19 Apr, 2019 → by ClaimboUser541016
hmo policy
1
My sister purchased a Humana HMO policy a few years ago. She was in a terrible fall in January 2018 and sustained a head injury and was on life support for two months. While on life support Tristar medical center reached out to Humana for assistance with coverage of skilled nursing care. Humana denied the claim and stated she would not improve. Fortunately, she woke up from the coma after two months and said a few words. To make matters worse Humana once again denied her assistance for skilled nursing care. We have been told by an Ombudsman that we and others who have experienced this have a case for fraud and should complain to our state's Attorney General office. ...Contact Ann Mikkelsen Assistant Attorney General in the Consumer Protection and Advocate Division: [protected] or Ann.[protected]@ag.tn.gov · Contact Commissioner Julie Mix McPeak at Commerce and Insurance. [protected] or Julie.[protected]@tn.gov