Get Full Government Meeting Transcripts, Videos, & Alerts Forever!
Get email alerts on the Insurance Coverage topic
No spam. Unsubscribe anytime.
Health office warns of Humana credentialing hold and adult vaccine coverage limits
Summary
Presenter told the meeting Humana is not accepting new credentialing and that some adult vaccines (shingles, RSV, pneumonia) are not covered by Humana; the office said many patients rely on Medicare Part D instead for those vaccines.
Presenter said the county is experiencing credentialing problems with Humana and that the insurer is "not accepting any new credentialing," a situation she said affects local patients. She told the meeting that the clinic has 74 Humana patients and that several adult vaccines commonly needed by seniors — shingles, RSV and pneumonia — are not covered under Humana in the clinic's experience, meaning coverage may depend on Medicare Part D for some patients.
The presenter said staff are working to address credentialing concerns and that Shannon has been spending considerable time on the issue. No Humana representative was present to respond during the meeting, and the presenter did not provide a timeline for resolution.
