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I just wrote a client on Humana and forgot to check the box for yes, client has been to a doctor in the past 2 ...


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Old 05-29-2008, 09:22 PM   #1
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I just wrote a client on Humana and forgot to check the box for yes, client has been to a doctor in the past 2 years for a checkup. Now they are ordering medical records. Do you think this is do to my mistake? Should I call Humana and tell them of my mistake or just let the medical records be ordered.

Just to give you some backround info, my client has hypertension, had rhinoplasty, and hasn't had health coverage ever. Perhaps this is why they are ordering medical records. I am not sure. Any suggestions will be appreciated.
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Last edited by indmedins : 05-29-2008 at 09:24 PM.
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Old 05-29-2008, 09:32 PM   #2
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Ahh Grasshopper, no matter how fast you reach for that pebble, your not going to get it back.
It's worth a try. No harm in letting Humana know you made a mistake. My guess is though, once the wheels went into motion, it probably won't stop. The HBP would trigger that if they didn't have a check up. They also probably want to know about the nose job even though they will rider it anyway. Some of it depends on the persons age also. When disclosing HBP you should always give them the last few readings (if they were good). I think the main reason your out of luck is that if that person has HBP, their doctor is requiring them to come in once a year for a med check. They want to know how they are getting the meds without doing that. I would be curious too.

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Old 05-29-2008, 09:33 PM   #3
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Nothing you can do, they will order the records.
The basic philosophy isn't so much not checking the box (which might do it by itself) but why get health insurance NOW if you haven't had it before.

Either way, they probably would have ordered the health records.

I always tell my clients that an online screen will be done, prescription meds will be checked, AND it is likely that health records will be ordered. If that doesn't happen, no worries. If it does, I've already mentioned that it probably will.

Unless it's group, then nobody cares. GI.

Dan
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Old 05-29-2008, 09:36 PM   #4
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Originally Posted by indmedins View Post
I just wrote a client on Humana and forgot to check the box for yes, client has been to a doctor in the past 2 years for a checkup. Now they are ordering medical records. Do you think this is do to my mistake? Should I call Humana and tell them of my mistake or just let the medical records be ordered.

Just to give you some backround info, my client has hypertension, had rhinoplasty, and hasn't had health coverage ever. Perhaps this is why they are ordering medical records. I am not sure. Any suggestions will be appreciated.
Did you note the hypertension and rhinoplasty in the application and give the details along with any medication information with dates of last treatment, etc. If you did they may be understand that this was a mistake. However, if you didn't detail this information it will look like you were trying to slide one by underwriting? Just an opinion since I have no experience with writing Humana.
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Old 05-29-2008, 09:37 PM   #5
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Fair enough. I appreciate your takes.
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Old 05-29-2008, 09:39 PM   #6
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Originally Posted by xrac View Post
Did you note the hypertension and rhinoplasty in the application and give the details along with any medication information with dates of last treatment, etc. If you did they may be understand that this was a mistake. However, if you didn't detail this information it will look like you were trying to slide one by underwriting? Just an opinion since I have no experience with writing Humana.
Yes. I did detail those in the app.
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Old 05-29-2008, 11:09 PM   #7
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They are ordering APS for those two things, so it is not for a box you didn't check. they want to know the situation with HT and make sure there have been no effects for the rhino.

I would call and let them know about the doctor visit, it's not a huge issue but that way if it shows up on the APS they will already know about it.
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Old 05-30-2008, 06:53 AM   #8
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Thanks Dave.
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Old 05-30-2008, 07:15 AM   #9
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Someone with HTN who has not seen a doc in 2 yrs is the reason for the APS. They may also request a paramed exam, or defer until he has a recent physical.
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Old 05-30-2008, 07:52 AM   #10
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If they're on meds, the carrier is probably trying to figure out how they get their script refilled w/o seeing a doctor in 2 years.
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Old 05-30-2008, 05:58 PM   #11
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So, this probably is my fault. I feel bad. Oh well. At least she isn't giving me a hard time.
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Old 05-30-2008, 07:10 PM   #12
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this probably is my fault.
No, it is not.
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Old 05-30-2008, 07:19 PM   #13
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Next time, have them complete the online application.

Most of my apps are online. This way, they can complete them at their convenience, and take their time finding all the information. It eliminates any "can't understand what they wrote" situations.

Sleep well, the person has health issues, and not checking a box, in this situation, was not what caused the red flags.
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Old 05-30-2008, 09:15 PM   #14
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I have an advance contract for Humana available in FL if you are interested (this is very rare). Feel free to contact me thru the forum.

Best,

IBG
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Old 05-30-2008, 09:25 PM   #15
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Health Choice One also offers a Humana advance along with a written release upfront in case you ever want to move you contract.

Would you put releases in writing upfront?
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Old 05-30-2008, 10:05 PM   #16
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I am happy with working with health choice one. I get my 9 month advance and they a pleaure to deal with.
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Old 05-30-2008, 10:09 PM   #17
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Seems like all will be well with this app. She signed the APS form and Humana will do what they will do from this point forward. I am just happy not to be captive anymore as now I have more options if something happens with this app. I do appreciate all the feedback. Thanks all.
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Old 05-31-2008, 01:58 AM   #18
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Glad that you're happy where you're at. The 9 month adv is at what rate? 17% 20% 23%?
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Old 05-31-2008, 06:48 AM   #19
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You're quite the character - come onto this board, give zero information to anyone, get into it with many established members then decide you'd like to make money and recruit.

You have zero credability - don't even want to disclose your name yet feel agents should "pm you" for contracts.

It would be a complete mystery why a single agent would contact you. Although you seem to dig into us for providing "crap" information I've searched through your posts and cannot seem to find any information that would be beneficial to new agents.

Again - if anyone wants a Humana advance contract you can either contact this guy who's done nothing but dig into members who have been here for years helping people or you can go with Health Choice One - a well established ethical agency.

Look at his attitude towards everyone here on the board and ask yourself if you'd want to be under this guy. You think he treats people different in his agency? He's an A-hole here and you better believe he's an A-hole to his agents.

I also find it a bit odd that you posted your offer for a Humana contract right at after the 100th post.
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Old 05-31-2008, 07:22 AM   #20
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moonlightandmargaritas on I messed up. What do you think? - Insurance Agent Forum
 
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Awwww... you just pissed cuz he calls you "crabcake johnny"? (hehehe)
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