Humana Health Insurance

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Linda of Lynchburg OH (05/06/08)
My dad was on Actos for diabeties. He has renal faliure and congestive heart failure. His Doctor took him off Actos and is trying to put him on Januvia. Humana denied the request. They said that his sugar would have to be out of control for 6 months before they would cover the medication. As of March he has not been on any diabetic medication.

We monitor his sugar every day. It is slowly going up. We are very careful with his diet. If it goes up and stays up that long, he will lose use of his kidneys all together. My parents are on a fixed income. They can not afford to pay full price for the medication. This has really stressed my parents out to the point that I am afraid one of them will have a heart attack. Their family doctor has been calling humana and medicare and no one will return his calls.

Alfred of Addison, IL March 15, 2008

Alfred of Addison IL (03/15/08)
I was enrolled in the Humana's Prescription coverage and was making payments of 25.50 per month. When the new enrollment started for 2008, I decided to drop my coverage and go with the VA, which I can get my medications and Medicare approved as a drug coverage that meets their standards. I called Humana to find out where I send my letter of disenrollment, and was told by ONE OF THEIR employees to send it to the same address I was sending my payments to. Only to find out later after I contacted Medicare to see if they received the disenrollment from Humana and was told, NO.

So, I contacted Humana again and was told I should have sent the disenrollment to their office in KY. So, off went another letter. A few weeks later, I was contacted by Humana saying I cant disenroll because I missed the deadline. I explained I did and followed one of THEIR EMPLOYEE'S directions. I sent another letter to Humana to the Grievance and Appeals Dept and its been over a month and have not heard a word from them. Today, I received another letter from Humana saying if I don't send in a payment I will be disenrolled from the Drug plan and will HAVE TO PAY PAST DUE PREMIUMS. I have had NOTHING but problems with Humana, their Health Insurance and now their Drug plan. It seems to me nobody knows what they are doing in that insurance company. I would advise anyone thinking of enrolling in any of their programs to think twice if you can get another insurance company to accept you.

Walter of Gilbert, LA February 27, 2008

Walter of Gilbert LA (02/27/08)
On February 26th my wife and I were interviewed by an employee of Humana with regard to an individual insurance policy. In the middle of the interview I stated that I wished to withdraw my application due to questions and answers that were beginning to get complicated. Later I find that Humana has denied coverage for reasons that my spouse has stopped taking a prescribed medication without her physician's approval which is incorrect. It is my position that all information provided should be discarded since the interview was terminated by me. Furthermore, the interviewer had no right to proceed with the application process on her on with a denial of eligibility.

My concern is the negative impact this may have as I seek coverage with other insurance carriers.

Jim of Williston, SC January 28, 2008

Jim of Williston SC (01/28/08)
I applied for a Medicare part D Supplement Gold Plan on 10/02/2007 with Agent Allen Gaskins. I already had a drug plan with Humana. The Gold Plan was to go into effect 11/01/2007. That is why I waited until 11/05/2007 to have a lower back operation so I would be covered. Somehow Humana got the info wrong and sent me another drug plan card they call Standard Plan. I already had their Enhanced Plan. It is my understanding that it is illegal for them to change a drug plan, but that was not what I signed up for on 10/02/07 anyway!

I signed up for the Gold Plan at that time because that is when it became available according to the Agent, who had been working with me on this for a couple months. It was supposed to go into effect on 11/01/2007 so I would have coverage on 11/05/2007 for the operation. The Agent has complained to Humana, but they refuse to honor it which is a contributing factor to me having to file Bankruptcy. I have my copy of the Policy coded for the Humana Gold Plan I signed up for. The Agent has tried to resolve this with Humana to no avail. What do I do now?

This was a contributing factor to me having to file Bankruptcy.

Mike of Lynchburg, VA October 7, 2007

Mike of Lynchburg VA (10/07/07)
I have Humana insurance through my employer, based in another state. I had a routine I was told by the doctors office on at least 4 occasions that they accept it. My claim was so-called paid by Humana, but they paid zero. When I check this on Humana's website, it says that my plan is not available in my area.

Craig of Napa, CA January 20, 2007

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