Humana provides coverage to more than 100,000 Minnesota residents through various Medicare Advantage plans, which offer beneficiaries Medicare coverage through policies administered by a private insurer. Ms. Swanson has collected affidavits from 25 state residents who have reported the health insurer denied claims for medical services that should have been covered, overcharged through copays and coinsurance and didn’t disclose whether or not providers were in a plan’s provider network, according to the report.
Ms. Swanson’s office has also alleged Humana failed to follow federal regulations regarding procedures for patients appealing their cases, according to the report.
Humana hasn’t been notified of the complaint by federal regulators of the Minnesota attorney general’s office, spokeswoman Kate Marx said in an email to the Tribune. The insurer takes the allegations very seriously and is “working to identify the facts,” according to Ms. Marx.
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