I've worked for Humana for over 20 years. In that time, I've seen numerous changes. Where the company is operating now has never been worse. They take in entirely more cash than services given out. Their generic get out service card is the blanket 'not medically necessary' determination - summarily given a legitimate blessing by one or another Humana medical director collecting a fat salary for denying service to needy members. These 'medical directors' hide behind their desks, leaving it up to the rn or others to provide a convincing explanation as to why service has denied. In my expert opinion, Humana is 'not medically necessary' and needs to be defunded. It called sound economics.
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Here's an even better one. This goes back about 15 years. my mother was denied a chest mri due to 'not medically necessary'. she eventually ended up dying of lung cancer. if it was caught sooner via MRI - she would have survived. Not buying the 'protection' malarkey
Protecting members by denying service?? lol - that's a good one. They must love you at Humana. Try selling that excuse to a member who has had service denied. Don't think that will fly
I strongly disagree. Our members receive services they actually need and are necessary. We protect them from services that will not benefit them or may do harm. It sounds like after twenty years it’s time to retire or perhaps you’ll get the boot the next round of downsizing!
I’m sure all health insurance companies operate the same or else would not stay in business. Take the good with the bad and know that you probably have a good retirement after 20 years.