has considered just not taking them. These medications are life sustaining. I have spoken to Mr. Gabauer and explained to him my mother's situation. He told me at that time that he remembered my parents and he also remembered telling them that my mother's medication would be covered. He told me that the company should cover them and he could not understand why they weren't. He told me he would get back to me the next day after he checked his paperwork. He did not get back to me, however, he talked to my mother the very next day and told her the same thing. He admitted to her that he remembered her situation and that he did state to her that her prescriptions would be covered. He also stated to her that he could not understand what the problem was. When I called him the day after that he returned my call to tell me that he has been told he is no longer allowed to discuss anything with myself or my mother. I do not understand what is going on. It seems that either the company itself is either trying to cover something up or just rip off elderly people. Since my parents have paid for months of coverage that they never got but were promised, I feel that they should be reimbursed the total they have paid. I also feel that since my mother has had to pay full price for her prescriptions, that the company promised would be covered but lied, she should be compensated monetarily for the amount that she had to pay due to the company's lies. I am going to contact the Office of the Inspector General of the US regarding Medicare fraud to file a claim. I will do whatever it takes to get to the bottom of this. I also will contact whoever I have to so that this will be settled in a manner I feel is appropriate for my parents.

1 Comment

3920c1d3, 2011-01-03, 08:58PM CST

Here is the message that I received in response to my complaint.

I paid Humana $45/mo = $540.oo

I paid for pills 777.88

Humana Paid $14.26

My husband pd. Humana $540.00

Paid for pills $347.76

Humana paid $12.06

You are free to use this info.. Who did you contact....

this is a horrible ripp-off to us senior citizens...

I have tried to get to the bottom of this with no luck thus far. I am still sppalled by this insurance companies behavior. If anyone has an effective way to handle this please let me know. I don't know if it would make any difference if we all joined this fight together. But it sure can't hurt.

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