Humana Health Insurance Reviews

Reviewed various Part B plans in 2014. Bought into all the hype of the Humana Walmart plan, monthly premium savings and better RX prices than all those other carriers. So we left AARP looking at $35 monthly premiums. Then came the shock. My husband went to Walmart with his Humana card and his monthly maintenance meds, 2 of which were lung RXs. He thought the $40 that AARP was charging for inhalers was too expensive. When picking up his inhalers from Walmart, the price was $500!!!! Deductibles, co-pays. Needless to say we could not afford to pay for meds so he is without. What a load of crud their commercials, web-sites, & scripting from customer service reps. Now we are stuck with them for a year. Hope my husband doesn't need to breath for the next 12 months!!!! Beware for 2016, DO NOT BUY INTO THEIR load of promises. Can't wait to cancel their plan and give up the 45-minute wait time at Walmart. What a scam & false advertising!

My husband and I had signed up for health insurance on the exchange back in January 2014. We had previously been long-term clients of Humana Health Insurance through a small group we had with our corporation. Six months into our health insurance, we got notification that my husband and I needed to send in verification of Warren's citizenship and his income even though we were not receiving any kind of supplement - we were paying a full rate. We are both American citizens and had been insured with Humana for six consecutive years prior. Then Humana created a separate bill and a separate insurance policy for myself Kristina **, and Warren ** was removed from the policy. We had somehow double-paid, we paid both insurance policies - one was $673 and the second one for Kristina was 300 and some odd dollars.

Signed up for insurance with Humana in December. Bad decision. They took money out of my account without authorization, and I have been giving the round around ever since. They even sent me a bill for my first payment after I told them to cancel me.

Humana decided to steal over $1356.93 from my bank account and now deny involvement or stealing the money even though the bank has proof of who took the money on the date, amount, account number, and transaction number. They now say they will investigate the transaction and it might take several weeks. It only took 1 (one) day and one (1) transaction to steal the money. I talked with them and explained that they had taken all of my retirement and left nothing to eat with or pay for heat and electricity. Told me they would call me to discuss, but nothing yet. They have stolen my money without my permission and now will not even talk about it. I guess I can go and pay an attorney with money I do not have to try and get money I no longer have.

I had recently relocated from AZ to FL. So I needed new health insurance. I met Humana rep, RS for zip code area 33436 the middle of November. This is the Medicare open enrollment period. I signed up with RS. Several weeks later, I logged on and found out my end date of service was the end of December though I had just signed up in November. I called RS to ask for assistance but he was out of the country on vacation though it was the height of his busy season??? Why hadn't RS checked my registration information for accuracy???

Humana Obamacare premiums renew in Jan for policies started last Feb. They don't clearly explain that if one waits to renew annually (in Jan for Feb) then the subsidy won't cover January's PRICE INCREASE! Humana just takes the extra out of your bank and says too bad!

I decided to be an honest person when I moved from broward county to palm beach county. I moved on Dec 1, 2014 and called Humana and told them I wanted a new policy so I can get a local doctor. BAD MOVE - the person I spoke to there cancelled my policy with Humana for December even though I told them that I wanted a new policy so I could my medicine in my new county and have a local doctor. I was cancelled and the agent I was supposed to see for the new policy NEVER showed up and I was told he was double booked and he never had the decency to call and say he would be late or could not make it so I spent the whole morning with no one showing up. I was infuriated when this happened and should have shut my mouth and said nothing and then I would have been able to get my medicines with no problems. Now that I am trying to get a new doctor, it will be a while and all I have is enough medicine for the next 10 days. If I would have said nothing then I would have gotten my medicine at the end of december and then the new policy would have kicked in and there would be no problems.

On 02/2014, I had arthroscopic knee surgery to repair a torn meniscus in the left knee. The operation was in a Top 20 rated hospital in Fair Oaks, VA. The surgeon, an outstanding doctor, charged $6000. Humana paid less than $800 of the bill.

I am a biller for a hospital based home health agency. We are constantly being denied claims for our Humana patients for the most ridiculous reasons. I fight daily with them to get our claims paid. I get notices called ADR's (additional documentation requests) and have 60 days to respond. I send reams of paper to them to support the bill that they are challenging and still they take back the money stating that the diagnosis codes aren't consistent between the bill, the plan of care and the OASIS (all Medicare requirements) I can circle the primary diagnosis code and resubmit...THREE TIMES.... and they still deny for the same reason. This is just one instance of the multitude of problems we have with them.

During open enrollment in 2014 for coverage in 2015, I enrolled in a PPO medicare supplement. I chose a plan without Part D coverage due to the fact that was I currently enrolled in a Humana part D coverage on another policy. I had been enrolled in the Part D coverage since open enrollment in 2012. Humana did not notify me at, during or after enrollment that they had arbitrarily canceled my part D coverage. The only way I found out was when Social Security sent me a supplemental award letter saying that I would no longer be charged for my Part D coverage after open enrollment was over. I had to contact Humana to learn there was nothing they could do to help about their deception.

I made a huge mistake when I took the Humana Enhanced (PDP) prescription drug plan. Everything was always a big hassle. Nobody ever had the authority to make decisions or resolve issues. Staff is poorly trained and can only read the script they were provided. I spoke with 8 different employees within a two hour phone call to finally have someone tell me that I needed to file a grievance with their Grievance Dept. I had already spoken with the Grievance Dept (person #5). All they did was bounce me from person to person when they actually had no idea who I needed to deal with.

I spoke to a Humana rep who told me that the drug I was prescribed was on an alternate list of medications, and that with my Dr.'s cooperation, I would have prior authorization for the drug within 72 hours at most and most likely within 24 hours. One week later, it is finally before their review authorization board. My Dr had submitted the necessary paperwork already, and had faxed them it again with "urgent" written on it. In calling Humana to inquire about the progress of this review, I was lied to and told that a supervisor would return my call. This did not happen.

Had to have injections on some herniated disc and was informed by Humana that they don't cover any procedures for pain. Absolutely blows me away.

Humana twice drafted $412.17 instead of $16.46. Only had $465 in account. IN PAIN & have urgent Orthop appt 12/18/14 $60 won't have money. A lawyer would love this! Dec.12 money taken, no one has gotten back to us. I WANT JUSTICE!!!

I am on oxygen equipment from my pulmonary physician. I cannot get Humana to send me a document for my doctors to sign giving them authorization to my medical equipment. They say they don't send out documents. I am on life saving devices and cannot get any cooperation from Humana to give the approval to my medical supplier for my life saving devices.

Inept, poorly trained staff, inordinately long waits on phone over and over and over again and Nothing resolved. Ended up with $12,000 in annual premiums and a $12,000+ deductible and they had the nerve to congratulate me on getting "Affordable" coverage that amounts to zero coverage and the worst customer service imaginable. Our next step is to leave Humana quickly and pray that Obamacare implodes soon!

They refused to pay for the only medication that help my illness and refused to pay for CT scan. My illness got worst because I could not get medical help. I'll change my insurance in 2015.

I've had Humana for a few years. I am on SSI disability and Humana takes the premium out my check every month. Last January they didn't take it out because they said I didn't say I wanted to continue it with them. (Before they did it automatically). So when I notice that they didn't take out for January they told me that they didn't think I wanted to re-enroll. So in order continue with the new policy, I had to send the premium and had to pay late fees for the rest of the policy. Since they made all the changes like I couldn't use my own doctor and the cost of the deductible for drugs before they would pay anything - I was not going to enroll again for 2015 so I didn't call and tell them that I wanted to get another policy. Then I received the new insurance card and they had deducted the premium from my SSI.

I turned 65 in Apr 2014 and made the mistake of signing up for the Humana Advantage Plan. For the past few months I have been treated by one of their PCP. He diagnosed the pain in my hip as arthritis. I keep telling the PCP that the pain was excruciating and that I could not put any weight on it. When I went for my appointments they would come outside to the vehicle and bring me into the office in a wheelchair. His answer to my pain was "We will up the Meds". Was taking Hydrocodone 10-325 for the pain. The pills did nothing for me as the pain persisted. I finally had enough of the pain and called the Nurse at Humana. After explaining my situation she told me to get to an Emergency Room within the next 4 hours. (The only intelligent person I talked to at Humana).

This is a complaint regarding your medical coverage. First let me say that I am not a stupid person. I was operation manager of large corp. with hundreds of employees, and I know damn well when I'm speaking to stupid people. First let start by saying every time I call you guys I get to talk to someone who don’t know what the hell they're talking about. What’s one of your criteria for a position there is stupidly? And another thing is my go to man Bosley 1800-662-9508 ext ** - when I need info I can never reach him. He emailed me and said he tried to call me couple times. Well he's a liar. I have an answering machine and was no messages on it, so he's a liar and I will not deal with him ever again. Your medical service is garbage and worth nothing to me and I'm sure to a lot of other people.

I have been calling to Humana for 7 months trying to get an explanation on what they are charging me $600 plus in my premium. I was waiting every time I called for at least 1 hour and half and the answer is the same, “We will start an investigation and we will call you in one week.” 7 months after... nothing happened.

Medicare part D drug plan with Humana — I have been taking the same meds for 3 years now and my meds were all paid for. When Humana took over in 2014 I only have 2 of my 8 meds paid for. They will not pay for the others. They say that my doctor has to get prior authorization and that it is medically needed and he did that several times and they still refuse to pay for them. I have filed several reconsiderations and still turned down. I have not had the medicines my doctor says I need all year thanks to Humana. So what's the point of having insurance if it pays for nothing you need.

Humana does not cover vaccines administered at any of the major pharmacy chains which means I have to make an appointment with my primary care physician for a simple flu shot. His office said I would be charged $25 for the office visit to give me my "free" flu shot. He also does not stock the shingles vaccine, which is also "free" under my plan so he would have to give me a referral to a specialist who will then charge me $35. While I was on hold with Humana, they had a recording about how, in an emergency, it was better to go to the Humana-owned Concentra Urgent Care Centers instead of the ER - but it turns out that my plan ($400+/month) does not include access to Concentra outside of my immediate city. Overall a waste of money.

Somebody said do not go to the navigators at Humana. The Navigators are the nurses, they are not trained to do benefits, they work with actual members and their health. I use to work for them, they are not great to work for.

I was admitted to the hospital on Aug. 1, 2014 with my hemoglobin level down to 5 when I usually run 15-16. I was given a blood transfusion which brought my level up to about 6.5. After being released from the hospital, I was being treated by my primary doctor and waiting for my hemoglobin level to get up more before setting up referrals to get more tests done. About mid August, I get a letter stating that I would no longer be able to continue with my primary physician effective Sept. 1, 2014. I appealed twice and was denied. They had the gall to tell me that I was not in the middle treatment. I am in the biggest health crisis of my life and Humana wants to dictate to me to go to another primary doctor. I know and trust my doctor and he knows me. This is not right. Humana should have allowed me to finish the year with my primary doctor. Customer service is terrible. I spoke to about 10 different people and when I finally got to the right person they hung up on me. They had all my information, they could have called me back. I have changed insurance company effective Jan. 1, 2015. You should too.

I am a healthcare provider myself and strongly recommend staying away from this company. I have had repeated struggles with them where their representatives have been nothing less than robotic and relentlessly unwilling to take responsibility for and correct their mistakes. They double billed me on two occasions, drawing money from my account without my approval. I had to go directly to the charge card company to correct this after spending hours trying to straighten it out with Humana. Just yesterday I got a voicemail from them telling me to call them back for an important message ASAP. Their voicemail menu makes absolutely no sense and kept shuttling me from place to place and then putting me on long holds. This so called health insurance company probably causes more illness than they help heal.

I went in for a procedure that the doctor and facility was approved but the person that puts you under wasn't approved and the people that read the results and so on and so on. Now I am paying out of pocket in full which has reached over 3,000. My out of pocket max was is 750.00 but after a 20,000 hospital bill and other dr bills they say I still need to meet a deductible. I have stripped all my money trying to pay a stack full of medical bills and no longer can pay my morg., put food on the table for my kids and myself. Every time I call and address these issues I get a run around even by the managers. I will soon be homeless with my kids and losing my home. I only make 640.00 a month before taxes are taken out and have exalted every area I know to turn.

We have black and white proof we enrolled in the Humana Walmart-Preferred Rx Plan PDP. Somewhere within the last couple of years our policy was switched to the more expensive Humana Preferred Rx Plan. In trying to find out why we were switched, I spent over 2 hours over 2 days talking with 6 different representatives and got no where. The last representative was extremely rude, stating emphatically that our plans had NOT been changed. When I offered to scan/email her our written proof with proof of the correct monthly premium being auto debited she became more belligerent. Needless to say, we have dropped Humana.

I took my over 30 minutes to obtain an authorization. Whenever I talk with representatives in the Philippines I am asked to constantly repeat myself. When I voice my frustration about this I always get the same answer that the phone connection is not good. I feel that these representatives do not understand what I am saying and do not understand our culture. I wonder how many subscribers know that the money they pay for insurance goes to provide jobs in the Philippines and not in the US. Humana, Wellcare and American Progressive Insurance offer horrible customer and provider service and I would not recommend to anyone.

Our policy had an effective, start date of March 1 but was canceled for nonpayment in February. Funny how something can be canceled before the payment is due. We paid our premium on time, every month. After MONTHS of calling and being told that the representative would take care of it, every claim in March, April and May was denied. Finally in June a representative fixed the problem and the claims were reprocessed. BUT Humana has 2 systems and information does not automatically transfer from one to another. So about 2 more months of dealing with nonpayments. We are just NOW getting everything corrected and it is November.

Humana is just terrible. I have a self-funded plan through my job and went to an out of network doctor for bariatric surgery. Total bill is 120k. Humana allowed 1000.00 then said the rest was patient's responsibility. I almost died when I saw the bill. I complained to the doctor who said his collection department appealed and couldn't get the insurance to budge. I was talking to my brother about this and he said **. I basically told my doctor to give my claim information to them. 4 months later, the doctor was paid. They were paid and part of the negotiation was my coinsurance and deductibles are waived. Humana sucks ass but 1/2 of the problem is these so called collectors who don't know what they are doing.

On exchange plans will always have a narrow network. That said, the only people that should be on the exchange are those eligible for a subsidy. And the subsidy better be worth it. It is very difficult to navigate claims and billing. I have many stories. Most seasoned agents will know what they are doing. Stay away from "enrollers", "navigators", etc as they will not know how to advise you and your family appropriately. You have to be in this field for years to get the nuances of certain verbiage.

I don't know if anyone else feels the same problems.... but I have had nothing but very poor healthcare since making the mistake of enrolling in Humana Medicaid. I've been trying to see an Orthopedic Surgeon to get a simple Cortisone shot in my right knee. I have very bad pain. The ONLY Ortho provider in my Humana Medicaid Directory is only accepting patients that are currently seeing a PCP at their medical center. But, I tried twice now to be a patient at this medical center, so I can be seen by the Ortho Dr., but the Family Practice dept. isn't accepting Humana patients at this time. Of course, just my luck!! I've been suffering with this Osteoarthritis since Aug. 2013. It is really making me so angry!! There has got to be an Ortho in this freaking state of Florida, that can HELP me!

I always need an anti anxiety drug before getting on the phone with Humana representatives. One surgery was an upper endoscopy. Easy five minute procedure. I had two Anesthesiologists who charged me twice. I never saw the second anesthesiologist. One dr was in network and one wasn't! I didn't have control over this. So one was paid by Humana and the other one was applied to my out of network deductible. Amazingly enough both drs worked for two different named companies that were owned by the same owner and had the same tax id. Big scam there.

I had Humana HMOx Platinum plan. I pay over $1000 per month for a family of four. I had nothing but trouble from the day one with this company. They have no customer support. They have no proper network. Even the doctors drop this insurance since they do not pay the doctors. The in network turns out to be out of network and I am slapped with a bill of over $2,000 for a mammogram that I was referred by my in network O/B making sure that it is covered. I have contacted BBB in KY, but I doubt there will be any result. All I can say is do not give your business to this company. This health insurance will make you sicker in the end. While they get richer, you will get poorer, angrier, insulted, bewildered.

Had surgery 10 days ago. Went to get a lesser dose of pain meds with a hand written prescription. Was denied by the insurance Humana even though it was a covered drug. Second time they have denied a doctor's order. Not even a heavy script. Since when can they deny doctor's orders. Something wrong here.

This company has to go down in history as one of the worst if not the worst company in the history of the United States. I have been dealing with them since January 1, 2014 when my plan began. First issue, we took my son for a routine checkup and everything went fine. Next thing I know a few days later I get a call from the doctor's office stating my plan had been cancelled due to non-payment. Which for one is VERY EMBARRASSING and secondly was incorrect. Not only had we paid our premium timely EVERY month which was due on the 10th, we had paid every month the last week of the month prior except once and it was paid on the 3rd.

My husband has had Humana Advantage plan with prescription coverage for 18 months + and when I went to pick up his blood thinner prescription, they gave me two different excuses. One saying they interact with his other medicines. His cardiologist changed his prescriptions. The other excuse they are using is that they are showing he is covered under my BCBS group policy and well they want BCBS to let them know. They were to investigate this 9 days ago and every time he has to have a prescription they have to override it and I am a couple of hours on the phone. Only one customer service lady was helpful to me and did the override. Four other times I have called, they don't even try to help. Just give me excuses. I had to make the representative today look back at the history of the situation and told her they said they would have it resolved in 72 hours. Well it is not resolved. We cannot afford to pay for his prescriptions at full price and surely not when they are getting paid to pay their share.

Humana is the absolute worst. Just like everyone else. Humana refuses to pay a $3200 emergency hospital bill. What I don't understand is how with all these complaints, they Humana, are a fortune 500 company? Why does the federal government allow this to continue? It is very clear, Humana they with all their lobbyist, are very well connected. They LIE TO ALL OF US, they're very poor at best, refusal to pay our medical bills, yet they sure have zero issue collecting our payments and premiums from us. Ever wonder why the federal government does not do something? I do believe it is time for a very serious class action lawsuit, surely if people got together, we all could find a very good law firm, to help us all stop all this NONSENSE?

In Jan. of 2013 at my Cardiologist's request that I need schedule heart tests, I asked his office manager to check with Humana to see if I was covered for this. She did this and advised me that Humana said that it would be covered, that is was in network w/ medicare. However sometime after these tests were completed the Doctor's office advised me that Humana was refusing to pay for it but she would keep working with them to resolve. I myself contacted Humana and they said they would investigate and I so advised the office mgr. at my cardiologist's office. I thought the matter had been taken care of until October of 2014 when I was scheduling a visit to his office when I was informed that my account had been flagged because of an overdue balance of $468.90.

Had a knee replacement and had problems at the hospital and filed a complaint with Humana a few days after I was released. Talked to them twice and got two reference numbers. Tried to stay in touch with them over a few months to dispute my bill. There is no record on file! Sent the complaint by certified mail, had to do it three times over six weeks because Humana reps kept on providing me improper mail box numbers and zip code addresses. After 5 months, the issue is not resolved. They will not be my insurance company for 2015.

I have had continual billing issues with Humana. They first over-billed me for $421.44; after contacting the Better Business Bureau this was straightened out. Now they are saying that I did not make a payment for October and my credit card has paid for the month of October and Humana will not give me credit for my October 2014 payment.

I paid one year of dental coverage for my wife. Once we found out they pay hardly anything toward a claim I tried to cancel. No cancellation requests by phone. Only if you send a letter to their Grievance & Appeals address will they cancel. Problem is they won't respond. Customer service told me they respond normally within 60-90 days. It has been over 120 days, several phone calls and no replies. DO NOT PURCHASE HUMANA COVERAGE OF ANY TYPE!

Humana Dental Insurance is the worst Insurance in every aspect.To start their website doesn't work so I called in for an "accepted provider".

My father had cataract surgery, and his doctor told him that it would cost him an additional $1600 out of pocket for laser surgery. This wasn't defined anywhere that I could find either in Humana coverage information and Medicare benefit description on the .gov site. I called Humana to ask the question and ended up talking to 3 people before I got to the right place.

Prior to my husband retiring, we completed forms for our drug supplement with Humana through a broker. Over the course of the last two months the following has occurred:

We first purchased our plan in September 2013. They were constantly busy and we chalked that up to the new cutoff dates for Obamacare. After setting up automatic debit payments, we found out the hard way, that they had in fact never set it up. They cancelled our policy. We had to go through the process all over again to get a new policy started. We were told our deductible was $7500. Great, we thought! We had reasonable copays for visits, and well-visits were covered. Come to find out...the deductible is per person! Our copay means nothing, we still get billed for every single doctor visit that we already paid a copay for. We have no chance of meeting our deductible unless all 3 of us have some sort of traumatic event that requires a visit to the ER with major exams...like a CTscan.

Poor service - Went to Dr. ** in Beaverton Or and they said they were on the Dental plan for Humana dental - had service and then they tell dentist they are not on the preferred plan and I am now out 184.30. Sent in a complaint and they rejected it - found a much better plan for veterans without a one time charge of 35.00 to apply with Met Life. Try another plan - you will be much happier. Poor service.

I started Humana in March of 2014 and paid my premiums on time, every single month. I moved and did a change of address in July. I was told that they have to redo everything because I was in a different zip code....cool....understandable. July 1st, I pay my premium. August 1st, I pay my premium. September 1st, I pay my premium. September 4th, I go to a new doctor to get a physical exam only to find out through the receptionist that my insurance has been terminated on July 31st, so I apologize to them and rescheduled my appointment for Sept 19th (or I could've stayed and paid $500-$600 cash/credit upfront to get the exam). Now I'm thinking....Humana, you terminate my insurance without me knowing, yet you still take my money (btw, I don't do automatic draft payment, I pay online and it still showed that I was being charged).

I set up an auto draft to come out of my checking account, based on my income I get government assistance through the Marketplace. Humana took $172 more out of my checking account on Sept 4, 2014. When I called to asked why Humana stated that I had been enrolled in a policy in April 4, 2014 that was cancelled April 30 2014. I told the Rep that I had no knowledge of ever being enrolled in any insurance policy.. I never received a bill, a card, nor did I receive and enrollment package, so how was that possible??? They told me through the Marketplace. So I called the Marketplace, they stated the info was sent over by accident but that they have back dated and sent over all the info need to have Humana refund my money. I called Humana back telling them the info that was giving to me from the Market Place, so for verification a conference call was made from Humana to the Marketplace. The Marketplace confirmed that the info was correct so the Rep from Humana said she was going to send in a request for a refund and that it should take 10 days. October 1st will be another month and Humana has yet fail to refund my money. Humana keep giving me the runaround and my money is very much needed for a bill that they stole it from.

My elderly mother switched to Humana (I believe they contacted her vs. the other way around, which is disconcerting) and ever since, she has had difficulty with a number of things, particularly related to medications. Because she then had to switch doctors, her pain management went extremely downhill to the point that we had to get her into hospice so that her pain could be managed appropriately.

My Dr's request pre-authorization from Humana for all visits/treatments/procedures/prescriptions because Humana rarely pays charges in full and often refuses payment. Procedures that they assured me would be covered (before purchasing my policy) are not. So few Drs in my area accept Humana that I am extremely limited in my choices. I am attaching an excerpt from my most recent Humana statement.

First doctor was questionable. Second doctor could not find. Now Humana may or may not pay. I had to sign form that I will pay if they don’t. Hard to explain - does not help. I live in Arizona.

Humana website is misleading at best. All plans in Calif. are Walmart plans but website does not say this. I pay a lot for no coverage.

Stay away from Humana's poor excuse for a medicare advantage plan. After numerous phone calls from myself and my doctor I can no longer get the amount of medication I have been on for over 10 years now. They finally sent me a letter saying I was approved but when I filled it the only reduction I got was a $20 discount leaving me with a $600 plus bill at the pharmacy. I no longer purchase my meds in the US. For $325 I can get 5 months of the same med as compared to the US price of $618 per month.

My husband purchased Humana Dental for our family last Spring as his job does not provide dental and we have 2 children (9&7) that need to go to the dentist (exam & cleaning without insurance would have been $220 each). I looked into the list of providers and the pediatric dentist that we use wasn't on the list but there really weren't many options available on the list. So I took them out of network after calling and hearing that they pay 70%. My 7 year old had 2 severe cavities in his molars that had just come in and they needed to be filled. Humana bass covered none of it and says that there is a 6 month waiting period for services (I guess that's in the VERY fine print). What they don't tell you is that they pay 70% of the cost that they deem to be acceptable so for a cleaning the dentist charges $81 and they decide that should have only cost $62, then you have to pay the $19 and they only cover 70% after a $50 deductible. So taking my two children to the dentist, if I had just paid the dents for the cleanings, sealants, fillings and everything I would have paid $733.60.

I went to Humana after the implementation of the ACA. Remember we did not have to change insurance or doctors? During the sign up process I had to choose a new doctor off of their provider list. My first visit to that doctor showed he was a cosmetologist dabbling in family care. He saw me 1 time then refused to see me again. Having extreme blood sugar levels, 350 plus, I needed to see another Dr. right away. I contacted Humana and they referred me to a clinic and I was helped there in February. Late February I was told by Humana that this clinic was not on my provider list. Yes after they referred me there. I then was referred to the new provider list that was just mailed to me. After going through several doctors I was told all were not on my provider list, Even though they were on their provider list provided by them.

My son had some dental work done. We followed the required procedures and got a pre-approval from Humana for the procedure. After it was all done, they denied the claim, saying it wasn't covered. I appealed the denial, and provided copies of the pre-approval and other information, and they denied again, saying that they should not have pre-approved it, and it was their error, but they still weren't going to cover it. This was $1500 we would have to pay. I tried to call and they refused to talk to me because my son had since turned 18 and was no longer a minor. Finally had to get my benefits department at work involved. They said it definitely should be covered, they had to take it up the chain. Finally got them to (grudgingly) pay most of it after 9 months. Worst insurance experience ever. I got the impression that their claims folks are encouraged to deny as much as possible.

Last year 2013, I bought my 2 medications in a 3 months supply, never even came close to my spend down. This year 2014, my dr started giving me a 1 month supply of my medications. This month September I went to get my prescriptions and had to pay a little more than I had been paying all year. The pharmacy said I had met my spend down with Humana and I had to pay the full price for my medicine the rest of the year. I called Humana, had to go through 3 people who talked like a taped recorder. They would not or could not understand what I was asking them.

Their recent "feel good" commercials make me a little nauseous. I was a college student supporting myself by being a real estate agent. I bought Humana for myself and had it for years but never needed it until one day I couldn't talk without pain due to strained vocal cords. No one knew what was wrong with me so many different doctors and tests were done. They kicked me off the policy and left me with over 20,000 in hospital bills. They said I had a preexisting condition (this happened before the law changed) because months prior I saw a doctor about a sore throat. These people shouldn't be human. Really makes me sad that they are still in business. :(

Day 2 waiting on humana to approve a prescription that I have to take daily. So far I have had to come out of pocket $70.00 in order to have medicine. I'M also still waiting on my medical card, so in the meantime I'M having to carry my policy number around with me on a piece of paper. Not a good sign at all.........but it was cheaper insurance!!! Deserves no stars!!

Worst phone service I have ever encountered. Very difficult to get through to a human being, and when I finally did the gentlemen who answered seemed borderline illiterate. He could barely communicate and had no idea what I was talking about. The problem was they dis-enrolled me from the Medicare Drug Plan because I hadn't made a payment, despite the fact that I never had made a payment - they simply billed my credit card every month, which was still active. The illiterate guy informed me that his screen said to call Medicare. I surrendered and hung up. Medicare is looking into it. Humana is hopeless - avoid them.

Deductibles and out of pocket max, customer service, tiny provider directory. I did, unfortunately, get the wrong personal health insurance -- Humana Detroit HMOx. I have had nothing but trouble -- denial of my meds, denial of services.

They stopped taking my auto withdrawal then took it all at once after they offered me a payment plan. Said they would give me a discount and then denied it now after they stole my money. They won't pay claims, and I didn't even vote for Obama stupid piece of **.

May was my first month. I will relate chronologically, so you can see the situation. MAY: I Made a payment through BOA account but because it was not received, I paid with a credit card. JUNE: The invoice detail: Amount due: 0 Receive: $523,62. Since this was a second month, according to the amount received, the second month was paid. I assumed that the BOA check was received. June - PAID. HUMANA Website shows that.

I have been extremely disappointed that I have lost coverage through many of my medical providers. I was not informed and coverage change was mid-year. Not at enrollment time. For example: I live in a major city, Fort Worth, Texas. There is not a Psychiatrist to prescribe my medications within 3-4 major counties. Also my PCP - Primary Care Physician was dropped. We have been abused by the system. We were not given an opportunity to change Insurance Companies.

My cardiologist ordered a angiogram 8 days ago. The doctor's office called me the night before the procedure, saying they were unable to get in contact with Humana, and would have to cancel the procedure. I called the number on the back of my Humana card numerous times, just to have the call dropped. I set up a account (almost impossible) so I could contact them through their website. After getting set up, their website will not allow me to compose a e-mail. I had to quit driving two months ago because of a heart attack, and still have not been treated because my doctors and myself cannot get through to humana.

I dis-enrolled from their service the beginning of 2014. Humana does not acknowledge this, and continued to charge me for another 6 months. I did not use their service. They now have sent me to a collection agent. I called them in February, again in July, and again today the 25th of August. In February and again in July they stated that they would fix the problem. Today they said "sorry" but did nothing to resolve the problem.

Bought this insurance two months ago, assigned me a doctor who stopped accepting Humana long time ago. The new one assigned booked for next four weeks. No ER close to home is covered, no one at Humana on weekend to answer the questions. And I NEED A DOCTOR NOW and nothing is covered out of network. I bought the best Humana possible, at that time I checked network, everything changed after I bought insurance. And that network is not covered anymore but one very small unit of very vast network.

I have had horrible service from Humana, Great service from Right Source! Humana has refused the most ordinary process for pain control. Right Source is the only reason to stay with this company. Not too sure my pain can hold out!!!

My mother fell while on her treadmill. She was diagnosed with a hairline fracture of her left humerus. She was sent home from the U of KY ER. She fell again a few days later trying to use one hand w/ her walker to get out of her recliner. She fell on her left side. She was taken back to the UK ER and they performed CT scans and x-rays. The ER docs said nothing was broken and even though her left shoulder hurt worse, they did not re-examine it. Several days passed and she was in so much pain in her lower back she could not urinate. EMS services took her Good Samaritan Hospital, another U of KY hospital closer to their home. There the ER docs discovered a comminuted fracture of her left humerus, a fracture of her left pelvis and a fracture of her sacrum and her L5 vertebra. They admitted her.

I have asked my PCP, Adisa **, numerous times to see a endocrinologist for several heath reasons. She always denies my request but does nothing as my PCP to help me. I have asked to have an MRI of my thoracic spine. I have been making this request for over a year. I was granted permission for an xray of my spine. She said it was normal. That is b.s. and I know it. I am in so much pain. I'm not asking for pain management. I want help with my spine so I don't end up in a hunch back condition. JSA is all about saving Humana money. I can't wait until open enrollment for Medicare. I am dumping them and going with straight Medicare. Oh, and if you go to the ER without calling your PCP, be prepared to chewed out and talked down to like some kind of criminal. She had the gall to disrespect me by telling me I was foolish for going to the ER. I was foolish for signing up with Humana Gold and JSA medical group.

I told them not to send unimportant emails, and they do, I had to call them NUMEROUS times to put me on the do not call list! The worst thing with them is that they are SO unorganized! One rep says this, another one that when you really need help! If you need a vacation override for your meds due to a trip, you'll have a VERY difficult time, since all they did was give me a different story every time I called them! After all of these problems, they DO NOT let you email the corporate with your concerns! I'll switch plans next year!

On April 2014, my doctor's office sent a request to Humana for additional trips due to my severely sprained ankle and need to go to the physical therapist once a week, plus, my visits to my primary doctor. Everything went well until 8/12 when I called the transport co. and was told that Humana voided all trips for the rest of the year. The nurse Amy at my doctor's office told me that trips already approved were good until the end of the year. I have sent 3 e-mails to Humana trying to find out what's going on and why did they unilaterally cancel my trips already approved AND they already sent me a Notice of Denial for the trips I took to my physical therapist.

They keep telling us something different every time we call so we contacted Social Security and they are going to check them out. So if you have any complaints, let Social Security know!!!!!

I was trying to make my premium payments before my grace period expires. I was told by Humana to set up e billing. I attempted to do this three days before my grace period expired. The e billing function wouldn't work, neither did the email to Humana function. I sent them multiple twitters, emails, etc. no response. There is NO website support and no after hours support. If I lose my insurance, I will become homeless as I am on disability and pay a high premium for individual insurance.

Be very careful. I have had two situations that did not please me. First when the agent came to my home, all prescriptions and doctors were checked to ensure they were covered. Then went to fill prescription and told they no longer covered. Received a letter saying that another medication was available and should use it. Well, I had already tried the alternative medication and did not work out well for me. I felt like they were strong-arming me to force me to use the medication they chose. I ended up getting it covered by putting out more money and having additional blood tests ran and getting a letter from that doctor. So it was a waste to go over all medications as they will change their mind any time they feel like it.

I follow up on medical claims for physicians at a hospital in Pennsylvania and we have the worst time getting Humana Gold to pay the claims of their subscribers. The patients of these Humana Gold claims think that Humana is wonderful insurance. And the only reason for that is because according to the Medicare guidelines, since Humana Gold is a Medicare Advantage plan, we cannot drop any unpaid balances to the patient and so we must adjust them off instead. So that is why so many of Humana's customers think that they have such great insurance. When they actually, they have one of the worst plans they can get for their healthcare. Even when we appeal the claims 3 or 4 times, sending medical records, calling customer service, they don't ever review the medical records or appeals. They just continue to deny the claims without even reviewing the medical records.

Very...very frustrated with HUMANA. I have contacted over 10 doctors in the Dayton, Ohio area and no one will take my insurance which I obtained from the Market place. The doctor's offices said that Humana does not pay so they are not accepting anymore. The Humana website is filled with incorrect information. On two of the 3 phone conversations I was given incorrect information. I have 3 cards coming to me with primary care doctors' names on them - none I can use. One doctor is available in September. Today is July 30th. I have a hospital waiting for me to take a test that was authorized by a doctor's office who thought they took Humana, but later realized they do not take HMOx. The test is an ultrasound for a blood clot, so I cannot sit on this. I have 2 1/2 hours of minutes on my phone, at least 2 hours researching, I work full time... Who has time for this... and I still do not have a doctor that is taking patients and will accept my insurance...

We performed a covered service on a patient with Humana Dental Coverage. We have been waiting 9 months for payment. The claims department has requested redundant information multiple times. After sending a redundant detailed letter of service, they claim they never received it.

I have wasted numerous hours on the phone. I signed up through the marketplace & decided on Humana (A Platinum Policy). I signed up for an HMO & my card reads HMOX. I can't find a local Doctor to take it, tried to get it changed to what it's supposed to be & they said I need to wait until open enrollment in November... They want me to go to Tampa, an hour away for a Doc. Reps have been extremely rude. They take your money every month but don't want to service your insurance. Tried to find out what an X means after the HMO & rep kept saying line of business, but the Drs don't want to take it! It's bizarre... Hate Humana... I'll be looking at Aetna, Florida Blue, anything except them! I asked about ER & she said I needed approval for that too. Marketplace rep was on the phone 3-way call, & she informed me that I did not need ER approval.

They informed the medical provider that they did not cover the condition. They wrote me that there was nor was no documentation of the condition. Direct claim for out of network services have been lost six different times.

I have Humana Medicare Insurance through OPERS. I am 78 years old, in very good health for my age, but started falling a lot and have poor balance. I have suffered a concussion and many other injuries. I recently moved in with my sister after another serious fall. She has steps into the house which I am not able to go up or down. My new doctor here recommended I go to a PT hospital for intense PT. A therapist came to the house and after an extensive evaluation said I was a perfect candidate for the PT hospital.

I have had Humana since 7/1/2014, been to the doctor only once, but it went pretty smoothly. I have chronic pain, was seeing a specialist that was not on Humana, so the doc went out of his way to see if he could request that I could still see him which was nice. He also gave me a bunch of samples of medication to help my issue. I had a pretty pleasant experience overall so far - no trouble as of yet.

Humana started billing my daughter in January 2014 for her new policy by automatically charging her credit card on the first of the month. All of a sudden, after going to an orthopedist on July 3 for a sprained and broken ankle, she gets a bill from the doctor for nearly $500.00. She had already met her deductible and her annual maximum out of pocket for the year, so she really owed nothing. When we called Humana, they said she got the bill because she didn't pay her July premium and was past the grace period for doing so. When we checked with the credit card company, they said the payment was deducted from her credit card on July 1. Furthermore, the grace period is 30 days. So they are DUMB, DUMB, DUMB.

I was super sick. My throat was so swollen that after working a 14-hour shift I couldn't see to drive. I went to the nearest what I wouldn't call emergency room but an urgent care center. They charge well over 1000 dollars for the visit. I was over 60 miles from home. I had nowhere else to go on a Saturday night again, 60 miles from home. Human(less) Insurance denied my claim because they said it wasn't an emergency situation and that the ER (urgent care) doctor stated I didn't need to be seen. It's interesting to me that the urgent care doc also charged me and billed the insurance company who has not paid what they were contracted to pay. Did I say I couldn't breathe? It was a Saturday night about midnight. I had nowhere else to go. My throat was so constricted that I was gasping for air.

My mother was placed in a nursing facility from having a stroke and loss of ability to communicate, walk, feed herself, etc. Humana benefits were checked and were to cover the first 101 days. After 45 days, we were notified, THAT DAY, the benefits were denied due to my mom did not meet the "Criteria" which is not known to even Humana customer care reps. When I called to discuss it, I was transferred to at least 15 different people and the last one told me she did not see reason the claims were denied. I could have the nursing center fax the documentation to Humana and their policy is to have an answer in 72 "Clock Hours", not "Business Hours"... However, when more than 89 hours had passed and I tried to find someone to tell me the status, no one is aware of the policy, they can no longer speak to me, etc.

My mother left AARP to sign up with Humana. She is 74 years old and had a stroke in February of this year. She was discharged from the hospital to a rehab center. It was a horrible place. We decided to bring her home for a little under 4 months. Having been admitted to the hospital, the doctor felt she needed more skilled therapy. My mother only used 42 days of her 100 Medicare days only to come to find out Humana denied her admittance to a rehab center. Her doctor and the hospital could not believe this. I now know that this insurance is not for the patient but to make them money. I will make sure in October she drops them. I feel she would be better off with just straight Medicare. I can't stress enough, if you are on Medicare, stay away from Humana.

We are long time customers of Humana - the first 14 yrs were great - no problems, excellent service. But recently, my husband's employment status changed, so we had to end an employer-based account and begin another type, still through Humana. That is when the problems started. Claims have not been paid from our new policy. Despite the fact that we have at this point 4 months of premiums paid, it sits in our account as a "credit" because Humana has not invoiced us (our account) for our health insurance. They will happily accept our money, but for all intents and purposes, we have no insurance.

I moved from IL to IA, and called to inform them in March. They told me that I would be charged a slightly higher premium for the move, as I had a IL policy. My policy went from $268 to $410. I paid this through June, all the time trying to find another company that would cover me with my pre-existing conditions. After cashing my 4 checks, through June, at the higher amount, they sent me a letter June 6th. This letter stated that they terminated my policy, as of 2/28, as I was no longer paying premiums.

Humana is the absolute most inefficient health insurance company with completely inept representatives. Since I am self-employed I went through the Health Exchange to obtain insurance for myself and 4 year old daughter. Initially I was given a quote of approximately $150 but the real monthly charge is $480. Since obtaining coverage on 2/1/14 I had 3 doctor appointments. The first one was a skin check to ensure no cancerous moles. Humana paid as I expected. The second visit was on April 24th. It was a routine women's GYN annual exam which is supposed to be fully covered under Obama Care. All bills related to that visit have been marked "In Review" since April. I have called at least a dozen times to find out what the problem is since the doctor is sending me collection agency threats.

Thank you for viewing this comment. My extended family has had positive results with Humana. Unfortunately, I have not. My extended family uses them for Medicare. Though I can sign up for Medicare, currently I have school insurance as a teacher. The school district has them for our insurer. Unfortunately, it is quite difficult to deal with them on the phone or through their website to see who provides eyeglasses. Their web phone numbers are often incorrect and send one to other businesses. When I do sign up for a Medicare company, it will not be them.

Due to changes in the health of my wife, I tried to get exceptions to the formulary prescriptions. Humana would not bend and allow Vesicare 10 mg with no information regarding what must be done to satisfy Humana's objections. This left the doctors and myself without any directions for proceeding. Trying to guess what the objections were was pointless. Was there some way through the process to make it happen? We could not find out. All to frequently no one answered even after holding for nearly an hour, so we gave up many times. No Humana for me next year.

Ordering a gelfoam mattress cover to allow my mother some avoidance of bed sores and ease in sleeping. During her last 1-3 months of life has become a nightmare because of the way in which Human Health Insurance provides coverage. Humana has a process of organized, dodge-and-weave obstruction to access for health care, including a "verification procedure" they initially claimed as "due to Medicare's requirements" and then "HIPPA policy". And later finally accepted as simply their own policy which requires repeating all of the members information four (4) times minimum before even addressing the question of finding an in-network provider that is actually still in business and who has a working phone number. The list they provide, despite having only a three (3) day shelf life, is filled with inaccurate information. The process has taken more than 4 hours of phone calls, just to Humana. We still don't have the mattress. And I know the system - pitiful care for the services provided. I will certainly notify the local medicare provider.

Before scheduling braces for my daughter, I consulted Humana who stated that their financial commitment letter AKA pre-treatment estimate should take about 2-3 weeks to get back to the dental provider. Provider mailed request for estimate on 5/21. I was told last week -- 6/23-- that it was finally mailed out to the provider. Provider has not received the estimate. I called Humana today and I was told that the estimate has NOT been mailed and it is in fact still pending. An inquiry into the pending status is an additional 21 days from today, so about 7/22. Our dental provider prefers to have Humana's Pre-Treatment estimate in writing before they start any work. It seems that they don't trust Humana to pay (wonder why? ) I just hate watching Humana's TV commercials that advertises easier insurance without paperwork and red tape getting in the way of important medical coverage...

I accepted a medical insurance quote from an insurance broker when the Obama Healthcare plans were being offered. I gave her my credit card information to make my first payment of 168.00 for the first month premium. Humana charged my account an additional 431 dollars in April, and I have not seen any signs of a refund even though I've called over 7 times and spoken to 3 different supervisors about their mistake. I can see by these blogs that I am not the only one they are stealing money from.

I've only been in Humana insurance for a few months, and all my experiences have been complicated, negative, unsatisfactory in multiple ways. I visited with a specialist for a known problem condition. Specialist told me what is needed, which is traditional therapy which this specialist can apply quickly and effectively. But also told me that I must first get a referral from my designated primary care physician (PCP). Humana had first assigned me to a PCP whose office is >50 miles away. There are >1000 competent physicians less than 20 miles away. So I called Humana and requested a PCP in closer proximity. So Humana assigned a new PCP for me. However, when I called the office of my assigned PCP to schedule the appointment to get the pre-authorization for treatment for my problem condition, I was told the earliest appointment possible with my PCP is >8 weeks in the future.

We have had Humana as Medicare supplement for 5+ years now and do not even look at options. My husband had to be hospitalized for 5 weeks. Never even saw EOB for months after. Humana took care of everything. I am eligible and ready to sign up this year for myself. Highly recommend....

Went to hospital with heart pain! Was in intensive care for 5 days. Refuse to pay doctors because I did not get outpatient permission! I advised I was in the hospital. A cocky! discourteous customer service and supervisor refuse to reason to my explanation and that they did not care that vendor (Doctor (had to re-bill because they were not gonna pay!) I KEPT EXPLAIN YOU HAVE A HOSPITAL BILL FOR THIS PERIOD! IT GOT ME NOWHERE, VERY UNREASONABLE! SHOULD NOT BE IN BUSINESS! RAN INTO SAME ISSUES WITH THEIR DENTAL INSURANCE! AS FAR AS I AM CONCERNED, BORDERLINE TO FRAUD!

This was bad choice. I need to pay $720 annual and they cover $1000 minus 20% is $800. Bad customer service.

I am a psychologist and I have not been paid since Oct and have been assured it is approved to pay. Now I can't reach claims. I have been kept on hold forever and then dropped. Help.

How does Humana get away with this? I had a broker supposedly help me last November when I was trying to get health insurance. Apparently, the 'x' at the end of the HMO means it is in the Colorado exchange; over half are subsidized in this program (I have since learned). I never was going to be subsidized, so why did he suggest this plan? Every health care provider whom I have contacted, my former docs and several new ones, say "NO". They don't accept the insurance. These providers are all listed by Humana as accepting their insurance. The clinics and docs suggest that I get their Tax ID number and contact Humana.

I chose a plan through the market place which was with Humana and when the cards came I found that I had a different doctor. I did not want to change doctors so I decided to cancel my plan. My activation date was on the 1st of May and I requested the cancellation on the 22nd of April. Since I had already paid my premium, I assumed that I would receive a refund. I spoke with several representatives from Humana who assured me that my refund would come in 45 days. Well, it's been almost 60 days and this issue has not been resolved. I do not have coverage with them and they have taken my money and no one can give me any reasonable answers as to why, or when I can expect my money to be refunded to me. I as told that because my cancellation request was not entered and submitted to the correct area that I would have to wait another 45 days for a refund. This is unacceptable.

PPO is the better of dental insurance plans so it is what I have been PAYING for since 2011. However, it was not until June 18, 2014 a customer rep. named Marylyn explained to me Humana has TWO (2) PPO plans and I had been signed up for the basic one which includes two dental cleanings and very little more. In these 3 yrs. no dental procedure was on my record (but for one cleaning) because HUMANA NEVER COVERED ONE CENT.

Humana has an answer for the medication "doughnut hole" - don't pay anything. My father switched from one diabetes medication that was causing symptoms of cardiac arrhythmia, to a more expensive one: Januvia. But Januvia is really expensive, so they said they wouldn't pay for it. Doctor writes a note that they pay for one month and allegedly approve Januvia for a year. Not so. Next month, they deny payment. So we go to the doctor and he gets another, but pretty cheap medication. Humana's response is that they still won't pay because it's a second medication for the diabetes.

On April 1, 2014 while packing and moving boxes and furniture for storage, I injured my back. The pain was so severe that I fell to the floor. That same day, I went to my Doctor's Office and was prescribed Motrin 800 and Tylenol #3. I could not sit or stand. I was bent over at about a 40 degree angle. The pain ran from my lower back down my thighs almost to my knee on the left side. At any rate I called in sick and used both sick and vacation time until my employer insisted that I apply for the Family Medical Leave Act.

I've used Advair for many years with excellent results. Previously I had many trips to ER unable to breathe! I have COPD, chronic bronchitis, asthma, etc. I called in a refill for Advair to Walgreens. When I got there to pick it up, the pharmacist told me that HUMANA refused to pay for it & wanted me to try a cheaper brand! I have no Advair left & have been experiencing asthmatic episodes frequently lately! I need it now! There was NO notice from HUMANA whatsoever! In the past they refused to cover my nasal medicine Rhinocort, & I had to pay out of pocket for it - almost ninety dollars at a clinic!

Where to start??? I have so many negative experiences with Humana that I can share only one at this time in order to prevent writing a novel. I have been enrolled with Humana HMO Gold for about 4 years. I have had issues with chronic pain for that entire time period. I have had a problem with my teeth rotting (due to a congenital disease), and of course I have no dental coverage and essentially I had to endure countless abscesses and other complications. I literally had to endure my teeth decaying to the point that they were only roots below my gum line. Also, I suffer from spinal stenosis and arthritis. My PCP was kind enough to prescribe me pain medication, specifically methadone (due to my inability to tolerate the acetaminophen in other analgesic medications).

I have been with Humana for 15 years. When I joined, our Dr was very helpful and we had no problems getting the care we needed. We even bragged to our friends what good care we got. The doctors asked questions and their main concern was keeping well. I have a couple forms of arthritis and have chronic pain which I try to live with as I don't want to feel helpless all my life. A lot of medication didn't help and mostly now I depend on pain meds. I had started trying to lower my doses through the dr as I didn't feel when I got older that I needed so much as I was taking.

I am new to Medicare. I purchased a prescription drug supplement plan through Humana. My first experience was that they messed up my billing, after two months I finally got that straightened up. After speaking with an agent, he told me that I could get my prescriptions filled at Walmart. I explained that the closest Walmart was 70+ miles away from my home. He told me not to worry, they will deliver for free. I did make a trip to my local Walmart to bring in my prescriptions for the first time. They informed me that they do not deliver. I would have to purchase my meds through their Texas office. I spent another two weeks working out all the details between my medical provider and Walmart and still no meds.

Humana Atlanta HMOx - I enrolled with a start date of 01/01/2014, have had nothing but trouble. First it was my deductible. It was suppose to be 500.00 went to 1500.00 then finally back to 500.00... I'm diabetic and wear a pump. My insulin is still so high I can't afford it and now I'm having trouble ordering pump supplies.... They decided not to cover my test strips which who cares if I had to change brands, right?... I am just so disappointed with these non communicating people. WHAT A JOKE!!!! I'm covered for what?

Yesterday, my bank was double billed for my wife's monthly premium. The representative I spoke with was very outrageous and stated that they were aware of the problem as many others were also double billed. I asked how would I get my bank account reimbursed and was given a fax number and name of person handling this and have faxed my bank statement to them. However, I was not given any guideline as to when the money taken from my account would be returned. This is the second time in the 3 months we have been members where we have double or almost triple charged. As a retired person, my financial strain has been painful to say the least. My wife's premium total due has been $800, but to date $1167 have been hijacked with seemingly no recourse for the overcharges to be returned to my bank account. In the old days, bank robbers were hunted down by the local law enforcement. Now sadly, highly paid executives tee it up at the golf course while their lowly paid reps handle our irate phone calls. WHERE IS THEIR CONSCIENCE!

I went to the hospital short of breath and with a offloading heart. It was determined that I had hypothyroidism. I need a primary to get a referral but nobody on the list provided by Humana takes Humana gold. I guess I have to risk death and go to the hospital hoping that they will treat my thyroid there. I'm extremely disappointed.

When I signed up for Humana, I was told my medication would be covered with a 50.00 copay. I signed up through Ehealthcare.com. They assisted me through the marketplace and assisted me in choosing Humana HMOx as my new insurance plan. I have asthma and have been well maintained by Advair 500/50. Humana denied my prescription and they have a tier system that forces me to pay 50-100% of the cost of any medicine that is strong enough to control my asthma.

We were treated well and received excellent care in a Humana PPO. The problem arose when we were released and had to make our own decisions on follow up care. We called for predetermination of benefits and when the bills arrived, they did not agree with the quoted amounts. We were told the quote is "just an estimate". I did not know that at the time. Just a warning.

I have been a member of Humana for several years - probably more than five or six. The doctors have always been caring and supportive. I believe they have provided the best care they could given what have sometimes been difficult and complicated situations. I think they do the best they can given the rules, regulations and cost-controls imposed by the government and health-care insurers in general.

Before joining Humana Prescription Drug Plan in May 2014, I listed the names of my medications including Advair Diskus. I was told that they were all in the Formulary. When I had my prescriptions filled, I wasn't able to get my Advair Diskus. I have been using Advair for 20 years successfully and have never had any side effects. Before my asthma management with Advair, I had about 4 ambulance trips a year to the hospital emergency with severe life threatening asthmatic attacks. Since my use of Advair, for the past 20 years, I have had no severe asthmatic attacks.

My doctor called today and said the claim they filed a surgery was denied by Humana because they had cancelled my Medicare coverage. After 8 phone calls to Humana, they said my Medicare medical coverage was cancelled because I added a drug plan in May??? I was never contacted and told my coverage was being cancelled. Humana decided I needed drug coverage MORE than I need medical coverage. I have spent hours on the phone and each person gives me a different answer. What I don't understand is HOW they can cancel my Medicare coverage which I pay for each month out of my disability check. I now have $2500 in medical bills that HUMANA says they are not going to pay EVEN though my doctor got pre-authorization. Must I hire a attorney for such a stupid mistake?

Very disappointed about Humana Choice PPO H4520-006. This plan is suppose to offer health and prescription for in and out of network benefits, and it doesn't offer the services that they said they offer for the Humana Choice PPO, according to Medicare Contract.

I called HUMANA on February 4th, 2014, to express my desire to cancel my prescription insurance coverage. I was told that the only way to cancel the coverage was to FAX them a letter of dis-enrollment stating the effective date and also to include a reason for cancellation. I did all that was asked, informing them that my reason for dis-enrollment was that I now have better prescription coverage from another source. I signed the letter, included my telephone number should there be any further questions, and FAXed it to the number I was given: 1-800-6338188. I received an email confirmation that it had been received by HUMANA, so I did not pay them for any months going forward - I had already paid them through the end of February, so everything should have been fine. On the letter, I also included my Member ID number so there would be no question as to who the letter came from.

We are a billing service that handles ambulance billing. We have had numerous claims reject for our Medicare patients that were transported by ambulance to a local hospital & then admitted to an In-patient status. Our claims have been denied or monies recouped erroneously. After multiple phone calls, appeals and faxing of records to substantiate the ambulance transports, we were told this: Humana bundles "ALL" provider charges up to 3 days prior to the In-Patient hospital admission and includes them with the hospital charges! We have explained that the ambulance companies are independent entities from the hospital with different Tax Id's, NPI's and ownership. It is true that the admitting hospital has to bundle all out-patient charges within the prior 3 days of a qualifying In-Patient admission. However, that does NOT apply to all other providers. We are not sure who handles Humana's Medicare Compliance Department, but obviously, they do not fully comprehend CMS guidelines

My Husband has Humana PPO which if you never get sick is okay. But if like my husband you end up with a back problem, it’s whole different ball game. My first but not only complaint is their provider list. The doctors in our area on Humana's list will not accept or deny you an appointment until they review all medical records in order to see if they want you as a patient. In my husband’s case, he is in dire need of surgery to free up a compressed nerve. He has been in terrible pain for over two weeks. He was hospitalized where they did 3 MRIs, CT Scans and X-rays. Did nothing for the pain. His Humana approved Primary care Doctor believes in death if you are a certain age or pain for life. He refused treatment or any more test. Hospital Doctor and Primary Doctor never talked. I can go on and on.

Had a annual health and wellness exam which was supposed to be free of charge. I just received a bill for $55.33 for a blood test. I don't know how they consider this exam as being free. I guess no more blood tests for me. They should have the doctor inform you that it will cost you.

I had a Humana HMO plan in Florida and was happy with it. I have relocated to New Bern, NC, and signed up for HumanaChoice (Regional PPO). There are only two doctors listed here in my area for me to choose from. I searched for and found a Endocrinolgy Care center that was listed by Humana's search tool. So I have gone there since I am diabetic and also have a thyroid condition. Thus far, Humana has not paid for this care and doesn't even show the treatment through my online access to my healthcare account. Additionally while I was out of town for a wedding, I had to go to an urgent care facility for treatment for a bad infection in my right hand from a wound. They refused to pay that saying I was out of my plan's coverage and that it was not listed as emergency clinic by the doctor's office.

I am supposedly registered with Humana's website but I cannot access from my computer. Talked to the tech people at Humana and they claim they could sign me in on their end but I could NOT get into the site from my computer. And to add insult to injury, they could do NOTHING more for me. I wanted to order one of my insulins which is critical for my health as I am type 2 diabetic.

Having this insurance is like paying a premium to show people you have an insurance card. They seem to cover nothing. I spent three nights in hospital in January after coming down with cellulitis. I paid $3153.35 out of pocket for the short stay - 365.10 of which went toward my deductible. Why didn't the entire $3153.35 go toward my deductible. And Humana covered virtually none of the expense. Paying for Humana insurance is paying a premium to receive nothing at all. I pay a $75 co-pay to see a specialist, then get a bill from that doctor showing that Humana has covered little to none of the remaining costs and that I am responsible for the balance.

I spent four days trying to change my primary doctor. The customer care will give me a list of Doctors. When I would call the Doctor's offices the Doctor didn't accept my Humana plan or the phone number was out of service. It was very frustrating. The customer service wouldn't give me anyone to complain to and just said they weren't allowed to. My question is WHY isn't Humana updating what Doctors are accepting my plan?

Charged me 40.00 copay instead of 20.00 my card says, they say because I had a shot it's considered surgery which is an extra 20.00. If you have a choice, I wouldn't get this insurance, have had other ripoff things.

I got a new Rx from my Dr. I took it in to have it filled. When I went to pick it up, the amount was $238.2! I called to see why no insurance was paid towards this Rx. I spoke with an agent named Elana, 5/16/201 shortly after 9 am. She was extremely nice, and gave me information on different generic, Rx's that my Dr. might possibly change me to, so that I can afford it. I don't have enough space to tell you all the nice things about her. If you can find out who this Elana is by the info I have given you, I think you should give her a raise. My name is Carol **. My member # is: **. Elana is a keeper!! Thanks you for listening!

I turned in all the paperwork I was directed to turn in. Now they are saying that they have no paperwork or invoices of the portable oxygen machines I purchased. Also they are saying, I have no authorization to be on an oxygen concentrator. I have been on oxygen since 2010 so now I have no oxygen machine or portable concentrator to use. They say they can't authorize it. What happened to the last four years? How were they paying rent on the machines without authorization.

Parent was in hospital for several weeks for illness. Was told by hospital that rehabilitation was needed to get strength up before return to home. While Medicare will provide @20 days for this, Humana denied this because they claim that parent would not get any better. This looks like a Death Panel decision related to the ACA.

I called Humana to cancel my Medicare coverage during 2013. Two times I spoke with Humana reps and requested my policy be canceled two different times during the period of 2013 in which I was suppose to be able to cancel the policy of Medicare. Humana never canceled my Medicare insurance policy after two verbal notices over phone with Humana reps. I am continuing this matter any way. I can see once Humana gets your information, they do what they want and it's all about the money! This is crooked as hell. I requested my policy be canceled two times during eligible period in 2013. Humana rep said he would forward my request for my policy to be honored for cancellation, has yet to come to fruition. I'm going to ride this until I get this Medicare policy canceled!

I signed up for Humana Health thru healthcare.gov. I have made of 30 phone calls asking for the benefits are under my policy. I have not been able to speak with a live customer support person at all. I have made every attempt to get thru to a live person over the last three weeks with no luck. I will not make the monthly payments, and will contact FL insurance commission.. Humana Insurance should not receive federal money for insurance if they cannot provide customer support as they advertise on their web site. I filed a compliant with healthcare.gov.

I was on the phone with the Premium Payment Department for an hour and a half trying to pay my dental and health premiums. Why I can't talk to one person to pay both is beyond me. I was transferred, Lord knows how many times, and hung up three times even when I asked to speak to a manager. The last time I called, I spoke with Sydney ** who FINALLY took my payment and set up a recurring payment.

I joined Humana in March 2014, and I thought I had done my homework before switching insurances. When I thought all my meds were covered and no higher than my set copays they screwed me out of one of my meds. Dr. office called their specialty pharmacy for a refill for my injections I get through them. These injections are a prescription med, so they should be covered under Medicare Part D. Well Humana has a board of review that decided my meds should be covered under Medicare Part B. That makes me have a copay of $1,004.90. Under Part D they are no more than $6.35. I appealed it and the result was the same, $1,004.90 to get my shots. Because of them and their business practices I now have to skip a month of my shots. I can't afford $1,004.90, so I now have to wait til my insurance changes back June 1st to start getting them again.

It usually takes one hour to get a response by telephone. Operators are slow and do not care too much for what is going on. They repeatedly were telling me that my doctor was not in network. I have to repeatedly tell them and argue with them that my doc is in the network, but that they have to use 70 miles in the drop down menu. If you ask them by email, it takes from 7 to 10 days to get a response. LAZY COMPANY - STAY AWAY.

Had an appointment this morning. Prior I had spoken to Humana, spoke to the doctor office, had to wait for a month for appointment so Humana could put my doc in the system as my PCP. I get to the doctor. These ** say, "No, we no longer take that insurance since last week." WTF, I call Humana. They say, "Yes, they are no longer in our network." WTF no courtesy.... The Humana Insurance HMO x has been a hassle. 4th month and we can't find a provider. When we do, they suddenly don't accept it. What BS... We call, long wait ... They refer us to doctors who are closing soon, too damn far or not in service. We have been paying every month on time. I call doctors and they're not... The insurance knows what's going on. Has anyone had any success???? With HMO x Atlanta.

BUYER BEWARE: PURCHASING INSURANCE FROM THIS COMPANY MAY LEAD TO ENDLESS CALL CENTER HOURS AND NON-COVERAGE. This company wrongfully terminated my policy after misapplying my entire premium payment (dental and medical) to only dental. After contacting them to address the problem, they completely owned that it was an internal problem and needed to be fixed. That's when it goes downhill. I have logged well over a dozen phone calls with futile results. Most calls take at least an hour and hold times can easily range from 30 to 45 minutes. There are typically multiple transfers from one call center person to another as they politely tell you, I'm so sorry.

I helped my partner to get care on the health exchange in Colorado and she chose Humana. What a mistake! They had the best price but every time she uses a Humana doctor who gives her a referral, the test, procedure, etc. is denied before or after the fact - and all of this occurred int the last 4 months.

About a week ago, I requested health insurance information. Humana sent me an invoice demanding payment for coverages I never agreed to nor signed up for. I have tried contacting customer services and so far nothing.

For over 8 months now, I have been trying to recover the money my mother spent out of pocket after reaching the maximum out of pocket. Each time She or I call Humana, we get a different specialist and each time having to repeat the whole story for our calls... no consistency with any of them... and each time we get a different reference... doesn't do any good because we can't get anywhere with them. When a customer reaches their out of pocket, Humana somehow is to notify Sante but none of the specialist I have talked to knows who takes care of that end of the deal. I never thought I would end up making so many phone calls on behalf of my elderly mother to receive her money back. My parents live on SS and they depend on that money, especially since my mother was diagnosed with cancer and is in need of continuing chemotherapy. I have read a lot of bad reviews about Humana. They have been good as far as paying for her medical expenses, no complaints about that... but they did influence me not to get into this health insurance, especially since what I am dealing now for my mother.

My dealings with this company have been ridiculous. The wait times to talk to someone are INSANE. No one has any clue what's going on - I had two people in the same hour contradict themselves. They just told me today (4/11) that I have to wait on a mailed invoice that was sent out yesterday that will arrive in 7-10 days to pay them money, which is hilarious because they are emailing me EVERY DAY to say my account will be past due if I don't pay by April 17th. I am really, seriously just about to say screw this. As a healthy young adult I shouldn't have to fork over $400 a month because I'm a freelancer.

Spoke with a customer service rep after waiting over an hour because my son's asthma medicine wasn't covered. There is no alternative. Rep recommended a nasal spray that has nothing to do with the meds my son has to take. Highly dangerous... Now they won't pay any part of an emergency room visit saying that I haven't met my deductible. I paid $700/mo for no coverage. I basically threw money away on this plan. DO NOT PURCHASE THIS INSURANCE!

I had dental coverage with Humana Gold. However, when I went to a dentist in January 2014 and had some work done, I found that the dental insurance had stopped at the end of 2013 without any notification. I called Humana and the first-level employee told me that dental coverage was no longer offered with my plan - so sorry. I will appeal to the company, but doubt if I'll be successful in getting them to pay their share of the dental bill. I will also file a complaint with the Medicare Fraud at 1-877-772-3379. I would advise potential subscribers to do considerable research and to be very wary about signing up with Humana.

I signed up for Humana Health Insurance in October for a plan starting Jan 1, 2014. At the time I signed up I repeatedly reviewed the network of providers as I have had cancer and have an established medical team with whom I needed to continue to work. In February, I went for my annual mammogram to the Breast Care Center at St Thomas Hospital, a major hospital in the area, which was included on my provider network. When I received the EOB I found that the network had changed and St Thomas was no longer included. I spoke with the agent from whom I bought the insurance and he too was surprised dismayed at this change.

In October of 2013 my mother was in a serious car accident. No fault of her own she was hit by a truck. It took an hour to cut her out of the car. Her foot was only attached by skin to her ankle. We thought that would be the worst nightmare of our lives! We were wrong, dealing with Humana is! She was taken by Ambulance to the nearest hospital. The hospital just happened to be in their network. My mother was in the hospital 3 weeks. I called Humana and set up a subjugation claim right away. (Means they pay her claims and they will be reimbursed when my mother settles with the insurance company of the guy that hit her.) She did have $25,000 in PIP but that was gone the first day in the ER.

Have been fighting them for four years. Every time you call it takes many calls and you have to speak to several departments to get the same answer. This time we will fix it in the system. I have a kidney transplant and they fight every time I refill my rejection drugs. I call and spend always over an hour on the phone and the same answer: "Yes your drugs are approved. We will fix the system," and that never happens. I just got rejected on a refill when I have letters that approve the meds. Lots of wasted time and frustration for the same reason every 90 days. I tell everyone I can to stay away from Humana.

If you have a Humana Medicare Replacement policy, beware! Humana has an exclusive contract with Apria (a company who has filed bankruptcy twice) to provide medical equipment (DME) to its customers. The issue is that there are many, many areas where there are NO APRIAs within a 50-100 mile radius. Therefore it is creating a hardship to those getting discharged from the hospital that need equipment ASAP or if their physician orders it. They have tried contracting with other medical equipment companies however most of these companies are not full line DME companies leaving the customer with the burden of having to drive a long ways or pay out of their own pocket! Trying to get an exception to this is nearly impossible! Think twice before enrolling! Their inpatient coverage may be good but the majority of healthcare these days is not in the hospital so... Good luck Humana Patient.

I took out a health policy in January 2014 and the agent that I worked with said that my policy would take effect on March 1st 2014 and that my 1st ACH payment would be around February 28th. Subsequently, the 1st payment came out on February 7th much to my surprise. I called Humana immediately and cancelled the policy as I did not want to deal with a company that did not do as they agreed in the contract. The customer service rep who processed my cancellation said it would take about 6 weeks for the payment to be returned to my bank account.

I have been with Humana for over 10 years and have paid them over $50,000 and both my son and I have used them approximately ABOUT 6 TIMES. Most of those visits have been for check ups. When we needed them most for an infected tooth at the emergency room in the middle of the night they said that was considered dental. The cost of the claim was only $700; ironically, that's what I pay them per month.