Originally Posted by somarco
BX does the same here .. . at least that is what they say in training classes. I have never seen it in writing. They say all maternity related claims submitted after 12 months will be paid.
Humana has not officially rolled out their new product line yet. Can't say. All I can get at this point is plan summaries.
I agree. I find it hard to believe they will not check dates of service. Seems to me they could also be forced into paying other claims that were incurred before coverage kicked in as long as they were not billed until after the effective date of coverage.
I think that is a dangerous position for a carrier to be. The same can be said for an agent who uses that as part of their pitch.
Agreed.....and just to make it clear, I have never mentioned it to a prospect. I think it is a dangerous way to present the product - Humana (and BX) could open themselves up to some serious liabilities. That is why I asked if the service center could be utilized, but when the S@#! hits the fan, the agent will be left out to dry.
Kris and I both met with the RSM for Humana as well and she did not deviate from their position. I have to wonder, how many doc's would be willing to hold off on billing?
What could they be thinking? Glad to hear that someone else has heard of this before though.