Humana Health Insurance

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Gregory of New Braunfels, TX February 5, 2010

My wife is on a maintenance medication routine for her to deal with crippling fibromyalgia. After 13 years of battling doctors we found that lyrica actually helped my wife in ways Gabafenton did not approach. We moved to Texas and had to get a new Health plan. She is on SSDI.

Not only did Humana refuse to allow my wife to continue her prescription for Lyrica, because of a Step-up program they supposedly have, they did not give her any medication to deal with her symptomology or to control her fibromyalgia. My wife suffered through 3 weeks of having to get on to a new Healthcare plan because January 2010 was already paid to Humana.

She suffered horribly, in a condition of withdrawl and the symptoms which I had not seen in about 8 years. She couldn't sleep, lost her appetite, was extremely depressed, and it hurt so bad she couldn't sit, stand, or lay down without absolute pain(at least an 8 on a scale of 1-10). As far as I am concerned, medically this is not only irresponsible, it is gross negligence and possible grounds for malpractice.

Tony of joliet, IL January 20, 2010

As a former employee forced without any option to be consumer driven accepted a high deductable health care plan/ THESE ARE JUNK designed for the carriers bennefit. Still walk with a broken finger today because the deductable would be 1,200.00 and I was employed by such crap Insurance company before our lay offs.

Bill of Sandy, UT January 13, 2010

We purchased a policy in Utah a year or so ago. We didn't realize that Humana had not been in the State for very long...I guess they have been here longer for Medicare. Anyway my wife went to the doctor and found out that she was suffering from ovarian cysts and needed them removed.

Humana refused to pay anything claiming that my wife had taken a medication 5 years ago that might have been related to problems with her ovaries. I found out later that humana does what is called "Post-Issue underwriting". I guess most companies do underwriting up front to assess the risk of a potential customer...Humana does it after you have a claim so they can take your money without you knowing whether or not you are covered. THAT should be illegal.

The broker that sold it to us does not really work for Humana so he couldn't help and Humana claimed it was his fault for not explaining everything. I can't blame him although another agent said brokers get big commissions for selling Humana...I guess if you don't pay claims you can do that. We have paid thousands of dollars in medical bills and have finally settled with the hospital.

Victoria of Miami Beach, FL January 6, 2010

I have been a Humana Healthcare participant for awhile. However, to my surprise yesterday, 1/5/2010, the doctor's office called and left me a message to call them back mmediately. When I called them back they told me that they were unable to get the referral for the medication (Reclast) that I was supposed to be getting it today (1/6/2010) at Dr. S. office.

Called my doctor immediately and told them I have not changed my primary care physician and that I do not know who put me with Continucare MDHC Parkway, which I have never heard before! January 5, 2010 called Humana and asked to tell me who decided to change my primary physician to CONTINUCARE MED ASSOC OF MIAMI that I have NEVER heard of. They said it was a mistake!

Now, my question is supposed that I did not find out of their mistake until after a few months, what will has happened? Why Humana do not care of their clients. Why there was never a letter letting me know of this change? Is this the way that the HealthCare Industry is taking care of their clients? SCARY! It would have been devastated for me to find out that someone decides to change my doctor without any reason and without letting the patient know of this change.

Edward of Cape Coral, FL December 16, 2009

On or about July 30,2008, I called Humana to get authorization for a mental health issue. I was either given a number or connected to "LifeSynch", explained problem, they gave me an authorization no for services, the counselor & psychiatrist both both called and verified before treating me. The counselor has not been since July, they never told me they were not paying, the counselor had to tell me.

Humana then claims they do not use LifeSynch and haven't since Jan 1, 2008, then last week they said, Oh yes we do use LifeSynch for the state of Florida, today they are telling me no they do not use LifeSynch, I called them twice last week was ultimately transferred to "someone who would be able to help me". Twice last week I got to this point and was disconnected.

Today I called again twice and was again told I was being transferred to "someone who would help me" and was disconnected again both times. They refuse to give any other phone numbers or persons to contact to straighten this out. I have submitted a complaint thru medicare & CMS. Further, my counselor has spent over 3 hours on the phone with them to no avail.

A of Tampa, FL December 1, 2009

Their billing dept. is a total failure. I mailed in my premium and two days later rcvd a rate hike of 100 and I'm never sick. I cancelled before the start of the new month asked for a refund (which they said was mailed a week after I cancelled, but later they said no one mailed and the person who was supposed to select the d/b function to have it mailed it out didn't). It has been two months - still no refund as promised.

They said time and time they dropped the ball, but have to 're-research' AGAIN why I didn't get a refund check. They even said the post office might have stolen it. I have a locked mailbox so no one could have taken my mail. And, "yes! we will mail you a new one asap". I've escalated it to HQ in KY and they said they have to start all over and re-research it despite all the four call logs stating I should get a full check refund.

**NEVER USE HUMANA** I can only imagine the billing nightmare the docs/hospitals are going through - I cannot get my back for just a *one* month premium refund. Humana should not be in business if they cannot get their billing dept. in order. Billing staff not competent.

judy of Centerville, OH October 26, 2009

I called on the phone after receiving information from Humana insurance to get a free quote on insurance. The gentleman on the phone asked me a few question and immediately said that his company could not insure me. The questions he asked were do I have any lung problems I answered that I have COPD. When I asked why they could not insure me I was told that if I got sick it would cost the insurance company too much money.

Then a week later I received a second mailing from Humana insurance that said this is your 2nd chance don't wait sign up to day. What is hard to believe is that so little traing on customer service has been given to the people who answer the phones at insurance companies. I now feel that I will need to go with out insurance untill I reach the age of 65-I mainly just wanted people to be aware of the stupit answers the insurance companies are allowed to give out to the public and not be held accountible.

Robert of Schertz, TX October 22, 2009

We have lasted about a year with Humana insurance..we can't take it anymore. Constant rake hikes, riders, denied claims and rude service leaves me to believe Humana is one huge scam. My daughter has been insured under humana since she was 3 months. Almost every month she's alive, they send us a rider with ANOTHER something they aren't going to cover. My wife is on the same plan too. She had some pre-exisitng conditions we agreed to waive. After she had thyroid problems arise and tests were taken, Humana has now denied to cover ANYTHING dealing with the thyroid. Apparently HUMANA is full of DOCTORS!!? And THEY DECIDE who gets help and who doesn't, even though I pay them almost 300 dollars a month. NEVER use this corrupt company.

Garrick of Salina, KS October 19, 2009

My 14 month old daughter has been covered by humana since after birth, and she needed a tubal ligation. After getting the procedure done, Humana denied my claim, claiming a pre-existing condition. I do not know how a 14month old baby could have a pre-existing condition, as this is her first experience. Not sure what to do.

jenny of nellysforrd, VA September 5, 2009

After over 60 phone calls regarding the same doctor, cost, and the same doctor's address, I have nothing more to give to this situation. I've lost a lot of money. But, more importantly, I've lost the small amount of pride I had left within myself.

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