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I am a retired WV State Employee. Humana is my designated insurance with Medicare. I have a torn rotator cuff and ligament damage. My orthopedic surgeon after attempting to use physical therapy to correct this problem unsuccessfully has designated surgery for my issue. An MRI has been reviewed by my doctor. The appropriate request has been submitted to Humana Ortho Net. Only half my recommended procedure was approved by Humana. My doctor will not perform half a surgery. Humana does not seem to care about their customer needs. As of now my surgery is on standby until Humana reviews their decision. I am in severe pain and hope Humana assumes their just responsibility.
I made multiple phone calls to Humana customer service and the Walgreens Pharmacy, After receiving poor responses from Humana, I wanted to make this issue visible to other current and perspective Humana customers. I live in NC but often visit family in IL. I take multiple medications daily and sometimes forget to pack one of them. I take a medication for cancer. They are tiny pills that I did not include with my other medications on my last trip. When I realized I did not have the medication, I called my doctor who phoned in a prescription to Walgreens.
When I went to pick up the medication, I was told by Walgreens that Humana would not pay for a 30 day vacation supply (I only needed 7 pills) because I already had two vacations refills for different medications in the past 12 month. After several phone calls, Humana said there was no way to approve the refill, but if I could wait another 9 days, I could order a normal 90 day refill. As I cannot go without this medication, I was left with no other choice but to go to Walgreens and pay for it over the counter.
I asked the Humana Customer supervisor to raise the issue to management and told her I would be taking the issue to Humana senior management. I sent a similar communication to the CEO and the head of Customer Service. To date I've had no meaningful reply. I find it inconceivable that a large company such as Humana has no way to override a policy where appropriate. Humana essentially told me, a cancer patient, that they are not capable of or interested in meeting basic patient needs. Fortunately the costs of this medication was not high, but I spent several hours on the phone and ended up making 3 trips to Walgreens. Imagine the impact to a customer in this situation if the cost of the medication was hundreds of dollars. From a customer’s perspective, Humana needs to do a thorough review of its “vacation refill” policy.
This is absolutely the worst health insurance company I've ever dealt with. They are worthless, sending now claims that I paid, back in January, and denying them, because of "an error," are you kidding me? 240.00 at the Syracuse Eye Center with a Ph.D., an excellent optometrist, highly recommended. Now they're denying it because of an "error"? Really? I've had nothing but trouble with them... hours on the phone with "customer service," in foreign countries... get nowhere, but cause me more grief and misery.
Worse insurance company, useless and impossible to cancel. Have been trying to cancel my dental insurance with them as I have not been able utilize any benefits since I signed up with them years ago. They don't allow you to cancel online and when you call them, you have to speak to a customer service representative. Except they are always closed so I have not been able to reach one.
4 weeks ago I got an email from Humana. One of their supervisors alerting me that I had a check for reimbursement from the dental plan that I have with them. They have the wrong address so we straightened that out and when the right address is posted supposedly they were mailing the check. Well I've never gotten the check. The supervisor stop taking my emails Humana. When I went into the corporate website started emailing say they were going to look into it. Well it's been exactly five weeks no check have not lived up to what they said they were going to do and all I said to them every month they take out their premium. Wherever I'm at this company does not follow up with what they say.
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My husband had a liver transplant on April 19th 2014. We had to pay 3,000.00 out of pocket expenses for pre opp treatment to get on the transplant list. But when transplant became available it did not cost us one penny. Humana paid us traveling and hotel expense to and from Dr but since transplant they're not wanting to pay anymore because UAB is out-of-network. He has so see transplant doctors for up to 10 years. Wish they would pay per what the policy states.
My doctor's office Palm Humana for a pre-authorization for three shots in my shoulder. We received a pre-authorization number and approval. After first shot Humana said they would not pay for any of it. After authorizing the shots. Humana has discriminated against me because of my education and my mental capacity. They lied to me every time I talk to them. Do not do not use Humana!!!
Dentist never received their money. They tell you lies. They refused to pay the bill. They promise they are paying it since they errored by telling us our dentist was in network. 11 calls later with checks were promised. They continue to blow you off. Do not... I repeat do not use their dental plan. Their customer service is horrific! I have names and dates.
After retiring I chose Humana's Medicare Advantage plan, I chose the plan that included dental and vision, and pay an extra $22 a month to upgrade the dental plan over what was included with the Humana Medicare Advantage plan. Before going to the dentist for my first semi-annual cleaning, I logged in to Humana's website and checked my coverage, it showed that I was covered for cleaning, two times a year, and x-rays, one time a year, 100%, in or out of network.
The secretary at the dentist office called Humana, before my appointment and they faxed her an exclamation of benefits, for me, that stated that I am covered 100% for cleanings, in or out of network. The dentist billed Humana $135 for cleaning and the yearly x-rays. Humana paid $57.00 for both, I had to pay $78. With me in the office, the dentist's secretary called Humana to ask why they only paid $57. After we had both checked before my appointment, and the lady's reply was, "we paid a 100% of what we would pay".
The EyeMed vision plan, through Humana's Medicare Advantage Plan, did almost exactly the same thing, I checked my benefits, on the EyeMed website with my login before I made the appointment, it showed that I was covered 100% for the eye exam, in or out of network. The routine eye exam was $65, the new single vision lens was $60, $125 total, EyeMed paid $0, and now they say I have used up all my benefits for 2018... I don't know if all the advantage plans are like this, but Humana's is. I will file a complaint with the State of Texas.
I have to change insurance companies (MCO), reason being, my provider hasn't gotten paid for last year's dental cleaning. I've had this insurance since October of 2015. They've paid for the 2 prior years of cleanings and this year I've been receiving calls from my provider saying that they've repeatedly called and submitted claims for the last cleaning which was in Oct. 2017. The first claim was denied, they've been given different reasons as to why. Depending on who answers I called repeatedly with no satisfaction. Now there are 3 claims submitted and pending from my provider because they kept claiming that they didn't receive them, which now I know they have and I need to wait a week or 2 to see if they're going to pay it. Every time I call they say I need to wait to see if it's approved. I'm allowed 1 cleaning a year. This is ridiculous, it's been 8 months now since my last cleaning and I don't want to go through this again.
Humana Mail Order - We did not approve overnight delivery, nor did we agree to pay $17. I have called and called and have been transferred around and on hold for hours to get it reversed. I know these calls are RECORDED and I am tempted to file a case with Consumer Affairs. It's the principle.
Within a month of signing up for Humana’s managed healthcare I regretted it. I knew this was an HMO but I was not given correct information at the get go and what that meant in the round with Medicare. I have had HMO plans through my past employers and never had any issues, even after Obamacare came in. As someone recently retired and just now using Medicare I was unfamiliar with some of the terms. While I realize that is not Humana’s problem they have been much less than helpful. While I knew this was an HMO I was not given correct information at the get go and what that meant in the Medicare arena.
They deny every claim that is submitted even though the service was preapproved and I get a Notification of the approval. Regrettably their notifications our phone calls from a computer which just say, "Service your doctor has requested has been approved." They do not tell you what service was approved which is ridiculous.
I’ve called them many times but get no answers that make any sense or they just tell me that’s the way it is. If I could give them zero stars I would. Most likely I will now have to be taking them to the state insurance commission in Texas where I live because of all the denials and issues I’ve had with them since January 1, 2018. I also plan to contact Medicare directly to see if I can assist. Please please heed this warning and do not ever ever ever sign up for Humana Medicare, managed-care, or any other type of service provided by this company. They are one huge scam! AGAIN ZERO STARS!!!
I switched to Humana from Blue Cross PPO this year after asking my GP what he recommended. It looks good that there are zero payments but I have found the hard way my co-pays are huge. And example: I use the ** to treat a knee surgery. It’s a generic drug that I paid about five dollars a tube when I was with Blue Cross Medicare. Humana would not let me get the ** and was forcing me to buy the name brand $50 a tube. My pharmacy and my doctor appealed that decision and Humana came back with $45 per tube. I have found that Humana rejects almost everything the first time it’s submitted.
That is a pain and it also slows treatment. Another reason example: I have had six lower back surgeries in the last seven years. My last surgery was done by a neurosurgeon at Mount Sinai Hospital in Miami Beach FL. After the last surgery he told me that he would not perform another lower back surgery due to the number of times I’ve had lower back surgery. Dr **, results were excellent. I did start having some sciatic pain in my right leg only and he had told me about a nerve stimulator that would be inserted into my spine and a control box lower on my back near my waist. That has done whirls to improve my lifestyle. Mount Sinai had charged about $11,000 for the procedure and Humana paid the hospital roughly $7000. Then I got a bill from Humana saying that my portion of the procedure was a little bit less than $5000.
Being on Social Security as you can imagine that is about a third of my income. I am concerned about my future medical needs due to Humana‘s minimum payments and shifting large portion to the consumer. Their phone service is not very reliable as well because you’re constantly being transferred and asking questions to a computer voice. I would give Humana at the most 2 Stars. I am also going to try next year to get on straight Medicare with additional coverage from Blue Cross Medicare PPO. Buyer beware. Not all the supplements are the same and if you’re going through an insurance broker don’t expect to get an honest suggestion.
Should find better agent to communicate with customers. This time I needed help to find doctor's list on the net and was connected to the agent with a loud water running noise in the background. So he hung up on me when I told him that the loud water running was interfered in the conversation to the point that he could hardly hear my answer. Could not find the provider with good reviews. Will consider change to a difference insurance next year.
My mother is in a nursing home and it's towards the end of her life. They want to send her to rehab so she can walk again. It to extend her life a little longer but Humana has denied that because the end result will still be the same. So they don't want to spend any money putting her to rehab because she still going to die in the end and I think that's pretty crappy. So they denied her paying for the rehab through the hospital which might have made it possible for her to walk and stay in her home a little longer before the end of her life. I don't think they should have the right to deny her rehab when it could help even though the end result will be the same. So just know when you're going to die they might not want to sink any more money into you because in the end isn't that what it's all about the money? Humana you should be ashamed.
Every month they take premiums out of my bank account. Then come to find out that I have no insurance. It was cancelled due to non payment. So I call. They tell me it's taken care of. Then low and behold the following month it's the same thing. Only this month when I call they tell me I did not pay for 4 months. I have the bank statement proving that I did. I faxed those in to them. They say they have no idea where the money went. Never had a problem before they changed to Humana. Total nightmare. The military SHOULD NOT be treated this way!!!
This "managed care" is a scam. We have no choice because everything must be "in their network". Translation: doctors with whom they have referral agreements. So if you've been under the treatment of a Dr for 30 yrs & he's not in the network, you're starting all over w/ someone new. Also, I needed emergency retinal surgery which they delayed for 2 days for authorization reasons. My sight hasn't been the same since. I’m suing them.
Had to call multiples times for the same issues with medicine, was in Process but no medicine, new Prescription but no medicine and no real resolution.
I find it rather curious that Humana Health Ins. (HMO) pulled out of Florida at the end of 2017 and strangely they claim they never received my final December payment and canceled my insurance leaving me with 7000.00 in unpaid medical bills. My payments the entire year were sent out via auto bill payment from my bank as was the last payment. The payment was sent to the same address as all the others however this payment was sent back to the bank by the post office as not deliverable. And by the time I called I was notified and called Humana my policy was canceled. I appealed thru their channels but it was not accepted.
Had a three-way conversation with a Humana Rep and my bank. My bank said the check was sent to Humana and was returned but that didn't seem to make a difference. So I'm stuck with a large medical bill and no recourse. Just called the Florida insurance commissioner and they were of no major help. Have others had the same problem in Florida with Humana HMO not accepting the final payment before they left the state?
Can't say one thing good about this plan and if you have their prescription coverage also... You're just screwed. It is the worst drug plan site ever devised. You don't pay a premium for this plan and there is a reason why. You get nothing for it. I pray I can stay healthy until the end of the year so I can get away from this plan. Their medications are filled for 3 months and the day you get it you better start the refill request so you can get your medications by the time needed. I am still waiting for medications I ordered on April 9th!!! And forget calling. You get some uneducated moron who will say, "I can help", listens to your problem then just passes you off. If you need a doctor's refill authorization forget it. Last one took my doctor's office nurse 4 times talking to those idiots to get the refill done. AVOID AT ALL COSTS. Probably no use complaining to Medicare. This plan seems just want Trump would want for seniors, will kill us off faster.
I was charged twice for my insurance premium. I was first told they would expedite the return, but that it could take up to 30 days. After 30 days, I called again and was told that it takes up for 45 for me to get the refund. They have already take out the next month's premium. I call on day 44 to be told that it will take another 5-7 days to get the refund.
I was double charged twice in April and they had no problem again taking out May's. I was told they could have just had the extra payment cover May's if I had just told them. I did! I was told that was not an option! I am so fed up with this and finally had to file a dispute with my bank because I was being charged interest. I have no idea what to do anymore. I am hoping to find a different insurance company.
Wow, where to begin! Tricare recently switched from Health Net to Humana (In the East Region). All the problems started after this. Health Net paid claims on time; their reimbursement rates were excellent, the customer service representatives were knowledgeable, etc. I rarely had to call them. Now, all that has changed. I’ve only had Humana since the Tricare change - 1/1/18. Since then, I’ve had to call them multiple times for inconsistent copay amounts due on identical claims; they had ZERO explanation for the discrepancies. I still don’t know what the correct co-pay amount is. I’ve received multiple bills from providers asking me to contact them because they still haven’t been paid. I currently have two hospital bills that I’ve not only had to call Humana about, but I’ve had to reassure the hospitals that per Humana “The claims were still in process.”
The hospitals had switched the bills from insurance pay to self-pay because Humana was taking so long. If I hadn’t called, they may have sent me to collections! Their reimbursement rates are way less than Health Net paid! A counseling visit was paid at $95 from Health Net, and Humana only paid $60. ER visits typically were paid around $450 by Health Net; Humana has paid $100! I’m seriously shocked at how little they pay. I wouldn’t be surprised between their low reimbursement rates; coupled with how long it takes them to pay a claim; that many providers will leave their network. I’m pretty good at reading E.O.B’s (Explanation of Benefits) forms, but Humana’s are confusing! The layout is terrible.
All the claims seem to be listed as one long claim. Where it lists what is due and where it’s applied is not clear! They even continue info from part of a claim onto the back of the next page which is confusing as hell when you have multiple pages! They need to fit claims info onto a single page at a time, and if it needs to be continued. CLEARLY list the Date of service, Billed amount, and claim number at the TOP OF THE NEXT PAGE! The phone system is a nightmare! When it asked me to type my zip code to verify who I am it always came back and said “the zip code you entered does not match our records” even though it was correct. And I verified it multiple times! Sooo frustrating!
Both the customer service representatives and claims representatives are not knowledgeable; at least based on my interactions with them. Customer service couldn’t tell me why my zip code didn’t work, they refused to allow my kids to have an online account because they’re under 18 - when I had no problems setting it up through MyTricare.com (Tricare stopped using it when all these changes occurred), and they weren’t interested in helping me. I wanted an online account so all claims would be easy to check the status and I could find them quickly. I seriously wish Tricare would continue to use MyTricare.com. It was so easy to use, convenient, and I didn’t have to deal with an insurance company!
Claims couldn’t answer my basic questions about co-pays; they put me on multiple holds when all I asked was the status of a claim; the only answer they gave after putting me on hold multiple times was “Since Tricare made all the changes, our systems are still carrying over... and it’s why things are delayed.” I’m sorry but that’s not acceptable! Our military deserve better than this! I want Health Net back! Humana is terrible!
long waits, to rudeness, and not answering certified mail. Not have they told me that my PCP was not on my coverage, they disallowed a bill from my dentist for and annual exam, stating that I did not have coverage. My PCP was on listed on my Humana card, and my dental coverage was paid in full prior to the effective date. It took me over 60 hours of phone calls and letters to straighten their errors. I could go on and on for hours about the problems that they have created through no fault of my own. They don't deserve the one star rating, that I gave them. It should be a zero.
HUMANA FRAUD. Recently acquired a plan with Humana, it is called Dsave. DO NOT BUY. It is a SCAM!!! This plan is not an insurance policy as such, it is a simple discount card that when you decide to use it, The service provider do not accept it, the provider may or may not accept it. It's buying a lottery ticket, so absurd, that simple. Go to the Humana website and look for the providers that appear on your list, when you call, the list is not updated, because the people you serve do not know that plan. Next step, call customer service.
I had started calling Humana in Oct '16 saying I'm noticing a double draft on my account going back almost a year. Since then, it's been a battle of misinformation. My refund of overage charges has either not been sent for approval because the rep didn't know to send it, told me to go to my bank and get my statements for those years since they had no record of double drafting me, my refund had not been processed by the supervisor for an unknown delay, multiple operators not making note of my calls. Yesterday, I called checking in on the status when it was promised it was "this time" being sent for approval (this was on 4/13 and to be cleared in 2-3 business days). It was never sent up the chain for approval, I told the operator I needed confirmation today and for her to call me back with it.
She never called me back and when I checked in this morning, yet again, a customer service rep tells me a check for $720+ was sent 2 days ago and when I tell them it's for too much money and I need to talk to billing, billing tells me they have no such note of a check being issued but in fact, it has never been sent in for approval and my call from yesterday was never noted yet for some reason customer service knows the rep's ID #. I'm promised again to get my refund in 2-3 business days and have even more confirmation in writing. It's exhausting. Healthcare and insurance are already a battle for patients needing anything from a dental cleaning to extensive surgery; this absolute lack of care from who are to be our direct connection to our caregivers is unnacceptable.
I have had broken neck and broken back since 2000 my neck and 2007 my back in 3 places. I have my nerves cauterized every year and have found quality of life in the last year-and-a-half after 11 years of hell. In January I started with Humana HMO and have had nothing but pure hell four and a half months now. Firstly they have blocked my phone number. I've tried to call in for four and a half months and it tells me to enter a 17 digit. I have never received and it will not accept my phone calls.
My primary health care has referred me to two pain management doctors who both have told me to go home and come back when I'm not in pain. What the hell Humana? I feel trapped in your worthless HMO plan and will never ever sign back up with you. I have been trying to get a patient advocate. I was just hung up on three times today after finally getting through to Humana with a different number.
I regret not reviewing Humana as I have had pure hell for almost 5 months. All I'm asking for is my nerves to be burnt off like they have been for the last 3 years every year except this year. And also for a pain pump to be installed as I am so sick of this pill mill. ** government are greedy nasty uncaring people. You will regret ever seen the name Humana. It makes my stomach sick not to mention the horrible pain I've experienced since Humana has taken over my insurance Healthcare Medicare. Ugg. Horrible. Run far and fast. I will never ever be back with this horrible company or their incompetent pain management doctors who tell you to leave and come back when you're not in pain. What the hell? Signed disgusted with Humana in Sarasota Florida.
Most of those who take the initial clinical information are downright rude! No please, no thank you. The last lady I spoke to sounded something like this: "NAME! ID! TAX ID NUMBER! WHY IS HE THERE?" Horrible customer service! You have to repeat the same information over and over - each new contact sounds like they have no record of the previous call. The person I regularly review with is awesome. But, those other people need some classes on phone etiquette. Remember, Humana, everyone who calls your business is a customer! Please treat us as such.
This is not what we were promised when we signed to spend our adult life serving our country. Tricare Military Retiree insurance was good under Health Net Services, but that all changed without notice a few months ago. We were notified that there was going to be a change to Tricare as far as who it fell under, but not the drastic increases in all coverage fees and that's IF you can find a Dr. or Hospital that will accept your insurance. All Dr.'s and Hospitals are dropping the insurance and you have to drive 40 min or more to find a specialist who will still accept it. The fees have doubled, tripled and quadrupled depending on the service you need. All fees have drastically increased. This is not what I was told I'd have when I retired.
Everything was good for 4 years after I retired until this change happened. Why are there no news agencies covering this. Most of us retirees are on a fixed income and cannot afford this and those of us who are healthy enough to have a second career are having to work overtime to pay the fees. Also, due to the difficulty finding care now, military retirees are unable to be seen for serious conditions that may affect their life seriously or end up in death. We really don't know what we are going to do. I am working a 2nd career, but I am not healthy enough (because of my illness and injury related to military service) to work massive amounts of overtime to cover the recently added financial burden.
Please, everyone, write your representatives and news agencies. I am doing so and the more of us they hear from the better. Can't believe Congress signed this into effect. Wait... yes I can believe it, but it's not right. I didn't serve a couple years and move on to a civilian career and now well established and moved up in position to make good money and have good benefits. I, like many others, served my entire adult life since I was 21 years old and now am having to start all over again at an older age and failing health.
I spoke with a CSR on 4/4/2018 and was helped by Peter **. He was very knowledgeable and very helpful directing me to the correct dept to pay for my Humana bill at Humana Pharmacy. I was very impressed by Peter and am grateful I had someone on the phone who knew his depts. Thank you.
We have TriCare Prime Remote and Humana is our new insurance company this year. So far our experience has not been acceptable. I have an incurable chronic illness that I need treatment for every three months from my neurologist. My referral to the neurologist is good for one year and it was renewed in September of 2017. I saw my neurologist in December for the treatment and was referred to another neurologist because my old one was retiring. The referral was approved and I went to my new neurologist in January for a consultation. Humana paid for that consult and for my treatment in December. My treatment was to be March 26th, 2018. I got a call from the neurologist's office (3 days before my appointment) telling me that they cannot do my treatment because they have tried several times to contact Humana for approval and have not gotten a response.
I had already taken the day off of work because I have to drive 3 hours ONE way to my neurologist. (Only a few do this treatment in MI.) I immediately call Humana to find out what is going on. 1 hour and 52 min. later I still don’t have a real answer. First I am told that I do not have an approval to see the neurologist. (Even though I went to him in January and they paid for it.) If it wasn’t approved they would NOT have paid the bill. Second they tell me that they cannot see in their system that I went to the neurologist and that it was paid. I was on their website and signed in and took screenshots of everything they paid for and sent them the copies. They told me that there is not an authorization code on them. (They have claim codes on them.) Apparently we as the insured do not get authorization codes only the claim codes.
Well that’s two different things! So even though they paid, so obviously it was approved, because I don’t have the right code I have to get another referral. Third they told me that I had the wrong provider. What?! Even though on THEIR site the right provider is listed as my provider. (I gave them a screenshot of that also.) They tell me they cannot see what I see in their system. So first I had to get my provider changed. Then I had to get another referral, and wait for it to be approved (still waiting, 3-29-2018). Finally I have to have the neurologist send in a form for approval for my treatment. After it is approved I can make an appointment. So my treatment will be delayed until they have what they already had, but somehow lost on their side of the system. I can see just fine on mine.
Humana expert review by Joseph Burns
Humana is one of the largest and best-known health insurance companies in the United States. It offers health care services for individuals, business owners and military personnel.
Large variety of plans: Consumers can choose between HMOs, PPOs and other plans. There are group plans available for employers.
Well-known company: Humana has been in business for a long time and is one of the best-known health insurance companies in the United States.
Supplemental and low-cost options available: Humana offers supplemental insurance for seniors and low-cost insurance for people on fixed incomes.
HMOs and PPOs are cheaper: Health savings accounts and other plans tend to have higher premiums or higher deductibles.
Offers Medicare Advantage plans: Humana offers Medicare Advantage plans.
Best for: Heads of families, senior citizens, employees
Humana Health Insurance Company Information
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