HUMANA HEALTH PLAN, INC. — health Insurance Complaints
Analysis of 184 health insurance complaints filed against HUMANA HEALTH PLAN, INC., based on public NAIC and state DOI data.
Key Statistics
- health Complaints: 184
- Total Complaints (All Types): 184
- health Share: 100.0%
- AI Risk Score: 45/100
health Complaint Issues
| Issue Type | Complaints | % of Total |
|---|---|---|
| Claim denial | 67 | 36.4% |
| Delayed payment | 50 | 27.2% |
| Premium or billing dispute | 18 | 9.8% |
| Recoupment Of Claims Payment | No Jurisdiction | 6 | 3.3% |
| Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | No Jurisdiction | 5 | 2.7% |
| Unsatisfactory Settle/Offer | No Jurisdiction | 5 | 2.7% |
| Usual And Customary | Contract Language/Legal Issue | 3 | 1.6% |
| Not Within TDI Jurisdiction | No Jurisdiction | 2 | 1.1% |
| Unsatisfactory Settle/Offer; Usual And Customary | Contract Language/Legal Issue | 2 | 1.1% |
| Unsatisfactory Settle/Offer | No Jurisdiction; Additional Monies Received | 2 | 1.1% |
| Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Additional Monies Received | 1 | 0.5% |
| Unsatisfactory Settle/Offer | Corrective Action Taken; Additional Monies Received; No Jurisdiction | 1 | 0.5% |
| Recoupment Of Claims Payment | Contract Language/Legal Issue; Corrective Action Taken | 1 | 0.5% |
| Not Within TDI Jurisdiction; Unsatisfactory Settle/Offer | No Jurisdiction | 1 | 0.5% |
| Unsatisfactory Settle/Offer; Usual And Customary | Contract Language/Legal Issue; No Jurisdiction | 1 | 0.5% |
| Continuation of Benefits; Disclosure Of Benefits; Material Change To Contract; Primary Care Providr Selection | No Juris | 1 | 0.5% |
| Unsatisfactory Settle/Offer; Usual And Customary | No Jurisdiction | 1 | 0.5% |
| Not Within TDI Jurisdiction; Unsatisfactory Settle/Offer; Usual And Customary | No Jurisdiction | 1 | 0.5% |
| Recoupment Of Claims Payment | Contract Language/Legal Issue; Information Furnished | 1 | 0.5% |
| Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | No Jurisdiction; Information Furnished | 1 | 0.5% |
| Unsatisfactory Settle/Offer | Information Furnished; No Jurisdiction | 1 | 0.5% |
| Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | Contract Language/Legal Issue; No Jurisdiction | 1 | 0.5% |
| Unsatisfactory Settle/Offer | Contract Language/Legal Issue | 1 | 0.5% |
| Cust Service Claim Handling; Fraud; Timely Filing Deficiency; Unsatisfactory Settle/Offer | Information Furnished; No Ju | 1 | 0.5% |
| Maximum Out of Pocket | No Jurisdiction | 1 | 0.5% |
| Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | Claim Settled; No Jurisdiction; Additional Monies Received | 1 | 0.5% |
| Unsatisfactory Settle/Offer; Usual And Customary | No Jurisdiction; Information Furnished | 1 | 0.5% |
| Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | Overpaid Claim Recouped; Contract Language/Legal Issue | 1 | 0.5% |
| Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | Additional Monies Received; Corrective Action Taken; Informa | 1 | 0.5% |
| Coverage dispute | 1 | 0.5% |
| Continuity Of Treatment | No Jurisdiction | 1 | 0.5% |
| Den/N-Pymt MD Nec RX | No Jurisdiction | 1 | 0.5% |
| Usual And Customary | No Jurisdiction | 1 | 0.5% |
| Unsatisfactory Settle/Offer | Additional Monies Received; Contract Language/Legal Issue | 1 | 0.5% |
health Complaints by State
| State | Complaints |
|---|---|
| Texas | 184 |
Recent health Complaints Against HUMANA HEALTH PLAN, INC.
- health Complaint #TX-322083-bc529df0 — Texas (2021-09-22)
- health Complaint #TX-320339-cc6441b1 — Texas (2021-08-30)
- health Complaint #TX-308707-e72f9ea8 — Texas (2021-03-17)
- health Complaint #TX-287439-fa49681b — Texas (2020-03-16)
- health Complaint #TX-285595-e7ead47d — Texas (2020-02-21)
- health Complaint #TX-262364-e72f9ea8 — Texas (2019-06-04)
- health Complaint #TX-259575-78f5299b — Texas (2019-05-13)
- health Complaint #TX-257015-7049c391 — Texas (2019-04-25)
- health Complaint #TX-256697-7049c391 — Texas (2019-04-24)
- health Complaint #TX-255599-68141d0b — Texas (2019-04-17)
Frequently Asked Questions
How many health complaints does HUMANA HEALTH PLAN, INC. have?
HUMANA HEALTH PLAN, INC. has 184 health insurance complaints on file, according to NAIC and state DOI data.
What are the most common health complaint issues with HUMANA HEALTH PLAN, INC.?
The most common health complaint issues for HUMANA HEALTH PLAN, INC. are: Claim denial (67), Delayed payment (50), Premium or billing dispute (18), Recoupment Of Claims Payment | No Jurisdiction (6), Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | No Jurisdiction (5).
Which states have the most health complaints against HUMANA HEALTH PLAN, INC.?
The states with the most health complaints against HUMANA HEALTH PLAN, INC. are: Texas (184).
health Complaints by State
HUMANA HEALTH PLAN, INC. Complaints by State
- HUMANA HEALTH PLAN, INC. Complaints in California
- HUMANA HEALTH PLAN, INC. Complaints in Texas
- HUMANA HEALTH PLAN, INC. Complaints in New York
- HUMANA HEALTH PLAN, INC. Complaints in Florida
- HUMANA HEALTH PLAN, INC. Complaints in Illinois
- HUMANA HEALTH PLAN, INC. Complaints in Pennsylvania
- HUMANA HEALTH PLAN, INC. Complaints in Ohio
- HUMANA HEALTH PLAN, INC. Complaints in Georgia
- HUMANA HEALTH PLAN, INC. Complaints in North Carolina
- HUMANA HEALTH PLAN, INC. Complaints in New Jersey