With a U.S. Supreme Court ruling on the Affordable Care Act – also known
as the federal health care reform law – expected later this month,
Humana Inc. (NYSE: HUM) issued the following statement:
Humana has long said that all Americans deserve affordable, quality
health care and that our nation needs a health care system that works
for everyone. Regardless of how the U.S. Supreme Court rules on the
federal health care reform law, Humana is committed to keeping in place
important patient protections contained in the law, including health
care reform’s restrictions on lifetime limits, rescission standards,
appeals and external review processes, coverage for dependents on family
plans to age 26, and preventive services with no cost sharing.
Humana believes its health plan members should have the peace of mind of
knowing the company embraces and will maintain these common-sense
provisions that add stability and security to health care coverage.
Specifically, Humana will maintain these health care reform provisions:
Humana will not impose lifetime dollar limits on policies.
Humana believes that health plan members should not have to worry that
their coverage might run out when they need it most.
Humana will maintain the health care reform law’s rescission
standard for its individual insurance policies. The company will
not rescind (retroactively cancel) individual health insurance
policies except in cases of fraud or intentional misrepresentation of
material facts by an applicant for insurance. Humana has long believed
that when you buy an individual health plan, you should not have to
worry that it might be cancelled. Individuals whose policies are
rescinded will continue to have available independent third party
review of the rescission decision.
Humana will continue to provide a clear and simple process for
appealing claims decisions, as well as the option for health plan
members to have their cases reviewed by independent review
organizations. Humana believes in providing a clear, timely and
accessible avenue for health plan members to appeal and resolve
Humana members will continue to receive important preventive care
services with no out-of-pocket cost sharing. Humana believes
preventive care is a valuable investment in the health and well-being
of its members.
Humana will continue to permit dependent family members to
remain covered on their parents’ policies up to age 26. Humana has
long believed in giving families the coverage options they need and
Humana’s pledge to preserve these protections applies to its fully
insured commercial health insurance policies. The company will also work
with its employer clients that self-insure their health benefits to
emphasize the importance of the continuity of policies and coverage.
Humana Inc., headquartered in Louisville, Kentucky, is a leading health
care company that offers a wide range of insurance products and health
and wellness services that incorporate an integrated approach to
lifelong well-being. By leveraging the strengths of its core businesses,
Humana believes it can better explore opportunities for existing and
emerging adjacencies in health care that can further enhance wellness
opportunities for the millions of people across the nation with whom the
company has relationships.
More information regarding Humana is available to investors via the
Investor Relations page of the company’s web site at www.humana.com,
including copies of:
Annual reports to stockholders
Securities and Exchange Commission filings
Most recent investor conference presentations
Quarterly earnings news releases
Replays of most recent earnings release conference calls
Calendar of events (including upcoming earnings conference call dates
and times, as well as planned interaction with research analysts and
Corporate Governance information