1. Client applies for ACA plan with Humana....chooses 4250 Silver plan, but due to low income cost sharing gets a $750 deductible with $1000 out of pocket max
2. Client gets card and plan info in the mail from Humana......card and all plan info says $4250 deductible
3. Client calls Humana Billing and Enrollment....asks about their benefits.....told they have a $4250 plan like it says on their card......knows nothing about cost sharing. Suggests they call the government to verify their deductible.
4. Client needs $40,000 surgical procedure....shows doctor insurance card with $4250 deductible clearly written on it....patient claims it really is $750 deductible.....doctor says 'yeah right...please prepay the $4250. Billing and Enrollment says you have a $4250 plan.
Glitch or mess?
Anyone else experience this yet. Seems like cost sharing info has no way to get into the carrier system.
2. Client gets card and plan info in the mail from Humana......card and all plan info says $4250 deductible
3. Client calls Humana Billing and Enrollment....asks about their benefits.....told they have a $4250 plan like it says on their card......knows nothing about cost sharing. Suggests they call the government to verify their deductible.
4. Client needs $40,000 surgical procedure....shows doctor insurance card with $4250 deductible clearly written on it....patient claims it really is $750 deductible.....doctor says 'yeah right...please prepay the $4250. Billing and Enrollment says you have a $4250 plan.
Glitch or mess?
Anyone else experience this yet. Seems like cost sharing info has no way to get into the carrier system.