| Date Submitted: | January 19, 2012 |
| Insurance Provider: | Humana in Michigan |
| Coverage: | 1 out of 10 |
| Claims: | 1 out of 10 |
| Customer Service: | 1 out of 10 |
| Cost: | 1 out of 10 |
| Recommend: | No |
| Review: | Liars I have stage 4 pancreatic cancer (islett cell tumor) slow growing. I have had 2 major surgeries which has left me on meds for pain management.3 years ago humana all of a sudden STOPPED covering the med I was on, so my Dr. switched me to a different med that I had to have higher dose to have same results as med no longer covered..that went good for a year till they just "bumped" me to tier 2 w/o letting me know, After many calls and letters from my oncology team they put me back to tier 1. Yesterday was my 1st prescription of 2012, When I picked up my meds I was surprised to see I was again bumped to tier 2 w/o being notified. I had to pay the cost since I got nowhere on the phone while standing at the counter getting my script (right after getting my infusions),When home I called humana, got transferred a million times, was finally told thru an appeal they would put me back to tier 1..As I was thanking them, I was cut off and told she made a mistake and I would NOT be put back to tier 1. When I asked why? I was told there was no apparent reason, but they would send me a letter. Bottom line is after they deduct my membership and I pay my co-pay I end up paying $131.00 for a script that only cost $61.89 total,,I fear if I get rid of Humana that when my cancer will worsen and I may need more meds...THEY MAKE IT HARD ON THOSE OF US WHO ARE TERMINAL WITH CANCER AND HAVE SO MANY MORE THINGS TO THINK AND WORRY ABOUT !!..I HATE my CANCER and I Miss my good healthcare I had when working |
| Submitted by: | nevergivingup51 51 year-old :: Male Reviewer :: Monroe Mi. |
| Comment by: Eugenio Ibarra From: Puerto Rico March 24th, 2012 |
Keep on fighting. And send letter to your local representatve. After all we are in an election year, and they tend to listen and respond better at this time. Be nice to your Rep., but also let him understand you know your rights. Maybe they can expedite your case... Ask for your healthcare coverage plan detail. Consult an attorney if possible. Also go personally if possible to Humana and stablish a contact there. To put a human face on the problem can make it harder for them to refuse you. Get a friend or family member to assist and support you If available. Bless you. |