HUMANA HEALTH PLAN, INC. — health Complaints in Texas

Detailed analysis of 184 health insurance complaints filed against HUMANA HEALTH PLAN, INC. by consumers in Texas, based on public NAIC and state DOI data.

Key Statistics

health Complaints in Texas: 184
Total health Complaints (All States): 184
Texas Share: 100.0%
AI Risk Score: 45/100

Analysis: HUMANA HEALTH PLAN, INC. health in Texas

HUMANA HEALTH PLAN, INC. has accumulated 184 health insurance complaints from consumers in Texas. Across all states, HUMANA HEALTH PLAN, INC. has 184 total health complaints, making Texas responsible for 100.0% of the volume.

The most frequent complaint sub-type is Claim denial with 67 complaints. Other common issues include Delayed payment (50), Premium or billing dispute (18), Recoupment Of Claims Payment | No Jurisdiction (6).

The most active year was 2021 with 3 complaints filed.

Consumers in Texas who have health disputes with HUMANA HEALTH PLAN, INC. can file a complaint with the Texas Department of Insurance.

health Complaint Issues in Texas

Issue Type	Complaints	%
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%

Complaints by Year

2021: 3 complaints
2020: 2 complaints
2019: 12 complaints
2018: 20 complaints
2017: 33 complaints
2016: 62 complaints
2015: 23 complaints
2014: 14 complaints
2013: 11 complaints
2012: 4 complaints

Recent health Complaints Against HUMANA HEALTH PLAN, INC. in Texas

health Complaint #TX-322083-bc529df0 (2021-09-22) — Claim denial
health Complaint #TX-320339-cc6441b1 (2021-08-30) — Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Additional Monies Received
health Complaint #TX-308707-e72f9ea8 (2021-03-17) — Delayed payment
health Complaint #TX-287439-fa49681b (2020-03-16) — Claim denial
health Complaint #TX-285595-e7ead47d (2020-02-21) — Not Within TDI Jurisdiction | No Jurisdiction
health Complaint #TX-262364-e72f9ea8 (2019-06-04) — Delayed payment
health Complaint #TX-259575-78f5299b (2019-05-13) — Premium or billing dispute
health Complaint #TX-257015-7049c391 (2019-04-25) — Usual And Customary | Contract Language/Legal Issue
health Complaint #TX-256697-7049c391 (2019-04-24) — Usual And Customary | Contract Language/Legal Issue
health Complaint #TX-255599-68141d0b (2019-04-17) — Unsatisfactory Settle/Offer; Usual And Customary | Contract Language/Legal Issue

Frequently Asked Questions

How many health complaints does HUMANA HEALTH PLAN, INC. have in Texas?

HUMANA HEALTH PLAN, INC. has 184 health insurance complaints on file from consumers in Texas, according to NAIC and state DOI data.

What are the most common health complaint issues with HUMANA HEALTH PLAN, INC. in Texas?

The most common issues 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).

How does HUMANA HEALTH PLAN, INC.'s health record in Texas compare to other states?

HUMANA HEALTH PLAN, INC. has 184 health complaints in Texas out of 184 total health complaints nationwide. That is 100.0% of their health volume.

Where can I file a health complaint against HUMANA HEALTH PLAN, INC. in Texas?

You can file a complaint with the Texas Department of Insurance. The NAIC Consumer Information Source at https://content.naic.org/cis_consumer.htm also accepts complaints.