Join CruisersForum Today
Mission Statement: Supporting thoughtful exchange of knowledge, values and experience among RV enthusiasts.
Reply
 
Thread Tools Search this Thread Display Modes
Do I owe for a Humana mistake on my Drug plan ?
Old 12-19-2010, 05:34 PM   #1
diandtom is offline
Senior Member
diandtom's Avatar


Appalachian Campers
Coastal Campers
Join Date: Mar 2003
Location: New Bern,NC
Posts: 2,007
Humana made a mistake in Jan 2009 and again in June 2009 when I got a refill of Flowmax. I no longer take the drug. This week I got a letter from Humana tell me they made and mistake and it will not happen again. They also want me to pay $170 for their mistake. I called my druggist and he said I pay them nothing. What do you think? The drug cost almost $500 for a 90 day supply. I have no idea what I paid when I got the drug. I know I did hit my donut hole in 2009 as I do every year.
Tom

__________________
2010 Carriage Cameo 35 SB3
2006 2500 Chevy Duramax CC 4X4
Alice Springs Maine Coon camping kitty
  Reply With Quote
   
Join the #1 RV Forum Today - It's Totally Free!

iRV2.com RV Community - Are you about to start a new improvement on your RV or need some help with some maintenance? Do you need advice on what products to buy? Or maybe you can give others some advice? No matter where you fit in you'll find that iRV2 is a great community to join. Best of all it's totally FREE!

You are currently viewing our boards as a guest so you have limited access to our community. Please take the time to register and you will gain a lot of great new features including; the ability to participate in discussions, network with other RV owners, see fewer ads, upload photographs, create an RV blog, send private messages and so much, much more!

Old 12-19-2010, 05:51 PM   #2
Revodoc is offline
Member
Revodoc's Avatar
Join Date: Dec 2010
Location: Huntington Beach, CA
Posts: 46
Insurance companies are notorious for trying to get more money out of their insured and at the same time authorize less service... Blue Cross tried and tried to get more money out of me, they finally gave up!

I wouldn't give them a dime.

__________________
  Reply With Quote
   
Old 12-19-2010, 06:20 PM   #3
diandtom is offline
Senior Member
diandtom's Avatar


Appalachian Campers
Coastal Campers
Join Date: Mar 2003
Location: New Bern,NC
Posts: 2,007
When I get my prescriptions filled and pick the up. I pay what ever the drug store ask. I have no idea what is my part and what is theirs.
__________________
2010 Carriage Cameo 35 SB3
2006 2500 Chevy Duramax CC 4X4
Alice Springs Maine Coon camping kitty
  Reply With Quote
   
Old 12-19-2010, 06:44 PM   #4
rmmpe is offline
Senior Member
rmmpe's Avatar


Join Date: May 2007
Location: Northeast PA
Posts: 994
If you notified them and have a copy of the notice.................it's a gift.
__________________
Bob & Peg - 2011 Phoenix Cruiser 2552S
"In God we trust" to preserve our country and bring our Troops safely home.
Carry on, regardless..................
  Reply With Quote
   
Old 12-19-2010, 06:49 PM   #5
TXiceman is online now
Moderator Emeritus
TXiceman's Avatar


Vintage RV Owners Club
Texas Boomers Club
Oklahoma Boomers Club
Ford Super Duty Owner
Join Date: Aug 2000
Location: Cypress, TX
Posts: 11,982
Tell them thank you very much and you hope that they do not make the same mistake in the future.

Ken
__________________
Amateur Radio Operator|Practicing for our retirement! 2008 Cameo 35SB3 - 2002 7.3L Crew Cab Dually w/ a SCMT - Max Brake - Travel with one Miniature Schnauzer, one Standard Schnauzer and one small Timneh African Gray Parrot
  Reply With Quote
   
Old 12-19-2010, 07:29 PM   #6
Ray,IN is offline
Senior Member
Ray,IN's Avatar


Join Date: Aug 2001
Location: North America somewhere
Posts: 4,925
Why should you pay for their mistake? Ask if they would pay for your mistake were it visa-versa. If/when they say no, your reply is: "there is your answer, It's you're mistake and your responsibility".
__________________
"As nightfall does not come at once, neither does oppression. In both instances there is a twilight where everything remains seemingly unchanged. And it is in such twilight that we all must be aware of change in the air - however slight - lest we bec
  Reply With Quote
   
Old 12-19-2010, 08:16 PM   #7
diandtom is offline
Senior Member
diandtom's Avatar


Appalachian Campers
Coastal Campers
Join Date: Mar 2003
Location: New Bern,NC
Posts: 2,007
I called where I get my prescriptions fill and the total cost of Flowmax was just under $500 for a 90 day supply. I looked up my cost on Humama for Jan.
2009 the total cost was $266.85 and in June $290.82 and now just under $500. I wish my Social Security would go up like that. To make it worse on me was I had a good drug plan where I worked and when Medicare part D came along I was dropped from where I retired from because I could get this.
__________________
2010 Carriage Cameo 35 SB3
2006 2500 Chevy Duramax CC 4X4
Alice Springs Maine Coon camping kitty
  Reply With Quote
   
Old 12-19-2010, 09:57 PM   #8
NLOVNIT is offline
Community Administrator
NLOVNIT's Avatar


Ford Super Duty Owner
Fleetwood Owners Club
Pond Piggies Club
Join Date: Mar 2002
Location: Central OH, USA
Posts: 8,846
Blog Entries: 1
I worked in insurance reimbursement for many years. If I made a mistake in billing, I did not go after the patient for my mistake. The company ate the error, for good will. That was 20+ years ago though & I'm sure companies now WILL try to recoup that error from the patient, especially in these tough economic times when money is short for some. Unfortunately, if you paid less than you were supposed to, even though the company made a mistake & you have the paperwork to prove it, they have the right to collect.

Quote:
Originally Posted by diandtom View Post
When I get my prescriptions filled and pick the up. I pay what ever the drug store ask. I have no idea what is my part and what is theirs.
This is quite common with many people. Most people wouldn't even think of signing a contract without knowing what's in it, yet they will do so with their medical insurance. You need to be an informed consumer. Please read your policy & know its coverages. Not only to know, but to protect yourself in case the insurance makes a billing error NOT in your favor where you would end up paying more than you should (which is a more likely scenario than them making an error in YOUR favor).

Lori-
__________________
Lori & Dave - Central OH / FMCA #419886
2006 Fleetwood Bounder 36Z & Jeep Liberty Limited, My iRV2 Photo Albums
  Reply With Quote
   
Old 12-19-2010, 10:54 PM   #9
UFO Pilot is offline
Senior Member
UFO Pilot's Avatar


Winnebago Owners Club
Workhorse Chassis Owner
Join Date: Aug 2007
Location: Sonoma County, CA
Posts: 2,163
My plan requires that I personally reorder every 2 to 3 months. Does Humana do automatic renewals?
__________________
Wayne & Roberta and Maggie the Miracle Dog
08 Winnebago Destination Gas UFO
Tire-SafeGuard, Koni's, Scan Gauge II, Blue Ox, SMI Stay-in-Play, Winegard Travler

http://travelinthomas.blogspot.com/
  Reply With Quote
   
Old 12-19-2010, 10:54 PM   #10
diandtom is offline
Senior Member
diandtom's Avatar


Appalachian Campers
Coastal Campers
Join Date: Mar 2003
Location: New Bern,NC
Posts: 2,007
I may give a call tomorrow to the agent where I got my supplemental insurance. He told me Humana was as good as it gets and he does not sell Humana. Maybe he can explain the charges.

__________________
2010 Carriage Cameo 35 SB3
2006 2500 Chevy Duramax CC 4X4
Alice Springs Maine Coon camping kitty
  Reply With Quote
   
Reply


Currently Active Users Viewing This Thread: 1 (0 members and 1 guests)
 
Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off
Trackbacks are Off
Pingbacks are Off
Refbacks are Off


Similar Threads
Thread Thread Starter Forum Replies Last Post
Humana drug plan diandtom Just Conversation 7 12-05-2010 06:44 AM
Drug Problem HuBee RV'ing Humor & Crazy but True Stories 7 10-18-2008 06:45 AM
How to Plan a Year Long Trip? Beachcomer iRV2.com General Discussion 6 12-21-2007 10:26 AM

Download our Mobile App






1% for the Planet
» Upcoming Rallies
No events scheduled in
the next 365 days.
» iRV2 on facebook

Our Communities

Our communities encompass many different hobbies and interests, but each one is built on friendly, intelligent membership.

» More about our Communities

Automotive Communities

Our Automotive communities encompass many different makes and models. From U.S. domestics to European Saloons.

» More about our Automotive Communities

RV & Travel Trailer Communities

Our RV & Travel Trailer sites encompasses virtually all types of Recreational Vehicles, from brand-specific to general RV communities.

» More about our RV Communities

Marine Communities

Our Marine websites focus on Cruising and Sailing Vessels, including forums and the largest cruising Wiki project on the web today.

» More about our Marine Communities


Copyright 2002-2012 Social Knowledge, LLC All Rights Reserved.
All times are GMT -6. The time now is 08:34 AM.