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Humana Health Insurance Reviews

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About Humana Health Insurance

Pros
  • Reliable coverage for medical needs
Cons
  • Delays in claim approvals

Humana Health Insurance Reviews

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    How do I know I can trust these reviews about Humana?
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    Page 5 Reviews 380 - 530
    Sales & MarketingOnline & App

    Reviewed Nov. 19, 2019

    This insurance is a scam. Every provider on their website they state in network is a lie. More than 90% of the providers they state are in network is not. They are liars and trick you into signing up when there is almost 0 actual in network providers while stating there are tons. Liars and they should be sued and taken to court for billions.

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    Punctuality & Speed

    Reviewed Nov. 19, 2019

    My mom had a devastating fall July 27, resulting in a Cervical Spine (C4/5) dislocation. Immediately after her injury she had non-purposeful movement of her wrists and ankles. She required surgery to stabilize her neck and spent 21 days in the hospital. Every 5 days Humana required a submission as to whether hospitalization was necessary. But wait it gets better. She then went to a skilled nursing facility where again every 5 days we had to submit verification that she did in fact need this level of rehab. Over the next 3 months they denied her care 5 times. Resulting in her family having to appeal their decision. We WON ALL 5 TIMES!!

    BTW you generally have less than 48 hours to appeal it. It took away from us focusing on her getting better. Now that her 100 days are up, the skilled care facility is sending her to a nursing home where she will be getting 30% of the rehab she was getting. Mind you she continues to make amazing progress with full use of her upper extremities and slow but nevertheless progress on her lower extremities. So I promptly made sure my dad got rid of Humana this during this medicare sign up and am encouraging everyone to avoid Humana.

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    Price

    Reviewed Nov. 13, 2019

    I spend almost one hour with a salesperson while gathered my info. when I requested a written quote regarding our conversation, she stated the company does not do those and referred me to the website. There is no dollar amount there either. It is like signing up for something then find out what it cost and wait another year to change.

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    Staff

    Reviewed Nov. 11, 2019

    My Doctor makes me pay up front, then I have to submit the bill to Humana myself and wait a few months to get reimbursed direct from Humana. The Doctors office gave up on Humana, they said “You fight with them”.

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    Customer ServicePrice

    Reviewed Nov. 9, 2019

    Paid premiums on family for over a year. This was an extremely poor (and dumb) decision on my part. Humana collected big money and, in return, I paid big time $ in dental bills. What little Humana did pay, it took countless hours on the phone just trying to get them to pay practically nothing. Another loss on my part. An extremely and expensive experience. Unfortunately I did not invest in due diligence prior to getting skinned. Please do not make the same mistake! You will probably save money and definitely a LOT of time in just paying your dental bills. It is much less painful.

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    CoverageStaff

    Reviewed Nov. 2, 2019

    Jan. 2019, got a referral from my PCP for a surgery, Humana paid the surgeon, no problem, then denied the anesthesia bill, stating invalid ineligibility. Then Humana claims that I have "other insurance"...that other coverage was terminated 12/31/2018. I have spoken to and written to Humana multiple times for 10 months about this, they have assured me they will deal with it with "issue resolution teams" twice and nothing is corrected yet. I have had to pay out thousands of dollars for their negligence, one provider is so mad at Humana, they refused to re-bill to get me a reimbursement, as they don't trust Humana. Open enrollment is now, and I have got to change...

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    Customer ServiceInstallation & SetupCoverageStaff

    Reviewed Oct. 28, 2019

    This is the worst company I ever used. So many problems. Been waiting almost a month for needles for insulin because they never sent them and claimed the needles are discontinued. Well not according to manufacturer. I s co made appt for me for a glaucoma test. Waited an hour took a bunch of tests then was told I would not be getting long glaucoma test because my insurance won’t cover it. I left the appointment called Humana and they didn’t even have a record of them making the appointment. I was hung up on by some entitled millennial who had absolutely no people skills. Nobody knows what the other is doing. They have no right running an insurance company. The CEO is BRUCE BROUSSARD but don’t think he will talk with you because he refuses to speak with the public this according to 3 separate so called customer reps.

    When you cannot get ahold of the big shots, you know you are not with a even so so company. These reps treat people like crap because they know nobody cares in the company how people are treated. The CEO is probably an entitled millennial and can’t be bothered by the public. In the meantime people are scrambling to find better insurance or at least a company that has checks and balances in place. This place needs to be closed, the CEO, Bruce Broussard should either be fired or be trained to be able to recognize shoddy work. From the people I spoke with I don’t believe you need a high school diploma to work there.

    If you're looking for great or even mediocre insurance don’t call Humana unless you enjoy being abused by them. I still shake my head in disgust that the CEO OF HUMANA, Bruce Broussard does not take any kind of phone call from people that purchase their lousy insurance. Bruce must be some kind of COWARD that all employees know that he will not speak to customers.

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    Customer ServiceStaff

    Reviewed Oct. 22, 2019

    The worst experience one can imagine. Humana Advantage is obligated to manage Medicare for its customers. One of their advertised benefits is home health aide services, 35 h/week, as stated in Medicare rules, based on "medical necessity," which the patient's doctor certifies. See, page 66 of 2019 Humana Evidence of Coverage booklet. Well, the doctor had certified the "medical necessity." Still, after months of fighting and hundreds of telephone calls to Humana call centers, NOTHING has been done.

    Every single agent, when you mention this benefit, asks "what are you wanting the aide to do?" as if they don't know what they are obligated to do. Some pretend they do not have the doctor's certification (even though it was sent and received via certified mail), others - that their nurses are reviewing the records, that the customer is responsible for finding the agency that can provide this service...

    By the way, NONE of the agencies which Humana has in its network offer this service in Knoxville, Tennessee. I know, I called every single one of them after Humana had sent me the list. Humana's excuses are endless, the service - none. The agents are trained to put you off, to refer you to another department, which will refer you to another department, which will refer you to still another department... My advice, if you or your loved one really need this service - stay away from Humana.

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    Customer ServiceCoverageSales & MarketingStaff

    Reviewed Oct. 17, 2019

    I had Humana Medicare Advantage Plan N for only a few months. I chose it because I thought I was moving out of state but the place I was moving in didn't have my previous insurance plan. First of all the person who convinced me to taking the insurance was a fast talking salesman and wasn't really looking out for my best interests. He got the Rx plan mixed up. In the three months I was with Humana, I ordered prescription drugs twice, had two physicians visits and tried to get a flu shot.

    EVERY time I had to call them because of the doctor not being able to confirm the insurance even though I was paying for it. It took several phone calls (we're literally talking hours) of being cut off, wait, being cut off again, having to hear their infernal sales pitches from this annoying, nagging woman's voice the whole time I was waiting. They would say I didn't have insurance with them and I would need to be sent to another department THREE TIMES EACH CALL. It was a real hassle. The last thing I did was try to get a flu shot, but they wouldn't pay for it because (although I was at a hospital pharmacy) they wouldn't cover it. So I moved back home and got on my old plan and I'm glad to be out of Humana.

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    Staff

    Reviewed Oct. 13, 2019

    I signed up with them because they, and all of their sales people and agents told me My Specialist was in their network. I repeatedly asked all of them if the Dr was on their plan. They all said yes. So I signed up. I went to the Dr. and I looked at their provider list and couldn’t see his name and I went to him a week ago. Called. Their office yesterday & said I could not find my Dr. So they looked and told me my Dr. was not in any of their plans. He is the only Dr. within 150 miles that can fill my back pump so that is why I was so concerned. So I called Medicare and filed a formal complaint & they enrolled me back in BlueCross. It will Start on 11/1/2019.

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    CoverageStaff

    Reviewed Oct. 11, 2019

    First, there are infinite numbers in the universe. Why must they use ** for a customer ID. I only had this plan, Gold HMO, for one year, during which time I had one visit to the doctor totaling around $250. No, they would not cover it, saying it was not the type of issue they cover. It was a minor cut that became infected and just required antibiotics. The plan also covered dental. I looked up their participating dentists on their website and called the dentist to make sure that they used the plan and the website was accurate. Yet they denied the claim due to "out of network". Fraud in my opinion. Stay very far away from this plan. These people are sick.

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    Customer ServiceSales & MarketingPriceStaff

    Reviewed Oct. 10, 2019

    I recently signed up for Humana Medicare Advantage and received my membership card which contained instructions to confirm receipt by calling ** anytime. I called that number and after being asked to confirm my address and DOB was asked for a credit or debit card number to facilitate receipt of my $500 "bonus" for signing up with Humana. Needless to say, I did not provide any credit card information, hung up and contacted Humana on a number I knew to be real. They agreed that it was a scam, understood that the number I called was the number on the card they sent me but seemed otherwise indifferent. Kind of like they already knew about the problem.

    I don't know what I expected but certainly not the lack of interest and zero sense of urgency I encountered. No follow-up whatsoever. Caution to all who received the same membership card materials I did. Don't call the number to confirm receipt because it is a scam and, according to the Humana operator I spoke to, unnecessary in any case. Not a good start to my Humana relationship.

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    CoverageSales & MarketingStaff

    Reviewed Oct. 9, 2019

    My 98 year old mother had this highway robbery "Medicare Advantage plan" for 14 years. She paid premiums in advance. She does not go to the ER for a toothache or a muscle cramp. Meaning She does not go there if it is not LIFE THREATENING/A TRUE EMERGENCY. She went to the ER only once in 14 years. She paid her drug copays even if she was charged $500 for the non Tier 1 Exelon patches for the first fill and $100 thereafter. At 98 years old she maintained her health. Now - 7 days ago she got dehydrated, encephalopathic - meaning brain function was affected by her metabolism. She went into kidney failure (her baseline function was normal). She usually ambulates without any cane/walker and now she is weak. First admission to the hospital in 14 years with Humana highway robbery.

    By the way she bought a PPO plan. Not HMO. Well - Humana PPO Medicare Advantage plan will NOT COVER HER ADMISSION. Really? I spoke with one of their medical directors. I am a physician myself. I know those "doctors" are there not for the consumers. She told me "No Humana will not cover for the admission." Even if the creatinine (kidney function) went up 3x the normal. Even if the patient who was normally ambulatory is now unable to get out of bed. They will not pay for rehab. NO. NO. NO. Even if her CPK enzymes which are normal under 125 rose up to more than 7K. A condition called rhabdomyolysis. Even though this well kept 98 yr old woman was close to death. Humana denied coverage. No. No. No.

    Very disappointing. I disenrolled her immediately. It's better to have a free standing Medicare A&B. Pay your 20% or just get a Part D (drug coverage). Medicare advantage plan is like getting a parasite to suck on your Medicare A&B benefits - with you not getting any benefit. So look beyond the cheery advertisements "maintaining your elderly", "saving money", "getting healthy" blah blah blah - NAH - all poisonous money sucking advis. I would start advising my patient my truly disgusting personal experience with Humana.

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    Customer ServiceStaff

    Reviewed Oct. 1, 2019

    After 2 hours and 51 minutes, I am still on the phone with Humana trying to get information about a claim that was processed incorrectly. I have been transferred 5 times already and I am waiting on yet another representative that most likely can’t answer simple questions. I have spoken with 2 managers that can’t provide information. They are incompetent!!!

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    Customer ServiceCoverage

    Reviewed Sept. 30, 2019

    My payment was set up to be auto drafted. Got an email confirming that. Found out 3 months later when I went to use the insurance that not only did they not auto draft they cancelled the policy without informing me. I stopped getting bills for payment when the auto draft was set up. Do not recommend.

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    Customer ServiceCoveragePrice

    Reviewed Sept. 30, 2019

    Humana Customer Service has gotten bad since last year. Humana Choice PPO is back at their stupid games again. They complain about paying bills in network and out of network. I am leaving Humana and cant wait to join AARP Medicare Complete United Healthcare PPO Medicare Advantage PPO. I cant even trust Humana because theyre blood sucking vampires and cost $$$$ and don't cover anything.

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    Customer Service

    Reviewed Sept. 28, 2019

    Poor service, definitely not at all worth having. 6+ hours and 12 phone calls later still no closer to getting anything done plus worth also getting kicked from phone calls cause their system sucks. Their medical claims office is a joke. They "say" they put urgent on a request for medication for preapproval and have it done at the end of the day which is a bold face lie, I should of known a insurance company can't be honest. You cannot get a straight answer from anyone. If you ask for a supervisor they have absolutely no pool what's so ever. And for anyone that's from Humana corporation all this phone calls have been recorded by our system so you know it's not a lie and everything I say is true. Medicare patients be forewarned now! If they offer this program for you deny it and go for a different insurance company all together. If you are paying out of pocket avoid them all together. Not worth spending anything on this company. Really. What a crappy company.

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    Customer ServiceCoverageStaff

    Reviewed Sept. 25, 2019

    I was in a Catastrophic accident, Doctors have said that there had been at least 5 reasons for me to be Dead... Then there was Humana. I dropped 20' headfirst into concrete, acquired TBI and an IPH (stroke), I blew out vertebrae in back, herniated/bulged 6 out 8 cervical vertebrae, a complete break of bilateral Femurs, Fracture Left scapula, Left Humerus broken in 5 pieces. Initially, I was told I might not walk again, The Military Hospital I was rushed trauma 1, to failed to address back in a timely manner causing more problems and it to fuse while after not being treated. I had gone to civilian Dr., who tried to see if a kyphoplasty cd be done, but vertebrae had almost completely collapsed to where the attempted Kyphoplasty was not of any help.

    I would have a Pre-Op evaluation for a Transthoracic Corpectomy, 3 weeks later on 12/21 a letter was generated by Humana, but, I wouldn't receive until 12/29 the last business day of the year. Humana was informing me that my Individual policy would no longer be serviced after June, My 5 level Fusion/Corpectomy and Osteotomy was at the end of March. What followed was no less than horrific, hardware used in Fusion/Corpectomy that needed to be removed after some time following the surgery still remains today, that continues to cause significant pain and sleepless nights.

    My Dr had tried to address my neck issues... NOTHING, Humana had "SAID", "We might be able to extend benefits 90 days," that turned out to be a joke, as it was a minute to minute to see if they were going to cover you or not. Situations related directly to initial accident and surgeries, that would lead me to ER or treatments were denied. Radiology from the Military was denied, and billings were sent to the Department of Treasury for collection. I all the time I am raising cane, and they put me off, figuring statutes would just cancel out everything.

    I had been "TOLD", That ALL Individual policies were being done away, I tried to find out why in the middle of the Year, Humana replied that's when all were being terminated, yet I would find out some time later, the last of My Plan's polices did not end until the end of the year. I have audio recordings and records of all this. My Monthly was around $600+, I had a 80/20, $2, 500 Dedct. and 100% after that, I had been married at the time, however, given all of the afore-mentioned incidents, shortly after the Back surgery and Humana stranding me, "I was Kicked to the Curb," Not only by HUMANA, but, By my so-called Wife at the same time, Thank You Humana! My calls would go unanswered, the name was changed from Humana One.

    I guess, to protect from any claims from "That Company and its Practices, We're New and Improved!" I do have to say, Humana had given me time to find another policy... Yeah! With mitigating circumstances, pre-existing injuries sustained from accident yet to be dealt with, and after already been told, "Humana would no longer be offering Individual policies", Yeah Great opportunity to get coverage at that point.

    These People Do Not Deserve To Be In Business, they were Highly Unethical, in how I was treated, In the use of their highly "PAID FOR MEDICAL EXPERT OPINIONS," whose Practices only revolve around the Profits of Writing "Defensive/Objective Opinions" and their Medical Appeals and Denials. Ah, Yes, all in order to Save the Insurance Companies their GLORIOUS PROFITS, Talking about "SCHADENFREUDE", "Help Ever Hurt Never", The Physicians' Oath... Yeah, real Comforting, I have had Prostate Exams, Sigmoidoscopies that were more "Comforting", than what Humana was to me, And This has been, MY OPINION.

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    Verified purchase

    Reviewed Sept. 23, 2019

    Humana was supposed to pay my PC doctor twice I have been and they paid nothing. Reason they give is I need a prior authorization from my PC doctor to see my PC doctor. The PC doctor that they referred me to. I would not refer Humana to anyone.

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    Coverage

    Reviewed Sept. 23, 2019

    They said all my Doctors were covered so I enrolled. I got bills in the mail. My psych isn't covered. But they said he was when I enrolled? They try to fix it...now I cannot see my psych at all or get my meds because they won't even allow to to private pay because my insurance won't allow it. I have to wait 4 months to get medicare back. Now I'm forced to find a new psych in their network.

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    Installation & SetupStaff

    Reviewed Sept. 23, 2019

    It took me 3 months to get rid of Kaiser Permanente so I could go to an actual doctor instead of Kaiser quacks. I made my appointment with a doctor, excited to see this new doc, heard good things about him, appointment in 2 weeks. Then, Humana butted in! Since I'm no longer Kaiser and open enrollment change doesn't take effect till new year, Humana decided I needed an insurance plan and enrolled me! How did I find out? 8, count them, 8 envelopes and a thick 2019 Plan Coverage Package book! My new doctor doesn't take and DOES NOT want anything to do with Humana. Now my 2 week appointment has to be postponed. No medication until the new year! I am COPD with High Blood Pressure and enough medication to last through September. Thanks Humana! Hope I make it till the new year!

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    Customer ServicePriceStaff

    Reviewed Sept. 18, 2019

    I was an employee at a small business that was enrolled with Humana's health insurance. Because we had high co-pays, I made sure I took every step possible when I needed to schedule an appointment for an ear infection I had at the time that I would go to a doctor who was in my network, because I didn't want the bill to be higher than my already high co-pay. I called Humana several times before going to the doctor to double, triple, quadruple check that I was going to a doctor who was in my network. The agent eased my concern initially, letting me feel assured that I would be going to a doctor who was in my network so I wouldn't have any issues or extravagant bills. About a month later, I see my card is automatically charged an additional $94, so I called and the urgent care where I went said that they were not in my network and I would need to take it up with Humana.

    I called immediately and they informed me that the doctor was not actually in my network. I tried to explain to the Humana agent that I called so many times ahead of the appointment to ensure I would be at a place and with a doctor that were all in my network. I said that they can check their recordings and verify this information, because I was so worried that I called ahead so many times. The agent said they would be conducting an investigation and would need to listen to the recordings and if they find that the case was such, then they would be able to reimburse me for the extra amount. The agent said it would take 3-4 weeks. I waited nearly 2 months without ever hearing back from them by phone, email, carrier-pigeon, nothing. I called them again to ask about the status of this "investigation", and it was as if they had no idea who I was.

    I told them exactly what was going on and how I never heard anything, so they said they would escalate the problem and reach back out to me in a week. Fine, I let them do this and I called back a couple of weeks later. Again, they have no idea what I'm talking about, because no one in this company annotates anything their callers says. No one takes any notes, so every time you call them, you have to explain the situation all over again. After this time of calling them, they said they would escalate it even further and I should hear back in a few days. Humana telling you that they will call you back is the biggest joke. No one ever calls me back. I don't even believe they ever conducted an "investigation". I called again and told them that if I didn't hear from them, I would be filing to process a chargeback with my bank.

    This doesn't irk them at all, because they are just a money-sucking company that doesn't follow through with any issues their clients have. As long as they get paid, they don't care to actually help or to right any of their wrongs. In the end, I attempted to process a chargeback, pretty much it was just a final attempt at someone taking responsibility for this, but I knew it wouldn't really be processed because Humana is just a third-party in this event, even though it is their whole responsibility for misinforming me on MULTIPLE occasions prior to visiting the doctor and office where they precisely told me that I could go.

    Even if the case was such that I somehow misheard them, the fact that no one followed up with me ever and strung me along, hoping that I would just let it go, is what really makes Humana a distrustful, unloyal, unorganized, and despicable company. If you are a small business owner, please do your employees a favor and avoid using Humana for your company's health insurance. They are not to be trusted. If they had even followed up with me once, this review would not have been posted.

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    Customer ServiceCoverageStaff

    Reviewed Sept. 18, 2019

    If you need something like an Outline of Coverage, forget it. Most all the reps are foreign, speak poor English, and they simply read their allocated scripts to you without giving you a chance to speak. Don't expect a supervisor to come to the phone, either. The reps are instructed to break down the complaint without a supervisor actually getting on the line. This is customer DISservice. If you need something badly enough, complain to CMS (Centers for Medicare and Medicaid Services). They're not much better, but at least a real supervisor or manager from Humana will eventually contact you. If you disagree with a decision (they use a third-party, "Intake," that actually decides for them), file a grievance and fax it to 8885562128. You have rights, USE THEM.

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    Customer ServiceCoverageStaff

    Reviewed Sept. 17, 2019

    WE follow their procedures to avoid denials or OON (out of network) charges, even having their reps email us In-Network Providers only. They still claim charges as OON even when we verify that docs/procedures are IN network and covered before scheduling. They are unethical at best. Likely fraudulent AW. Will be reporting them to the Ins. Commissioners office with detailed info.

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    Coverage

    Reviewed Sept. 13, 2019

    I am on medicare and I have Humana as my insurance company. I think this is a fantastic company and I recommend them highly. They offer wonderful coverage - the pharmacy is convenient, reliable and exceptionally reasonable (most of my medications are free) and the medicines arrive by mail.

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    Customer ServiceStaff

    Reviewed Sept. 12, 2019

    I ordered an RX renewal Humana webpage. No response, so I tracked it, to find it was still pending after 2 weeks. Called customer service, she implied I was lying about renewal date and that I needed to be patient despite the date showing on the webpage matching what I was saying. I was forwarded to another department where agent was insolent and insulting. Claimed he had just called the doctor's office 3 times with no answer.

    Between the 2 agents, I sat on hold for more than 30 minutes. Concluded with no resolution and leaving me to fix it. I called the doctor and it was immediately answered. They showed no record of receiving a fax from Humana ever. Worst service I have ever experienced. I will be leaving this terrible company upon my policy renewal date. I suggest you don't consider this insurer ever.

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    CoverageStaff

    Reviewed Sept. 12, 2019

    Please do NOT spend any $ with Humana. This has got to be one of the most horrible insurance places in the U.S. I will not go into the detail of what has happened to our family - but Humana is evil. They do not provide any coverage when you need it. What in the world are we paying for every month, to then be denied. Our doctor at our local Evergreen Hospital had to argue, debate and even yell at the the Humana contact who was not listening to her plea to help get them to cover and get our family member the proper care. Humana covered NOTHING. Sent our family member home when they were just in the ER and need rehabilitation.

    The next phase will be long-term care and good luck with getting them to help with this - when they wouldn't even cover 1 day of rehabilitation. What an absolute joke. I will continue to write on sites and post to where I can in hopes of helping at least one other person or family who is looking for true help and coverage. Please avoid Humana!

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    Customer ServiceCoveragePunctuality & Speed

    Reviewed Aug. 29, 2019

    I was referred to a cardiologist to investigate a heart flutter. When I told my cardiologist it happens every other week or so, he decided based on that frequency that I should just wear a monitor for a week vs a one day monitor because the one day monitor wouldn’t be likely to catch the flutter. Humana refused to cover the claim for the monitor because apparently it’s their policy that the 1 day monitor be used first. A patient is going to follow their doctor’s recommendation and not pull out their insurance policy with a magnifying glass and question the cardiologist’s recommendation based on what a company feels like reimbursing. Health should come first Humana!

    If Humana feels that a provider should follow a certain protocol of one monitor being used before another one, I think that should be between the insurance company and the provider, not the poor patient who just wants to be well and might not understand all of the insurance jargon. As long as I had this insurance policy I was always scared of receiving care and having it not be reimbursed. I always tried to call their support hotline before receiving any treatment at all. This is not right. We should not have to fear receiving medical treatment, especially when we are paying high premiums every month to be insured! I think policies like Humana discourage people from catching problems early. People will wait until they are very sick before acting.

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    Staff

    Reviewed Aug. 28, 2019

    First year with Humana ChoiceCare POS via employer plan. Truly dreadful denial of claims from an in-network provider. Humana letters state the provider is out-of-network. Simultaneously I log into "My Humana" and the same provider is in-network for my plan. This is confirmed by telephone contact with Humana. Still the initial claim and subsequent appeal is denied with the result I'm left with a $2,300 bill for a routine preventative procedure. This is only one example of denials plus refusals to pay agreed amounts to in-network providers based on "incorrect billing". I do seriously wonder if all claims staff are paid more if they deny claims. Customer support services are a total joke. Lobbying for employer to ditch this awful company at the end of this year. Consumer Affairs should introduce a negative rating scale especially for Humana victims.

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    Coverage

    Reviewed Aug. 22, 2019

    My husband was transported to the ER 2 weeks ago due to a seizure and admitted to the hospital where he got great care and was put through numerous tests to determine, or eliminate, the cause. Humana has denied the claim saying the hospital should not have admitted him (he couldn’t even stand up and could not have gone home and just wanted to sleep, characteristics of post-seizure). He has talked to numerous Humana people and gotten different stories about how to go about appealing the denial (Humana said the hospital filed the claim “incorrectly”). He even got a lecture from one Humana employee. The hospital is appealing this on his behalf and have assured him that he will not pay the $42,000 bill. Humana has taken the “human” out. This is a horrible insurance company who cares nothing about their insureds. We will be switching insurance companies as soon as we can and this company is a story for 60 Minutes.

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    Customer ServiceSales & Marketing

    Reviewed Aug. 17, 2019

    If you like not having your meds or running out a lot sign up. This company is the worst run pharmacy I have ever seen in my life. Giant scam and it and Humana need to be shut down yesterday. You can spend hours on the phone and get nowhere and on and on. No one knows what is going on and dont care.

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    Coverage

    Reviewed Aug. 16, 2019

    August 2019: The cost for ** 90 day supply is $3,060.11. Humana does not cover this. The generic version ** is $2,013.57 for a 90 day supply. Humana does not cover that. My digestive health doctor submitted paperwork to include these drugs and my pharmacy DENIED! My doctor also asked Humana to make a drug tier exception. DENIED! Humana offers gym membership and rides to the doctor's office but not life saving medication. I can’t make sense of this.

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    Customer ServiceCoverage

    Reviewed Aug. 15, 2019

    This insurance is a joke. After 2 hospitals in 2 weeks, now in rehab still can’t get a response from them. Said I don’t have power of attorney. I’ve sent 3 into them. My husband is not able to handle his medical needs. Will not ever use this insurance again!!!!

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    Customer ServiceStaff

    Reviewed Aug. 2, 2019

    I work in the Health care industry and I have seen this Company evolve into such a horrific, mind blowing, money hungry company it is beyond me. Instead of worrying about the patient's needs or the patient's wants. They will go behind the patient's back and tell the MD office or care team providing services for said patient and tell them they can not see the patient anymore. That they have had enough visits and if they see the patient anymore, then the patient will incur the bill. Then when we tell the patient I am sorry but your insurance will not allow us to see you anymore and they call Humana. Humana will tell them 'Oh no we never said that, we have tried to reach out to them but haven't been able to, that's why we don't have any authorizations for you.'

    I can not tell you how many patients this has happened to and I will send them the communication between our facility and Humana so they can see that in fact we have been in contact and they are denying services because they said the patient has had enough and can do it on their own. Since when it is the Insurance job to tell a patient they can figure out their health care needs on their own. COMPLETELY AND TOTALLY A HORRIBLE COMPANY. DO NOT USE THEM!!!

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    Coverage

    Reviewed Aug. 2, 2019

    I recently had surgery at an in network hospital and everything was done by in network medical professionals. I have gotten bills from radiology and a specialist who are all in network. I hope more bills aren't coming my way. I got a statement yesterday from Humana and it shows practically every service has been marked denied. Out of over $33,000 in charges, only $847 was approved. Really? Their customer "service" is just as bad. I have had this insurance for only 3 months and it is by far the worst situation I have seen yet.

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    Customer ServiceStaff

    Reviewed July 27, 2019

    After only two months on this plan, I am ready to bail. Tried to find a dentist, but their dental physician listing was so obsolete that it was unusable. I made 4 appointments to 4 different dental offices only to discover that these dentists were long gone, and the new ones were not in the network. I work long hours and don't have time to spend hours each day searching for someone to clean my teeth. Humana needs to do their homework. I called the "friendly" insurance agent who signed me up, but received no callback. Luckily, in two months I can start the process to go elsewhere. In the meantime it would be easier to go a college dental school for services than to spend hours each day researching dentists in my spare time. If you sign up with Humana, you are abandoned as soon as you lay down your money. If I could I would give this company 0 stars because they are lazy.

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    Customer Service

    Reviewed July 17, 2019

    A month and a half ago I started having left eye blurred vision. Humana said I first had to see an Optometrist (half hour away) to get a referral. I did. Then I was told there were no Opthamologists in my area. All of this took nearly four weeks! I called them. Upset after making an appointment with a non-Humana DR. and they said I could go outside the "Network" but would have to fill out a form. Several calls and a month with a bad eye to tell me this? Then I tried to find an Endocrinologist for some blood work - SAME ISSUE! No DR.s in my area take Humana!

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    Reviewed July 15, 2019

    My insurance last year was through United Health Care who allowed my Good RX prescriptions to count toward my deductible, thus making medications affordable until I reached the amount (which I believe is currently $415 or close to that). I have spent over $200 this year with Good Rx and now discover none of that will count toward my deductible with Humana. Based on that and the other reviews here, I highly suggest people find another alternative prescription provider.

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    Reviewed July 11, 2019

    In one word: terrible. They talk the talk, but do not walk the walk. I am in the Seattle area and needed hand surgery, there is only one surgeon in a dangerous area of downtown that takes Humana. Seattle's metro area is nearly 4 million. The medical office I was referred to reported to me that they have nothing positive to say about Humana, specifically they state poor billing issues, difficulty getting scripts filled and inability to find a human to speak to.

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    CoverageStaff

    Reviewed July 11, 2019

    This is the absolute worst insurance company there is to deal with as a provider. They say they go by Medicare guidelines for Medicare Advantage patients but DON'T. Even when you send in PROOF THAT THEY'RE GOING AGAINST MEDICARE GUIDELINES, they still insist they're going by Medicare guidelines. They DENY EVERYTHING and tell us it's an internal policy and refuse to give us the policy information. They're just terrible. JUST TERRIBLE. If I could give 0 stars I would. They just suck.

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    Customer ServiceOnline & App

    Reviewed July 11, 2019

    Looking for a provider in network is beyond frustrating to say the least. The list they provide on their website is never updated or correct. You would think calling them directly would be an easier task, think again. All they do is call the physician's office you are inquiring about and ask them if they are an accepting provider on three way and the conversation goes around in a circle. One would think that Humana would have a accurate and up to date list of physicians on hand when you call. It has been four days and I am still waiting to hear back on whether or not they have found an orthopedic surgeon accepting this plan. If you have options stay clear and save yourself the headache, time and effort. Get real insurance.

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    CoverageStaffProcess

    Reviewed July 11, 2019

    I'm 67 and in good health. I fell two weeks ago and broke a bone in my foot. All foot specialist in the Coeur d'Alene have discontinued working with Humana, because they are so BAD to work with. I have been searching for a foot doctor and can't find one that accepts Humana. What I just found out is that I can't even use my Medicare. The program that Paris ** sold me gave Humana full control and they govern over Medicare. I can't change my insurance until October 1st. In the meantime I have to pay cash to a foot doctor while Humana dings my credit card.

    There has been misrepresentation on the part of Humana and they did not disclose what this policy did to me. DO NOT USE HUMANA. RUN AWAY FROM THEM AS SOON AS YOU CAN. HUMANA HAS TO ABILITY TO CHANGE MY POLICY AS OF THIS date 7/9/19 and they refuse to do so. This falls under special circumstances. They do not give a rat’s rear about their customers.

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    Customer ServiceStaff

    Reviewed July 10, 2019

    After holding more than 73 minutes and after speaking to 5 service specialists, no business was taken care and then their tape recorder told me to hang up to call the same number again. Specialists are all poor speakers of English. Either transferred me to the physician line (WRONG Line) after being told I am a patient or simply hung up & disappeared each time. Humana should immediately terminate this outsourced contractor. They get paid by Humana by wasting time of callers without doing their job.

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    Customer ServiceCoverageStaff

    Reviewed July 9, 2019

    I have never in my entire 70 year life had a worse experience with a company, its services, or its "partners." The nicest word is HORRIFIC! If I had to depend on Humana-anything, I'd be buried soon. Absolutely EVERYTHING, from the initial sign up process and thereafter has been a problem. First, THEY selected my primary care - which I definitely did not agree with! Second whenever I call or chat online, I get the royal runaround because no one seems to know what they are talking about. Third, everything I do has to go through my new primary care -- even if he refers me to a specialist and I get a prescription (for physical therapy or x-ray or MRI), I have to go BACK to my primary care doctor. Then he may change or decide on a different prescription. [Gee, isn't that a breeding ground for collusion?]

    I just spent $6,000, out of MY pocket for Stem Cell treatment, on June 4, and the doctor who did the treatment said to get a good physical therapist and start therapy at once. It is now July 9, and I am still having problems getting a GOOD physical therapist -- either my primary care wants me to go to someone that he "likes" (even though I have to teach the PT how to do basic range of motion), or useless Humana is NOT accepted. It is bordering on the insane, if not criminal. Only 176 days until I can switch, which in itself says how ridiculous our health insurance laws are! But who's counting? Humana is the worst that I ever experienced!!!

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    Customer ServiceCoveragePunctuality & Speed

    Reviewed July 8, 2019

    Although I have been with Humana for three years, I find this organization utterly impossible to work with. If you have a question, require clarification, or have any other lead that requires telephone contact, you will easily spend an hour jumping through hoops. You try to work around this issue by using the Internet, but there are the frustration even exceeds that which you experienced on the phone. I stay with Humana only because I don’t know where else to go to improve service and coverage. On one occasion where I required surgery, approval from Humana came so late that I had to reschedule the surgery delaying the procedure for weeks. Select them at your own risk!

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    Customer ServiceStaff

    Reviewed July 8, 2019

    I switched from a United Health Care HMO to a Humana PPO in Florida based on Humana's superior ratings and lower annual maximum cap. I'm 70 years old. I've been engaged in non-stop warfare with Humana since April over denial of prescription medication reimbursement during a hospital stay and their refusal to prescribe a drug that was not included in their formulary, despite my physician's claim that only this drug could successfully address a medical issue. I appealed their denial to Maximums Federal Services, a so-called independent "third party". They denied me as well. Neither Humana or Maximus even attempted to suggest an alternate drug. As a last resort I appealed to Medicare and a legal hearing before a judge was held telephonically. Two days later he issued a ruling in my favor forcing Humana to supply me with the drug.

    Trust me, it was an exhausting battle. I'm still fighting them over their refusal to pay for drugs administered during a hospital stay. I was on the phone with Humana for over an hour this morning, spoke with 3 different departments, none of which could tell me why the claim was denied, before the call was abruptly cut off. Here's the thing... they have very nice customer service personnel manning the phones but as a company they are incredibly frustrating and difficult to work with. I don't have the energy or the patience to continue dealing with these people. And neither should you.

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    Customer ServiceCoveragePunctuality & SpeedStaff

    Reviewed June 26, 2019

    My parents are in their 80s and suffer from dementia. A Humana salesman came to their house and got my dad to sign them both up for the Humana Medicaid supplement. On their behalf, I called several Humana sales offices to explain - mother is on Medicaid and does not need the extra Medicare supplement, nor does my father. Plus, in our county in Indiana, it provides them worse coverage (less days) for rehabilitation services. Regardless - they were signed up under false pretenses.

    Finally, got a hold of a Charles ** at ** and he apologized profusely and promised to take care of it. It's now a few months later and come to find out, nothing has been done. My mother had to go into a nursing home for rehabilitation on her hip and Humana is making her leave before she is ready - whereas regular Medicaid would have covered her longer. I called and left a message for Charles ** twice more and did not receive a return call. I'm very upset with Humana. This should not be allowed to happen. They should not be allowed to take advantage of disabled senior citizens.

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    Reviewed June 26, 2019

    Humana Military took over Tricare East in January 2019. I have 7 claims with them so far, and they have illegally denied five. I appealed and cited the correct law that pertained, and they again denied the claims and again used the same illegal reason. I have now informed them in writing FIVE TIMES, and they still don't understand their incompetence. We should come together and file a class action lawsuit against them.

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    Coverage

    Reviewed June 19, 2019

    I have been pleased with what Humana covers pertaining to my hip surgery and rehab!! I feel so confident with the PT and OT therapy I have received since released to skilled facility before I go home that I will be safe and learned the do's and don'ts after surgery to continue to heal and move safely after surgery.

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    Reviewed June 18, 2019

    I had a Neurostimulator put in 3 years ago and it stop working. They scheduled me for a removal of the device and Humana would not approve it. Now I am stuck with a non working device and no way of getting it out. I would caution people about trying to have any kind of procedure done. It takes months for Humana to approve anything. This is the worst company anyone can get.

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    Customer ServiceStaff

    Reviewed June 17, 2019

    I call on insurances everyday for dental patients and Humana is THE WORST. The customer service reps don't seem to speak or understand English well, and if you have any questions, forget it. You'll never get a straight answer. Just wait for them to tell you they need to transfer your call - they'll just put you right back in the queue where your call will sit for at least 45 minutes, only to be answered by another rep who also tells you they need to transfer your call. It's intentional. They're counting on offices and patients getting so frustrated they just accept what pitiful information (or in the case of dental offices, PAYMENT) you're given. If you have a choice for your medical/dental insurance, AVOID Humana.

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    Customer ServiceCoverageStaff

    Reviewed June 7, 2019

    I have had Humana Dental several months now, paying close to $60 per month for my coverage. During this time I have never received any proof of coverage or any form of an Insurance ID. I also phoned around asking different Dentists if they accept this insurance. Even Dentists Humana says are in the Network. Well I was told over and over the coverage is useless. So I ended up cancelling my policy. Why should I pay for insurance that covers nothing and is useless. So several months I have wasted my money. Humana customer service agents barely spoke English. And talk about rude. The agents are horrible. Humana is an Insurance Company I sure as heck don't trust. I'm glad to be rid of them!!

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    Reviewed June 7, 2019

    Last week I had Roux-en-Y gastric bypass surgery. The doctor prescribed liquid ** for pain control. Humana denied the liquid saying they allowed tablet form. Humana apparently does not understand bariatric patients cannot take pills following surgery. I had to crush it to take it.

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    Reviewed June 5, 2019

    My wife has been diagnosed with cancer. She had appointments through two different doctors (oncologist and radiology oncologist) for chemo and radiation which must be run concurrently. First Humana would not authorize one of the chemo meds, which cause us to delay treatment several days. Then Humana refused to authorize two radiation treatments a day. This caused another week of delay in treatment. Both authorization were finally authorized. BUT the patient should never suffer through this bureaucracy especially when faced with cancer where every minute is precious when treatment is concerned!

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    Customer ServiceCoverageStaff

    Reviewed May 30, 2019

    Humana Pharmacy has absolutely the WORST CUSTOMER SERVICE ever. The agents can NEVER answer my questions or give/provide a direct answer. I have called numerous times about the same issue - sometimes being on the phone/hold/transferred around for as long as 1 hour and 6 minutes, only to have the problem reoccur every month. My doctor has called and filed paperwork to have the problem resolved, but after over a YEAR NOW, it is not resolved. As soon as I can, I am dumping Humana. I have overpaid thousands of dollars because of their incompetency, mistakes and utter lack of organization. Today, for the 12th time, I have been on hold FORTY MINUTES TODAY AGAIN WITH NO RESOLUTION. There are much better choices out there for prescription drug coverage.

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    Customer Service

    Reviewed May 24, 2019

    I made a total of 4 calls, talked to 7 people and they think it's ** funny to play games and not just change my address. I'll never get my mail from them again because God forbid they just do their job. If you can avoid this company they are 100% useless.

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    Process

    Reviewed May 17, 2019

    I had to pay out over a thousand dollars for my son's oral surgery back in December of 2018. I have personally faxed (2/7/19) and certified mailed (2/12/19) the claim with ALL x-rays and op notes. Imagine that we are halfway through May of 2019 and it still isn't processed. I have called and discussed this as follows: 1/23/19 spoke to Nicole (processing), 2/15/19 Mckalaya and Kyle (processing), 2/25/19 Nicole/supervisor (processing), 3/8/19 Ann called me said she was sending it up to Corey to process in 5-10 days. 3/15/19 Regina (processing), 3/22/19 Faith and Melissa supervisor (processing), 4/15/19 Jacob and Crista supervisor (processing), 4/22/19 Mia and Jay ** (processing), 5/6/19 Ben (processing) sending for rush, 5/17/19 Stephanie and Melisa supervisor Still processing and sent to Rush. I worked at insurance and paid claims and this is the most pathetic claims processing I have ever seen.

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    Staff

    Reviewed May 15, 2019

    Have enjoyed my various experiences. For example when my wife was in the hospital (dying) they were right there. Having a nurse come around every so often. They were always pleasant and thorough. Never had any troubles with prescriptions.

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    Customer ServiceStaff

    Reviewed May 14, 2019

    Two hours on the phone being transferred dozen times...I need a drug not on the formulary. The drug on the formulary will kill me, the one I need will help me.. They ultimately hang up on me several times.. The first person Shanice was rude, arrogant, condescending and hung up on me.. People at Humana are like government employees.. They do not care.. I had my doctor here to prescribe the meds.. They hung up on him.

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    Reviewed May 14, 2019

    Avoid Humana if you possibly can. My providers hate it. My dentist was on hold for 2 hours with Humana today and finally had to give up when it was office closing time. I had to wait a month for a pre-approval even though I said I was having quite a bit of pain. Their OTC is a joke, providing $35 a month and really skimpy choices in the OTC pharmacy, through which you have to order online. One other review that I saw said providers groaned when they heard they would have to deal with Humana. I actually saw that happen today. Save yourself some stress and go elsewhere.

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    Staff

    Reviewed May 10, 2019

    If you are healthy and young, Humana may be good for you but EVERY healthcare professional we have encountered (and that's A LOT) moans when they discover my parents have Humana. If you don't need rehab, you might be ok, however parents have been denied extended rehab even when doctors and therapists recommend more. CHOOSE ANOTHER COMPANY!!!

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    Punctuality & Speed

    Reviewed May 9, 2019

    Acute Bronchitis. Prescribed **. Needed pre-approval and was denied. Emergency room visit. Prescribed **. Need pre-approval. Went to my Primary care doctor. Explained why and what. Took 1.5 hours and 3 hang ups before Humana provided all the info necessary. Denial letter received 19 hours later. Humana had no intention of approving. Meanwhile I was coughing until I vomited or passed out. Borrowed money from my grocery fund to pay for it. With coupon from GoodRx I paid less than $12 for a nearly $50 medication. I have been warned by 2 pharmacies that Humana doesn't like to do pre-approval meds. Too bad zero stars isn't an option.

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    Customer ServiceCoveragePunctuality & SpeedStaff

    Reviewed May 9, 2019

    Had this insurance for over 2 years through Marketplace. I was going to a specialist and insurance paid their portion. Fast forward a year and they refused to pay for my specialist that year so I argued with them. They kept on changing their excuse for not paying. I finally had to pay the whole bill. Last year this insurance was no longer available in my state. About 3 months later my Dr sent me a bill from 2 years ago (insurance and I paid our share). Come to find out 1 1/2 years later they decided not to pay this and took their payment back. No notifications to me nothing.

    When I called them once again they gave several excuses, 1st he was out of network (he wasn't), then it was no referral (I proved that wrong too), then I went over how many visits on the referral (proved that wrong too). They then said they would push this through to be paid and call me back within 2 weeks. Well that didn't happen and when I call now they either put me on hold and never pick back up or tell me I have gone past the 180 days to resolve this issue.

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    Reviewed May 8, 2019

    Just stay away from this company. They conveniently forget to to tell you what is in network, and out of network. Consequently, I got charged 100.00 for my psychotherapy. Medicare alone, copay is less than 25.00 for this service. Stay away from this company.. One

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    Customer Service

    Reviewed May 4, 2019

    When I call Humana pharmacy customer service, I go through the chain of 5 answers only to find out their pharmacy is closed and to call back during regular business hours. The problem is they never tell you in their recorded message what their regular business hours are!! What kind of customer service is that?

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    Customer ServiceCoverageStaff

    Reviewed May 2, 2019

    I tried to find an in network dentist, from list on Humana website. When I called dentist offices said they no longer accepted Humana or advised me that Humana covered basically nothing! Called Humana membership # 4 times. Got only recorded voices asking same questions over and over. Finally thought I was being transferred to a real person, but phone went dead, nobody answered. Website lists services covered but this is just for advertising, must submit claim, then they'll tell you if you're covered. Then it's too late, you're on the hook for the bill!

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    Customer ServiceCoverageStaff

    Reviewed April 30, 2019

    This insurance has been a nightmare from the start. Referrals mean nothing as authorizations are also needed with referrals. Insurance Company seems never to get the requests that the doctors assure me they sent. Customer service is horrific. Getting to see a specialist and getting tests done is not going to happen with this company. Best they're going to tell you is sure they're working on it. Will let you know that never happens. Just found out that the colonoscopy I was scheduled for has not been authorized. Nobody was going to let me know. I am glad I called before I went through the horrific prep that you have to do before a colonoscopy. Do not buy this insurance for yourself as you will be sadly disappointed.

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    Customer ServiceStaff

    Reviewed April 29, 2019

    I signed up for Medicare Drug Plan D with Humana in 2015. They set up payment for the plan via my credit card and input a wrong expiration date in their system for my credit card. Their system stopped charging my card for payments even though the card HAD NOT EXPIRED. Consequently Humana terminated my policy for non payment and now they refuse to re-instate even though all payments were paid as soon as I discovered their error (paid with the exact card they said was expired). The customer service staff, enrollment staff and sales department staff were ALL VERY RUDE and blamed me for THEIR error.

    Truth is I was never notified of the lapse in payment because Humana never updated their records when I moved in spite of the fact I notified them of my new address - whoever took my address change did not save it in the system. They sent a written notice to my old address which I never received but no one from Humana ever bothered to call me or email me. I discovered the problem when trying to fill a prescription and called Humana, I was passed from person to person to person for 2 hours never resolving anything. I was disconnected 2 times.

    These people are ignorant, treat customers VERY poorly and overcharge for their services. Rates went up 32% in one year. Because I am on Medicare I cannot enroll in another drug plan until open enrollment 6 months from now. There is no reason whatsoever that Humana cannot re-instate my policy. If I have a medical need I am without a drug plan which will cause extreme financial difficulty. DO NOT CHOOSE HUMANA! YOU WILL BE VERY SORRY IF YOU DO!!!

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    Reviewed April 29, 2019

    I was with Humana twice and it was a nightmare. I could not get a referral and I was sick with cancer. When I finally got a referral (over a year trying) I was sent to a wonderful Dr that had to biopsy me right away. When I went back to get the results of my biopsy, I did not have a referral? I refused to leave, and waited over an hour for Humana to allow my visit. It was grade 2 adenocarcinoma and I was sent to Moffitt Cancer Center. I had the worst experience after the surgery and got away from Humana for good. I should have sued them! I had many more horror stories about this awful excuse for health care, but it would take pages and pages. The best part? The bill! Outrageous amount! Now I see that I am signed up for Humana again, this will not be allowed on my part. I feel safer using my own choice.

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    Customer ServiceCoverage

    Reviewed April 29, 2019

    Terrible customer service oriented department, I spend over 1 hour and 45 minutes between two phone calls with regards to a copay for a prescription with an extremely HIGH COPAY, finally I was told because my plan was RESTARTED only 2 months ago (have been insured for over 10 years with Humana Gold) I didn't have any right for a reduced/waive deductible. HUMANA IS THE ONLY COMPANY IN THE INDUSTRY THAT DOESN'T VALUE LOYALTY. "SHAME ON HUMANA."

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    Coverage

    Reviewed April 27, 2019

    Decent coverage but patient pay is a lot more than it used to be for seniors. Tests that you need as a senior such as lab work, certain X-rays are not covered under the current medicare plan offered by Humana. The billing departments border on harassment when requesting payments.

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    Customer Service

    Reviewed April 26, 2019

    There's so many bad things... Where to start? First no one in Huntsville, Al. accepts this Ins. They won't pay. No one can understand you on their call line if you speak english. I spent 3 days just trying to get info. They or their phone service keeps hanging up on you after holding for 30 mins! Just look for any other Dental Ins... I don't know about the Medical.

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    Customer Service

    Reviewed April 22, 2019

    I would not recommend this company to anyone. I have yet to get a return call from a manager who promised on 2 occasions to research and resolve the issues, which never happened. I spent HOURS on hold, tried to reach someone at corporate only to be treated rudely by the receptionist and not transferred to anyone. This is stems from an error on THEIR end, not mine, which is documented in the notes. However, if you do try to call their offshore customer service line, you get someone who only reads a script, can barely understand and doesn't help at all. THE WORST EXPERIENCE.

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    Customer ServiceStaff

    Reviewed April 19, 2019

    My sister Vickie suffered from a terrible fall last year. Unfortunately, she went into a coma and was on life support for two months. Tristar Medical Center in Nashville gave her great compassionate care. I wish I could say the same for Humana Insurance. Ironically, my sister sold insurance for many years and was a top producer. The hospital informed us that Humana had denied any help with long term care, stating, "That she will not improve." A few weeks later she awoke and Humana's response was again a "DENIAL" for any assistance. In my book, this is called FRAUD. Please warn others not to purchase any policies from this company. We will be filing a complaint with the state of Tennessee's Attorney Generals office. A caseworker with Tristar Hospital told me, "Your sister would have been better off if she wouldn't have purchased that policy, we see this from that company all the time."

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    Staff

    Reviewed April 19, 2019

    Needed a psychiatrist for depression. Can't find one within 50 miles. All names on their list either won't take Humana anymore, or never did or are rated very poorly. Guess I can't find help when I really needed it. Complained once, gave them responses from the doctors about a year ago. Still on the list. They just don't care and are very incompetent. HELP ME!

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    Coverage

    Reviewed April 18, 2019

    I purchased Humana Military CHCBP as a COBRA after going off Tricare. It was sold as a product that "mirrored Tricare Standard" in terms of providers, coverage and rates. And in fact, that's how it worked for me from 2/2016 through 12/2017. However, starting in January of 2018, they moved their billing department from Tricare South to Tricare East. For the next 13 months until I disenrolled 2/1/2019, all my claims were wrongly processed as out-of-network because I am in Colorado.

    Tricare West network providers were supposed to be considered in-network as they always had been previously, but the billing department at Tricare East never got that right. I estimate that I have been overbilled hundreds of dollars. After fighting with them for 8 months with nothing corrected, despite their repeated acknowledgements of their errors, I filed a grievance. I'm currently 3 months into the grievance process and still haven't received any refunds. My next step is Small Claims Court. DO NOT consider buying this insurance unless you're located in the Tricare East region.

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    Customer ServiceCoverage

    Reviewed April 18, 2019

    I never used my dental coverage for over a year and got a cavity and called Humana dental and they called the dentist office and were told all Humana customers were on hold until May 1st due to Humana not paying their bills. My second choice was going to a clinic which I was not willing to do. Getting help from anyone was very difficult and sometimes very hard to understand over the phone. I spent hours over the phone, many, many return calls and still waiting to be able to go to the dentist that they chose. Would never recommend this dental coverage!!!

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    CoverageStaff

    Reviewed April 17, 2019

    Humana offers so much more than just medical coverage. They have so many different ways of offering at no cost preventive activities and other help lines. I have been with Humana for years. They have went out of their way to suggest and assist me in getting extra help medically and financially. They’ve introduced me to so much extra help that I didn’t know existed or was eligible for.

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    CoveragePrice

    Reviewed April 17, 2019

    Minimal coverage of prescriptions... They are not interested in preventing problems but spend our $ on a 'wellness' program which sucks. They want to send out a doc to weigh me and measure blood pressure but will not cover ** nor ** injections to prevent and improve on my osteoporosis as just an example. Going to a specialist is also cost prohibitive.. Last year is was a $50 copay, this year a $40 copay...

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    Customer ServiceOnline & App

    Reviewed April 16, 2019

    Just called Humana for explanation of denial of payment to a service provider. Was asked for call back number in case of disconnect. 15 minute hold. Disconnected. No call back. And this is not the first time. Or the second. Was calling having received letters from Humana of denial of payment for services rendered when I had called on the phone for confirmation of benefits and provider in-network. (I always call 3 different times to get 3 different reps and go with what 2 out of the 3 say. The website is no guarantee of accuracy.) This is the last time. Now shopping for new coverage.

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    Customer ServicePrice

    Reviewed April 16, 2019

    Their customer service is something to be desired. You get transferred so many times and have to repeat the same thing over and over again. It becomes quite trying! I just recently found out that CVS Pharmacy completely overcharged me for a prescription that should have cost $10.00. I paid $39.00 for it. CVS has a bad habit of that I have just recently found out also. By the way this is their Drug plan not health.

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    Staff

    Reviewed April 15, 2019

    Finally a salesperson I could understand completely! The knowledge of finding me a better policy and then explaining it to the max and answering all my questions. Even saved money every month for more value.

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    Customer Service

    Reviewed April 14, 2019

    Switched from one provider in Humana Gold Plus to another due to incompetent nurse practitioner and lack of professionalism. Loved my new doctor after one visit which included discussion of treatment for pre-diabetes. Agreed to try a statin when she told me she would be fired if she didn't prescribe one due to high cholesterol. Received a call one week later from nurse advising medical director was ordering me to take 2 ** which was twice the dose prescribed by the doctor and 4 ** which was 4 times the dose prescribed by the doctor.

    I told them I quit taking the statin because after 3 days of taking it I was weak, disoriented and had muscle soreness so severe I could barely walk. I was also having severe stomach upset from the **. I decided to get more serious about control of carbohydrates and cut back to 100 to 125 grams per day. Blood sugar is now usually below 100 fasting and estimated A1C is 5.3 with no meds. I cut back on sodium as well. Blood pressure is now 117/74 with no meds.

    To hell with the incompetence of drug pushing, lazy physicians. Plan to find a new insurer and new doctor again. I won't tolerate a medical director who has never spoken to me over prescribing drugs which I don't need. My personal doctor knew my goal was to get off drugs through diet and exercise. She knew I exercised 90 minutes 6 times per week and that I log my food. Such incompetence by the medical director could have killed me. I've had blood glucose as low as 66 since modifying what I eat. How low would it be with 2000 mg of ** per day?

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    Reviewed April 14, 2019

    Five years ago I had a major heart event. Humana was right there for the emergency care, through an induced coma and aftercare with visiting nurse and food sent to my door. Through the following years Humana has provided excellent care and followup.

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    Customer ServicePunctuality & SpeedStaff

    Reviewed April 13, 2019

    The sales man was good only not too honest. Our doctor retired shortly after and left us with a PA that knew nothing. Very disappointed with that. They like you to order from the Humana Pharmacy. The problem there is it takes forever to receive your meds and you cannot order early. They seem to feel it's not a problem. You can call your PA and have her call a local pharmacy and just order you enough to carry you till the other ones arrive. I placed an order 3-19. Today is 4-12 and I still have not received them but after 3 calls a week they keep saying give it another week. We will look for new insurance.

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    Price

    Reviewed April 13, 2019

    The copays were too high, cost of insulin was ridiculous, the case managers never knew what was going on with you. Switched case managers almost monthly, it was difficult to get insulin for my pump under Part B Medicare.

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    Reviewed April 13, 2019

    I was totally mislead about the change from Medicare to Medicare Advantage. If I could change today I would. In the zest to make a sale the explanation of the change was totally short of the realities.

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    Customer Service

    Reviewed April 12, 2019

    My doctor ordered a prescription through Humana and Humana kept sending emails that this order required my approval. Five days later no answer to any email and final a Humana Rep said the site was down and maybe my doctor could give me samples of the blood pressure med till they got it together. The next rep ordered the meds and said it would be shipped overnight. I next find out they are out of this prescription and will send it when they get. Did arrive, so next Humana Rep sent me to CVS for the prescription, which a $15. This was after speaking to eight persons at Humana. 10 days later. They simple are not functional.

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    Coverage

    Reviewed April 12, 2019

    The fees go up and the covered services drastically disappeared. For a retired Military family who have no choice this is despicable. We no longer are eligible to receive Optometry care, Dental Care, and almost all tests and frankly critical preventive heart and other care are routinely deemed 'unnecessary'.

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    Punctuality & Speed

    Reviewed April 12, 2019

    So far I have been totally pleased with the service. I am facing some major surgery, I'll know more about my feelings after that process. The pharmacy service is excellent and very prompt. It is very easy to keep in touch with them about my needs.

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    Reviewed April 11, 2019

    For the most part I am satisfied with my health plan. The payments they have made are fair with the exception of my copay for physical therapy. $40 per session is too much. Prescription part of my plan is good and there is no copay this year for my PCP. They offer OTC allowances from their catalog 4 X year, reduced or zero dollar mail order prescription copays and free membership in the SilverSneakers fitness program.

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    Coverage

    Reviewed April 11, 2019

    Medicare Gold Plus plan with prescription coverage. Referral process is cumbersome. Large selection of doctors and specialists and no co-pays in many instances. I am very satisfied with my Medicare and prescription drug coverage.

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    Customer ServicePriceStaff

    Reviewed April 10, 2019

    Humana is very popular among Medicare recipients but I found the price that you paid for their services was not a good value. Their co pays were higher most, the local rep was hard to reach and when I called into customer service I always had long waits before I was able to speak to a rep. Their drug plan was good but I only have 2 prescriptions a month so that wasn't helpful to me.

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    Coverage

    Reviewed April 10, 2019

    Why are not all insurance overages transportable from state to state, region to region? Why is there different forms for each company? Why so many tier drug levels? Why is dental not considered medical and appropriately covered?

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    Punctuality & Speed

    Reviewed April 9, 2019

    I have been with Humana for only 4 months but so far I am very pleased. I have IOLA primary care under this plan and they have been very nice to deal with. I have received referrals promptly from my PCP and Health Coach.

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    Customer Service

    Reviewed April 9, 2019

    They inundate you with paper, every month. What can put in a sheet of paper (front &back) takes them 12 pages. Every month. They also inundate you with nonsense phone calls, even when you opt out. It seems the opt out only lasts for a month, then they start calling you again.

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    Customer ServiceCoverageStaff

    Reviewed April 8, 2019

    Great if you have 40 hours a week to spend on the phone with them. I’m not used to being lied to. Time for them to approve a referral was min 30 days up to 5 months. They seemed to go out of their way to deny care, deny you spoke before, or deny your doc sent paperwork. What a great business model. Collect insurance premiums and then refuse to authorize service. “No, you’ve never requested that before. We don’t have any paperwork. We don’t know what you’re talking about.” That way they never have to officially deny a claim or deny service.

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    Reviewed April 7, 2019

    I had surgery and had to pay money out of my pocket. Plus they claim I owe $1,000.00 which I don't understand why. I don't have money like that but, at least I thought it would have been paid. Please tell me what's going on and help me. I been on my job for awhile now and money coming out of my check every pay period. I just don't understand. I do need the help from them.

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    Coverage

    Reviewed April 7, 2019

    Doctor cannot get paid to do a standard blood test. Must go elsewhere, why can't the doctor in a HMO get paid for a blood test when other doctors that take the same HMO can get paid for a blood test? Must you get a PPO? They don't tell you this before they give you the policy.

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    Reviewed April 6, 2019

    Humana has taken good care of my medical expenses to a degree. I do have a serious issue about them not caring that monies are being stolen from them by health care professionals. For the simple fact when they are billed that means I am billed and I refuse to allow people to steal from me. Especially when it is the same doctors that refuse to treat me.

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    Staff

    Reviewed April 5, 2019

    At times over the last 6 years Humana & staff has helped my husband & I more than any other organization. He has had a nurse come to our home, food delivered when we were broke, prescriptions at no copayment and so many other things to help that it's been unbelievable.

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    Reviewed April 5, 2019

    They need to provide prescriptions that work and not sugar pills. Getting at least 3 of mine from Walmart and CVS as Humana's are no good. All are pills relating to blood pressure and heart. Did not have this problem when using Blue Cross.

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    Coverage

    Reviewed April 4, 2019

    I want the extra help Insurance the dental. I cannot find anyone that accepts this insurance to redo my dentures. And these glasses ended up costing me old hundred dollars out of my pocket. I do not like that at all. I am very dissatisfied with the extra help. As far as paying for my medications fantastic. I love what it pays on copay and my medical doctor.

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    Price

    Reviewed April 3, 2019

    I'm on disability and cannot afford the cost of meds through them... When comparing most were $0. When I receive them, some are up to $26. The deductible is too high therefore I cannot receive the care I need. I am almost 60 and would love some TRUE advice on a better plan.

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    Profile pic of the author.

    Reviewed April 2, 2019

    Despite repeated attempts to tell Humana I am not interested in their dental plan, they continue to harass me with unwanted mailers. I have asked them to remove me from their mailing list but the junk mail just keeps coming. After reading the reviews of this company, the people I really feel sorry for is the members. Thank goodness, I'm not one of them. ;-)

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    Staff

    Reviewed April 2, 2019

    My nose doctor told me I need surgery. Humana has yet to approve my doctor request for surgery because I don't want to work with a nurse. I am not 50 or older. They don't care about their clients at all. Fyi all.

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    Reviewed April 2, 2019

    NEVER HAD A PROBLEM THAT COULD NOT BE SOLVED. They cover all my hospital bills and X-rays, etc, have rides to hospital and doctor's app. Never had problem with understanding the bills, and questions I have. Can get answers on net also.

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    CoveragePrice

    Reviewed March 27, 2019

    It is ok and health insurance is hard to get and the companies don't do all that they should for their clients or customers... Health insurance is very expensive and it doesn't cover nearly as much as it should.

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    Customer ServiceCoverage

    Reviewed March 22, 2019

    I could probably go on forever with how horrible Humana has been since the government has switched the Tricare North region under their care. My last pregnancy I had multiple doctors appts with the same doctor, at the same location, every time. My base messed up my active duty status (their fault) and it took almost a year to get corrected. Unfortunately, I had an ultrasound (SAME PLACE AS ALL THE OTHERS), during the timeframe I was shown as not active (when I was). It took a year to get Humana to finally acknowledge and approve my claim. Only for some reason, they only paid half of the claim. I'm active duty military and part of my entitlement is full coverage so there is no reason why they should only have covered half of it. I gave up fighting that battle as it no longer became worth it (couple hundred down the drain...)

    My daughter had a doctors appt (same doctor she always sees) that wasn't covered. I had to pay this bill out of pocket, then go back and file a claim personally through Humana to get it reimbursed. It eventually did get reimbursed but this should have never happened to begin with. 3) I've had multiple other claims denied that required phone calls to get corrected. This makes no sense. My status hasn't changed. My doctors office hasn't changed. So why do I need to call to make sure this company is doing its job?

    The most recent, my husband received an approved referral for an MRI. He gets the MRI where he is approved to go. For some reason, the billing dept of this company has a different ID than the hospital he went to and now Humana once again is denying our claim. This brings me to my next issue, I have sent the required form to speak on behalf of my husband with them multiple times. Somehow they keep losing it. My husband does not have a job where he can easily make phone calls so I am the only one who can handle this. Half the time when I call Humana, they can't help me because they "dont have the form." There is no organization or consistency with this company. HORRIBLE SERVICE. Never had any issues with Health Net. Humana just keeps getting worse.

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    Customer ServiceStaff

    Reviewed March 19, 2019

    I was ran around several times from this insurance company for their HMO dental plan. I can't believe that a business as big as this (maybe that's the issue) just runs people around. They made me wait two days before being assigned to a dentist and then me and the dentist's office kept waiting for them to assign me. Wasted about 45 minutes each phone call with Humana. If it wasn't for my school paying for this company I would not have them. I will be seeking out a new company after my insurance is up in June.

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    Customer ServiceCoverageStaff

    Reviewed March 18, 2019

    Not only is it completely frustrating dealing with Humana on the phone but the amount of confusion they intentionally cause is incredible! In my area they sub my coverage out to another company, the sub company is great but they dont share information with each other. So if I want to see a specialist I have to get approved by a company that I never chose to be involved with. When it comes to prescriptions, forget the fact that your doctor completed medical school and sees you in person in his or her office because Humana will decide what medications you can and can't have.

    Your doctor might write a prescription for you and Humana will make your doctor jump through hoops and try other medications that might not work as well or at all but in order to approve the first medication you'll have to try 2-3 others first. Someone with a GED or high school dropout has more authority over your medical care than your actual doctor, SCARY!!! Even if it costs a bit more somewhere else I strongly suggest NOT choosing Humana.

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    Customer ServiceCoverageStaff

    Reviewed March 18, 2019

    Worst insurance ever. Half of the customer service reps barely speak English. I finally got fed up with one very rude person who simply could not speak the language. When I asked to speak with her supervisor, she refused to put me through. Another rude rep put me on hold for almost half an hour. My phone battery ran out, so I lost the call. This company covers next to nothing, and whatever claims are submitted, ALWAYS come back as being charged more than what Humana believes is reasonable. We had a $5,000 deductible with a $7,500 family limit. Two years in a row, our out of pocket was in excess of $15,000.

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    Customer ServiceStaff

    Reviewed March 17, 2019

    Humana has included very good insurance support for myself during this past year. They also have included few & higher options compared with other insurance companies. But negative activities unfortunately being included for myself, was not including enough of medical Drs within my area while including Neurology. I am also emphasizing that few telephone representatives were unfortunately overseas or speaking improperly within our English language, that also hurts me a lot.

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    Reviewed March 15, 2019

    I will change my insurance away from Humana during next enrollment. I have had far too many difficulties with them as compared to other carriers. I will pay much more to a different carrier just to get reasonable service.

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    Customer Service

    Reviewed March 13, 2019

    Have a large brain aneurysm, so no prior authorization for surgery required. Able to get surgery within 7 days. They sent me 7 days of meals, called and checked on me on day 3. Paid the bill within 45 days. I was terrified over the whole issue of this type of surgery and costs, but their handling of it was A+. My costs were reasonable. Thank you Humana.

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    Customer ServiceStaff

    Reviewed March 12, 2019

    I spoke with at least 10 people for 3 hours to simply log on to my account so that I could print up my cards, which I never received in the mail. I was met by rude technical assistant personnel and no one was able to help me. One person even tried to use the "I'm losing you" "hello are you still there". Mind you I was not on a cell phone - how lame is that. Horrible service. If I could cancel my plan on today I would!! I will never recommend Humana Vision to anyone and I will be changing my service when I am able. Don't waste your time with a company filled with people who can't or won't help!

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    Reviewed March 11, 2019

    I have waited two weeks for authorization of a sleep study. In the meantime I have had to sleep uncomfortably sitting up in my chair so that I don't cough as much.

    Also, I got a bill saying I had not been authorized to go to a neurologist so I am responsible for the full payment. I have never been seen by a neurologist. The primary care doctor's office tells me they have more trouble with Humana than any other insurance company.

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    Customer ServiceStaff

    Reviewed March 7, 2019

    I called Humana to see if I need a referral. After putting in all the information and waiting for over 10 minutes for the process, opps can run it. Ask for a representative, finally spoke to someone and was told no referral needed. Asked for benefits line, sent me to rx benefits. After knowing I was calling about a surgery with my specialists, she goes through everything and "Oops can't help you. Only rx benefits. Let me transfer you." I get transferred to someone else which I think is the benefits for providers instead because they were talking and hitting buttons on the phone like crazy. I asked them to stop hitting buttons, "Was not me. I was on speaker phone," and then they hung up on me. This is after spending over 40 minutes on the phone and know I have to start all over again.

    Humana has never been good about getting to to the correct person and once you get to someone you have to give them everything all over again just to be told, "Sorry wrong department." Maybe they should pass the persons information along. How many times do I need to verify my information to the wrong department? It's not that hard.

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    Coverage

    Reviewed March 4, 2019

    My mother was contacted by an insurance agent about a cheaper insurance. All that she was told was that she would save $120 a month. Her supplemental was $160.00. She signed up for this not knowing or having it explained to her that this was not a supplemental insurance. She was recently hospitalized and this is when we learned. Now because of this she has not supplemental and left with a copay on her hospitalization. Do not get this insurance.

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    Customer ServiceCoverageStaff

    Reviewed March 2, 2019

    My elderly mother has been scammed by Humana of Tennessee. She had the best insurance available for her age through my Dad's retirement plan. WHICH HE WORKED LONG AND HARD FOR! During open enrollment with BCBS of Tennessee we made no changes to her plan. She went to the doctor and they told her she no longer had BCBS. She had Humana. She said, "I don't want Humana." She has no recollection of talking with or communicating with Humana! They say they have her electronic signature. She does not own a computer and could not even log on or turn it on if she did!

    My Dad's employer refuses to let her come back to her previous plan because she dropped them...which she did not! They want proof from Humana about her enrollment. Nina from Humana says they cannot provide proof of her enrollment information or her electronic signature. Medicare says they should be able to email both or send through the mail. I have faxed proof of consent to release her info to me...and got confirmation that it was received. I am also on her online account...which I created for her and Nina says they have no record of either!

    We have filed complaints with BCBS, Humana, Medicare and The insurance Commission. There is an ongoing investigation as of now and the Insurance Commission has told me that it is out of their jurisdiction to contact our local Senator due to my Dad's employer being Fully insured. Humana refuses to tell us if someone came to her house or if they enrolled over the phone. They also have a PCP listed that she never been too. Her coverage with HUMANA does not even come close to what she had...so why would she change??!! If they had nothing to hide they would provide her with the information as her Medicare Rights say they should!! There are zero stars for their rating!!

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    CoveragePriceStaff

    Reviewed Feb. 21, 2019

    When I moved to Ohio in September of 2017 I had to change my Humana plan. The sales person on the phone asked if I was a veteran. She explained that the plan for veterans was better for me than the plan I had before my move. She asked if I had dentures and explained that because I did the plan offered "a free denture reline once a year. Towards the end of 2018 I decided to take advantage of this option. Upon giving the dental office my Humana card they provided me with an estimate due to my coverage that showed that everything was covered completely. AFTER the reline I got a bill from Humana showing my "free" denture reline was only going to cost me $350.00. In the fine print that was not explained in any way it states that "a free denture reline is exactly "a" one plate, not upper and lower. They were also considerate enough to pay for the cheaper of the two plates.

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    Customer Service

    Reviewed Feb. 20, 2019

    I am a type 1 Brittle Diabetic. My prior insurance company, which was also a Medicare plan, approved my insulin and pump. At the first of the year I switched to Humana. First off they denied my insulin, a prior authorization was done and it was denied again. Then they denied my pump supplies. At this point not only was my doctor's office working on this, so was I. I am going on almost 3 months now with NO INSULIN! If it wasn't for My endocrinologist and her office supplying me with samples, I would be dead.

    Also Omnipod has sent me a few pods to help, need a new one every 72 hours. Humana was NOT contacting my Doctor's offices after repeated calls to find out about the appeals. Their denials are untrue! What I was needing has been approved by Medicare, and I was receiving all this before Humana. By suggestion by 3 different medical specialists. Change insurance companies ASAP! Type 1 Brittle Diabetic, and denied insulin needed and pump supplies. Reason for denials have been proven BOGUS! What they are doing is criminal! Yes, everything documented, so if I die because of this, my family has a good lawsuit! They want to play Doctor, they better have Malpractice insurance. I just don't want anyone to have to go through what I am. Just glad Arizona Endocrinology and Omnipod company are helping me out, keeping me alive actually, till March 1st when new insurance kicks in.

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    Coverage

    Reviewed Feb. 9, 2019

    I've been with Humana 8 years and never had 1 problem until now. I order all 5 of my meds 90 day mail order. Their new policy is only 30 day max supply of ** which I will need the rest of my life due to severe anxiety. That makes me pay 3 copays of $17 ea month instead of $19 for 3 months. I'm on a fixed income and every $ counts nowadays. They have figured a way to make 3x as much...what a shame! I now get 180 3 month supply from Walmart for $16 using GoodRX.

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    Customer ServiceStaff

    Reviewed Feb. 8, 2019

    Company doesn't pay claims. Company doesn't answer the phone (when they do they are people who don't speak clear English and the connection is poor). No matter what question I have I never seem to be in the correct department and cannot call this company without spending at least an hour on the phone, of this hour I spend 45 minutes on hold or TRANSFERRED. Employees don't know anything about insurance and have a million excuses for everything. Pay your claims.

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    Customer Service

    Reviewed Feb. 6, 2019

    Rec'd a call to have expired RX refilled. had to give all information to automated voice. Waited for rep, explained that I need to update DR info as I have a new Dr. After giving all info again, she said she couldn't do it and had to transfer me to another Dept. Transferred, gave all info and that person said she couldn't do it, that I had a different group plan so she would have to transfer me. Waited again... on phone 23 min, got disconnected. They had my number in case disconnected, but didn't call back. Got on line to try to change Dr. info. "Chatted" typed, with rep. after typing for another 20 min, she said she had to transfer me. I told her my Dr. information and asked her to contact whatever Dept needed it, that I was finished after being on phone and computer for 45 min. Unbelievable that they couldn't just take the Dr. name and put in in computer. AND one of my pet peeves is that you have to give your information over and over again.

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    Price

    Reviewed Feb. 1, 2019

    Plan D program first cost $20.50 a month for the first year and for no reason next year was $30.50 a month 50 percent increase for no reason. This is extortion in every way. Canceled policy and got Aetna plan D program for $17.50 a month for the same policy. Do not buy a plan D policy from Humana. They will definitely rip you off!!!!

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    Customer ServiceStaff

    Reviewed Jan. 24, 2019

    TRICARE has now a contact with Humana for all off base referrals. I got a referral from my doctor (military base) the middle of December 2018. It is now end of January 2019 and I am yet to be seen by a specialist. Humana keeps denying my referral saying my info is incomplete. My doctor and nurses have been sending information after information in to Humana without success. I have been calling Humana’s customer service. The people who work the phones are overwhelmed, rude and noncaring. Humana is by far the worst choice TRICARE could go with.

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    Staff

    Reviewed Jan. 24, 2019

    On January 21, 2019, Enrollment Department trainer, Rebecca **, in Tempe, AZ, used live patient records (mine for instance) instead of demos to train enrollment department representatives. I discovered this when I received an unsolicited welcome to the plan. I discovered that they had added a physician's name, whom I never heard of, and a powerful drug, which I do not take! To my records. Several hours after being notified that they did this, they had done nothing to remove the offending employee or audit their records to see how many others' private medical records had been exposed without consent.

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    Customer ServiceStaff

    Reviewed Jan. 23, 2019

    You know what they say, "the bottom rises to the top," as in SCUM. Just check out the contacts at their "bored", oh, I mean, "board" of directors, and try to email them, you can't now... Last time I did about their non-payment of my claim, after several calls to their ehmmm "customer service" folks (that of course leads to delay and constant frustration), I was called back by more than a hidden threat, as the man said, our "business model," was to my distaste. Don't let the fancy credentials fool you, this group is profit minded, that's it, are you kidding me? They don't even try to hide it now... It's out there.

    Today presented yet another fiasco, they owe me 100.00 for a 200.00 claim, and I got the runaround for over 1 1/2 before giving it up (but not without a fight, let me tell you). They have trained monkeys working for them; not that they aren't already stupid, but trying to reason with a stupid person, who is trained to act more stupid, that's more than an exercise in futility, now isn't it. I just emailed their corporate counsel, who's also an MD, as he is the only one listing an email address, lol! I expect more threats of intimidation, the greedy creeps of the world unite under such as these. All the best.

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    Customer ServiceCoverageStaff

    Reviewed Jan. 17, 2019

    I called 3 times this week and was put on hold because all the CSRs are helping other people. 90 minutes I held on and gave up. Either they have 2 people answering phones of they are so incompetent that they are flooded. Anyway, DO NOT TRUST THEIR Rx program. They messed up my coverage so I had to pay out of pocket. Finally after 2 months someone saw their lack of paying attention to detail. So my coverage is good. Now to get my money back, I as a disabled person am told I have to got to the different pharmacies to collect paperwork. How about I break both your legs and demand you make it through a Marine Corps Recruit Depot to get your money and life back? Kind of hard. Humana lacks the Human in their Fake Name.

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    Customer ServiceCoverage

    Reviewed Jan. 15, 2019

    When I joined Humana about a year ago, I was "interviewed" on the phone as to my requirements and realised that I needed Medicare Part D, which I have not needed as I am very healthy. I was told that I needed it, so I joined and was told that I would be penalised $41.80 for late enrollment. I have just received my "Humana for your Medicare coverage" letter again telling me that I will be charged again $41.80 but this kind lady did tell me that I would be able to file a review, which I would like to do and a form will be put in the mail. The only thing that I have received from Humana are Robo calls which are quite consistent, and was never told that I would be able to file. Shame on you Humana.

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    Customer ServiceCoverageStaff

    Reviewed Jan. 14, 2019

    My husband and I just moved to Florida six months ago and were told by a broker that Humana is a popular insurance in our area. We are meeting with someone this morning about changing to a different company. We should have read the reviews before committing to Humana. If you can get through to a representative you can be sure they will give you false information. They are poorly trained and don't know anything. While looking for a new physician I called to see if his office was in network. They told me no when in fact he is.

    I am constantly getting robo calls from Humana telling me I have to call an 800#. When I do get someone on the line they have no idea why I'm calling. I recently had to see a specialist for an eye problem and they paid hardly anything. Again couldn't get any information as to why. I have PPO managed Medicare. So far we've had no major medical problems. We're getting out now before we do. This is the worst insurance. Wish I could give it no stars.

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    Customer ServiceStaff

    Reviewed Jan. 13, 2019

    My daughter has only been on Humana since the 1st and I have already made countless frustrating, phone calls. She was assigned a PCP that is closed, her daily med has been denied that she needs to manage her autoimmune disease. I am out money on a Dr visit even though I followed their instructions on how to go and submit authorization number. These people act like they care about you when you speak to them on the phone, but their actions prove they wish to deny claims and requests at all costs no matter how much it hurts the health of the patient. I have canceled this plan for a new plan starting in February.

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    Customer ServiceCoveragePriceStaff

    Reviewed Jan. 12, 2019

    If I could give Humana less than one star I would. None of their customer service reps know what they are doing. They are poorly trained and they ALL have very heavy accents. It is impossible to understand them and I literally have to call multiple times to have the same conversation over and over because I can't understand most of their reps. They also give out inaccurate information. They'll tell me something is covered, and then I found out later that it isn't... Leading to hundreds of dollars in bills that I shouldn't have had to pay. I needed to have surgery but I was afraid to do it while I was on Humana because everything they tell me about coverage is incorrect. It was impossible to estimate the cost of surgery (and I know they'll find any excuse or bizarre rule to get out of paying for things), and I was terrified that if I had the surgery I'd end up with an enormous bill.

    To top it off, Humana's premiums are absurdly expensive for the quality of the insurance coverage. I switched to a different insurance company recently and so far they've been amazing. Their customer service reps are well trained and easy to understand. They offer a cost estimator tool on their website so I can prepare for my surgery and have a good idea of how much I'll pay out of pocket. I will never go back to Humana. They are by far the worst insurance company I've ever dealt with.

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    Price

    Reviewed Jan. 11, 2019

    If you need a prior authorization, it will take an army to get it approved! Beware! Your life depends on medications that require prior authorizations! Run from this company! They will cost you money in the long run! Don’t be fooled!

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    Reviewed Jan. 1, 2019

    Am just starting with Humana Medicare for 2019. I am taking chemo tx for breast cancer and they give me nausea medicine. Humana says they looked at surveys that say the type of chemo drug I am having infused has a lower risk for nausea and vomiting so they will not pay. So with my concerns about my cancer now I will take my chemo without preventive nausea medicine. I had heard Humana was a good company but this is terrible. I will have to try and find some over the counter medicine.

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    Customer Service

    Reviewed Dec. 28, 2018

    I've been a Humana member for years, paying by automatic withdrawal. Suddenly that stopped and I was billed by main for two months overdue. I got that paid over the phone, but have been unable to get my account set back to auto pay. This is because I can find the card that has my member ID on it. I've tried several of their phone lines, but their phone tree doesn't work for this. I've tried chat and almost got through, but there is no space for me to type my chat response. How about hiring a real human for some customer service?

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    Customer Service

    Reviewed Dec. 28, 2018

    Surgery was scheduled, was preauthorized. Dr.'s office has the name of the individual that provided the preauthorization, the date it was given and the time it was provided. The night before the surgery we got a phone call from the Dr.'s office stating that the insurance company had called and said they were canceling the preauthorization. I wouldn't recommend Humana to my worst enemy.

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    Customer Service

    Reviewed Dec. 18, 2018

    I broke my foot 18 days ago. It was a weekend so I contacted Humana and they told me which urgent care to see. I sat there for 45 minutes to find out they no longer accept my insurance. Went to the ER to find out that fractured all the bones on the outside of my foot. They told me to see an orthopedic surgeon within 2-3 days. I saw my primary doctor that Monday. He did an urgent referral to an orthopedic surgeon. That Wednesday my referral was denied because Humana said I had changed primary doctors. Which I had not! So I contacted Humana and got that squared away. My doctor put in another urgent referral. It took a week for the authorization. I was told which orthopedic surgeon to contact. I called to find out they no longer accept Humana.

    I called my doctor back. My doctor's office called EVERY orthopedic surgeon in my network to find that none of them are accepting Humana insurance anymore. So I contacted Humana. They referred me to a podiatrist 46 miles from my home! I called my doctor. He said that this podiatrist will not handle the "complex" fractures of my foot. So... I filed a grievance with the Florida Medicare/Medicaid program. They contacted me and said they were get in touch with Humana and instruct them that they need to provide me with an orthopedic surgeon. Humana contacted me and said they would TRY to find an orthopedic surgeon in my network and if they can't they would contact those that were in the network that they need to provide me services because they are still under contract until Jan 1.

    Well, Jan 1 is right around the corner. Chances are I won't get in to see them because they will say they don't have an available appointment to avoid accepting my insurance. By the time I see an orthopedic surgeon, if I can see one, they will need to re-break my bones in order to set my foot. I also need surgery on my rotator cuff. Doubt that will ever happen either. Been dealing with that since May.

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    Reviewed Dec. 13, 2018

    I went to emergency dept in my network after Urgent care informed me to. I was having chest pain, left arm numbness and pain. I thought it was a stroke or heart attack. So grateful to still be here. Anyway, Humana denied paying the medical bill for emergency dept that is $15,476.00. Wow. I had never had any problem before with Humana. My primary doctor and Urgent care say I did the right thing by going to ED. Humana still insist it wasn't an emergency so now I am appealing this. Humana is saying Urgent Care should have taken care of me. I definitely need to find another health Insurance.

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    Customer ServiceCoverageStaff

    Reviewed Dec. 12, 2018

    I am enrolled in Humana Gold Plus Medicare Advantage HMO. I was originally assigned to a Medical Group in Florida to a primary care physician when I moved from Texas October 1, 2018. I contacted Humana on 11-08-2018 and requested to change to another medical group since I was not happy with the physician assigned. I was told I could change as long as I chose one in the network. I gave them the name of the one I found on their list of providers. I have been seeing him, however, received a call today from the Medical Group stating Humana would not cover since Humana states he is not listed as my PCP. I contacted Humana and talked to a representative. I was told they have it on record that I did call on 11-08-2018 to request the change. However, I was told that the medical group is only covered for specialists.

    I informed the rep that the physician I saw is listed as a PCP. The Humana rep changed his statement and acknowledged that it was true, however, he stated the doctor is not taking new patients. I informed him that I have been seeing him. I was then told that since he is not taking new patients, I may not use that physician since Humana may not be able to assign him. The rep stated that if they can, it won’t be effective until January 1, 2018. I was told on November 8, 2018 by Humana that my change to that medical group would be effective December 1, 2018. In short, Humana has no idea what is going on and has given me wrong information which is now costing me a lot of money. I have had to cancel my appointment with a specialist as a result since I am concerned Humana won’t cover him, even though he was referred.

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    Reviewed Dec. 9, 2018

    Humana told me they stopped giving vacation overrides but to get my prescriptions filled locally and I would just be charged a deductible or co-pay. However when I went to the pharmacy I was informed that Humana would only provide an override for one medication and that I would have to do without my blood pressure medicine for 6 months unless I had to pay cash out of pocket. This is the first time that this has ever happened. It looks like I will have to change to another insurance provider sadly.

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    Customer Service

    Reviewed Dec. 7, 2018

    To begin with, I think it is ludicrous and suspicious that a major health insurance company does not allow messaging through one's online customer account. I can only conjecture that they don't want to record anything in writing in order to be accountable to the subscriber. Therefore, a subscriber is doomed to call customer service and get people who appear to be untrained and unknowledgeable and can't transfer a call correctly. When I have to spell the word endoscopy or explain renal ultrasound, that's a big clue that customer service is lacking in credentials. I am done with this company and will be enrolling with Anthem instead.

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    Customer ServicePunctuality & SpeedStaff

    Reviewed Dec. 6, 2018

    I signed up for an Advantage. A week later, I canceled it. What a nightmare!! It is a month later and they still haven't got it straight. When I talked to customer service at Humana for the 8th time, they told me they had 2 computer systems with conflicting information about my plan, had assigned me 2 member numbers and did not know how to fix it. One system said I was canceled, the other said I had an active plan, but I am actually canceled. Medicare told my doctor that I had Humana, and Humana told them I didn't have Humana, so doctor will not give me an appointment. This mess doesn't seem to end.

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    Coverage

    Reviewed Dec. 6, 2018

    I have been denied removal of skin tags, I only have those remove when they hurt, I still have plenty of them. I was told that I had exceeded my lifetime allowance of screening for Prostate cancer. I suffer from PTSD from my time in Vietnam and these jerks have limited me to 20 Therapies per year. There is a reason why Veterans are medicated. It is for your safety not ours. All in All I believe Humana is one of the reasons health insurance gets a bad reputation. Denial of benefits that makes no sense.

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    Customer ServiceCoverageStaff

    Reviewed Dec. 5, 2018

    If I could give Humana zero stars, I would. They will find any loophole, make up any narrative, and completely dismiss science and facts in order to not have to pay out for a medically needed procedure. Especially when it's something covered under your plan! Don't bother calling their customer service, their agents aren't medical professionals and the only assistance they will provide is how to contact their appeal department. Which is only by fax or physically mailing them an appeal. The appeal department must not exist because I faxed them EVERY SINGLE DAY for 2 weeks and not once got a response.

    It wasn't until I emailed the president of Humana, Bruce D. Broussard, that an individual from the Executive Resolution Team reached out to me. I had hope that if I escalated my situation, someone would actually take the time to look at my case thoroughly. They didn't and ultimately my claim was denied because a "private review agent" did not take the time to properly review all of the evidence and documentation provided. I will continue to fight this decision, too often people give up and that's how insurance companies win when they shouldn't. It's a crooked industry and I am not going to allow them to take advantage.

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    Customer Service

    Reviewed Dec. 4, 2018

    I had some tests done, called Humana 3 times to get estimated costs. Yes, I understand that they are estimates. Each time I called I got a different answer. I went ahead and got the tests done, big mistake. I now owe a $1300.00 bill. They charged me a $325/copay to have a tube removed for a test that started the previous day. I was there for 10 minutes, that's some big overhead. I have tried working with their claims department to no avail. It seems that they have done nothing to research the charges or get in touch with the provider. Their words, "We stand by our original decision." If this is how you treat your consumers, then that is bad business practice.

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    Customer ServiceCoverage

    Reviewed Dec. 3, 2018

    I have always liked Humana Medicare coverage. But today I am in pain and so terribly disappointed. I updated my policy, a big mistake. I changed my address, DO NOT EVER MOVE! I cannot even get into the system to look for a provider. You see, when I put in my old address, I CAN ONLY GET PROVIDERS THERE, a 2 day, several thousand mile trip. WOE is me, I have HUMANA. They gave me a number, so I can call back tomorrow. REALLY??? That is your best?

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    Reviewed Dec. 1, 2018

    I have horrid pain sciatica of the back and neuropathy of both legs... Something odd is going on with the generics 'cause they are making me sick and no pain control like the meds I get in the hospital like ** it works for my pain in the hospital but as soon as I'm realised I am VERY SICK AGAIN AND IN HORRID PAIN. Humana refuses to pay for name brand so I can live outside of the bed. So they wait till Saturday to deny me the meds and I can't buy them. They are $2,000. I am in Pain Management. All this is documented. I really feel there is definitely a catch here and I'm taking this to the top for discrimination... Why? Absolutely some patient of Humana is getting name brand with far less medical issues as me so I'm going to the top. FIND ANOTHER PROVIDER IF YOU DON'T WANT TO HAVE TO PUT YOUR HEALTH IN DANGER.

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    Customer ServiceStaff

    Reviewed Nov. 28, 2018

    So I got this insurance about 28 days ago. I did careful research. In the last 28 days I have gotten a 200.00 pair of glasses. Got my teeth cleaned. Went to my an eyeglass script. All at no cost to me. I also talked to customer service and got a great person to take care of one issue. Not sure about why there are so many 1 stars? So are trivial, though. And as a general rule people only complain on many sites like this.

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    Humana Health Insurance Company Information

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    Humana
    Website:
    www.humana.com