Problem is, the new LPPO lists diagnostic tests and procedures as $0 to $200 OR 20%, with not an explanation as to what qualifies for each option. Outpatient X-rays as $10 to $45 OR 20%....no explanation on that either.
The R5826-074 lists diagnostic tests and procedures as $0 to $290 copay. No mention of possibly paying 20%. X-rays $0 to $290 copay. No mention of possibly paying 20% on that either.
Humana should do a better job of listing what qualifies for each option on the new LPPO plan.
I have a couple that has Humana that did convert over the phone. Otherwise I've taken care of the rest, so far. People don't like answering the phone.
The 074 RPPO plan is non-commissionable next year so Humana clearly wants to convert everyone.
I've taken a proactive approach and am doing all of the conversions unless I can't reach someone. One of my clients had already done the phone route before I called him and said it took one hour and then Humana had to send him a paper application to sign and return-when he received the envelope (after I had made the switch electronically) it was empty so I have no clue how they are doing this.
I also called Humana and asked how I could track which clients have converted and was told to check my Delegated Members report (or something like that) that shows all enrollments with an effective date. I don't see any that have done a phone switch, have you been able to track your phone enrollments?