Humana Health Insurance Reviews

4,880,885reviews on ConsumerAffairs are verified
  • We require contact information to ensure our reviewers are real.
  • Our moderators read all reviews to verify quality and helpfulness.
  • We use intelligent software that helps us maintain the integrity of reviews.

About Humana Health Insurance

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

Humana Health Insurance Reviews

Filter by Rating

  • (66)
  • (29)
  • (40)
  • (99)
  • (1,277)

Popular Mentions

    How do I know I can trust these reviews about Humana?
    • 4,880,885 reviews on ConsumerAffairs are verified.
    • We require contact information to ensure our reviewers are real.
    • We use intelligent software that helps us maintain the integrity of reviews.
    • Our moderators read all reviews to verify quality and helpfulness.
    Recent
    • Recent
    • Oldest
    • Most helpful

    A link has directed you to this review. Its location on this page may change next time you visit.

    How do I know I can trust these reviews about Humana?
    • 4,880,885 reviews on ConsumerAffairs are verified.
    • We require contact information to ensure our reviewers are real.
    • We use intelligent software that helps us maintain the integrity of reviews.
    • Our moderators read all reviews to verify quality and helpfulness.
    Page 6 Reviews 640 - 840

    Reviewed Dec. 30, 2017

    I am not getting any new prescription, I call Humana pharmacy. With my Humana case manager we were both on call about my prescription, I have not gotten any prescription since June. We were on phone for two hours. It looks like problem was resolved, no it wasn’t, still out of high blood pressure pill. I am a diabetic. No pills. No arthritis medication, high cholesterol. Well I take 20 different meds but have not gotten any, I guess I need to die before I can get some action.

    Thanks for your vote!
    Customer ServiceCoverage

    Reviewed Dec. 27, 2017

    I would not go with insurance Company. My Son has an emergency appendectomy on 10/9/2017. Their customer service is horrible. I am still trying to get answers it is now 12/27/2017. There is nowhere in the United States to go have a face to face conversation to get this straightened out. That is just crazy. There are multiple issues and they can’t answer one of them and correct their problems. I guess I am left at getting a lawyer. I am looking into see if I can file a grievance before doing that. This is just a junk catastrophic insurance. MY ADVICE DON’T GO WITH HUMANA.

    Thanks for your vote!
    Customer Service

    Reviewed Dec. 23, 2017

    I paid by check for both my wife and I. The premiums were the same and the amount of the checks were the same but she owes them money for past due premiums but I do not. So far I've been on the phone with them for over an hour and can not get an explanation. It's too late to change providers but I'll be changing next year.

    Thanks for your vote!
    Verified purchase
    Customer ServiceStaff

    Reviewed Dec. 23, 2017

    Humana has the programs this elder citizen needs at low premium. An appeal honored my complaint re. an eye exam. BUT to follow the broken system they require of entering ID numbers in my cell phone to verify who I am never works. Then I have to go through the long list of directory options and maybe with the second and third try I get to talk to a LIVE person. WITH so much hassle and time I decided to change health insurance. I ended up talking to a health insurance broker. Yes, this was the best plan for me and yes she could change and be my agent as mine did not respond. So with me watching, this broker sends out the agent switch. I think everything is done.

    THEN I need help and call the broker, I thought was my new agent. I find from her, Humana would not allow the change. So now it is past the deadline of switching HMO. IF this broker had bothered to notify me I would have time to change HMO. I don't have the new agent I thought that would help and I have to go through Humana's broken or whatever it is system to verify who I am. NOT a big health thing to deal with. Many of us have been forced to deal with much more from providers or HMOs. BUT America should do better. Don't you think? Humana and that broker needs to clean up their acts.

    Thanks for your vote!
    Verified purchase
    Customer ServiceCoveragePriceStaff

    Reviewed Dec. 14, 2017

    Employer changed to Humana Health Insurance in December but the underwriters are behind so they wont give us a group #. WE had met our deductible but now can't get anything done without a member number and group number. Had cataract surgery scheduled and had to cancel, had colonoscopy scheduled and had to cancel. WE are paying for insurance we can't use and the many times we have called, they just say the underwriters are behind so haven't got us set up in the system yet. So it's going to cost me a lot of money in January when I need to get these things and it's kind of convenient that I can't get a group # until then or fill my prescriptions. My husband tried calling and just got hung up on 3 times because he didn't have a group #. This should be illegal. It's not our fault they are behind but we are suffering for it.

    Thanks for your vote!
    Customer ServiceCoverageStaff

    Reviewed Dec. 12, 2017

    Signing up and getting the ball rolling with picking a dentist and getting member identification numbers took hours and days! And even when they said over the phone that everything was in good order and ready for me to use I still had to stop part way through my dentist visit to call HUMANA again to backtrack and get an assignment letter faxed to the dentist. And then on top of that the Friday prior to my visit someone in the new client services dept quoted me incorrect out of pocket expenses that aren't covered by Humana only to get there and find out the bill was more than what I at that time didn't have in my bank account. 2 days prior If I had known the correct amount of money to have set aside I would have had the dental work done. Now I have to reschedule a future appt 17 days later. Even the receptionist at the dentist office commented several times about how unprofessional Humana is with their members.

    Thanks for your vote!
    Staff

    Reviewed Dec. 6, 2017

    Humana Medicare Advantage plans are worthless and so is Humana. This crooked company and their reps will lie at the drop of a hat! They try their very best to shortchange a person on paying claims. They are literally in bed with the medical providers and do their best to make sure every claim is paid to benefit the provider and maximize the patient's co-pay. When the patient files an appeal, Humana tries to twist things around and make it a complaint. If they happen to recognize it as a complaint, they take forever to address it and then lie, lie, lie. Beware of them as they are evil and only concerned with profits!

    If you file a complaint with health and human services in Washington they really get mad and literally get even! Absolutely would not recommend anyone of Medicare age sign up with them. If you do, you will be sorry! They are literally little more than professional con artists. The federal government should shut them down for their crookedness but won't because of the big money involved. Health and human services just lets them walk all over senior citizens. What a pathetic company that is long on hot air and short on performance!

    Thanks for your vote!
    Verified purchase
    Coverage

    Reviewed Dec. 5, 2017

    Over the past year Humana has started a new ploy to recover from their losses on the Affordable Healthcare Act. (Just my opinion, not a proven fact). Whenever we (as a healthcare provider) have provided certain modalities such as Cold Laser treatments for the reduction of inflammation and to facilitate healing of an injury Humana paid the claim then later sent a letter demanding that we refund the payment for that service stating that "the documentation does not support the necessity of that treatment". Despite positive results from the care provided we refunded the payment then have had to spend multiple hours re-documenting using the terminology they required in order to TRY to recover the payment for those services. Once we corrected the documentation for that issue Humana has now begun requesting that we refund for the Electrical Stimulation we provided stating that we failed to indicate where we placed the "probe"!

    First, there is NO probe used for electrical stimulation, there are pads! Second, we DO document which body part was treated using the electrical stimulation. They apparently either don't read the entire note we send or want specifics such as which muscle or nerve was stimulated (as if they would know the difference). And as we have several Humana patients this mandated refund adds up to quite a lot of money back to Humana. This is either an effort on the part of Humana to recover from their PROFIT losses over the past 2 years (for the sake of their stockholders NOT the patients paying the premiums) or it is an effort to force healthcare providers to drop Humana patients to reduce their liability (and losses). Since we are one of 3 clinics in our area this would dramatically affect the people living in this area with Humana coverage but I don't think Humana really cares as long as they keep receiving their premiums.

    While Humana markets themselves as a "Medicare Replacement" they obviously do NOT follow Medicare payment practices! We have NEVER been denied by Medicare for Cold Laser or Electrical Stimulation, especially on the technicalities claimed by Humana! I would recommend to EVERY Humana recipient that if you have the option to go back to Medicare you take it to avoid problems later. Ultimately the patient is responsible for the services they receive and therefore could legally be billed for these services that Humana is denying or has requested refunds after initially paying.

    Thanks for your vote!
    Verified purchase
    Customer ServiceCoverageStaff

    Reviewed Dec. 5, 2017

    I am 68 years old and have social security Medicare parts A and B and my supplement is and was on the following date Humana Gold Plus (HMO). On 11/29/2016 I had a minor cold, called my doctor for an appointment, he was on vacation, so I went to the walk-in-clinic, same clinic that my doctor is in. I was treated by a physician’s assistant. My co-pay should have been $10 but I was billed $40. I called Unity Points billing dept. They filed a dispute. I thought it was because I was treated by a PA. I was told by my doctor’s office that they coded it wrong, so I thought it was because I was seen by a PA, and not by my doctor who is a DO. Then last month 11/2017 I received another bill for $40. Same PA's name, same 2016 date. So I again called Unity Points billing dept and was told that Humana declined the dispute claiming the coding was correct.

    So I called Humana and they informed me that they now treat a walk-in as an emergency, just like if I had went to the ER, so they billed me the ER charge of $40. After talking to a very rude Humana CSR, I told him that I was going to change to United Health Care. He said 'ok I'll transfer you to our cancellation dept'. He was so rude. I couldn't believe it. So I called United Health Care and presented the same scenario to their CSR. She explained that through their insurance if I had to go to the same walk-in clinic where my doctor practices that it would have been treated as a regular office call and the co pay would be $10. But if I went to another walk-in clinic, not the one my doctor practices at, it would be treated as an emergency walk-in and the code would be $40 for an ER charge. So I enrolled with United Health Care Medicare Complete.

    I looked through Humana's 2016 and 2017 Medicare Advantage book and NOWHERE does it say walk-in would be treated as an ER visit. As a matter-of-fact it says just the opposite, it says a walk-in clinic is their preferred choice for minor illnesses. I have told all my family and friends about this Humana scam and I will be posting on social network sites so everyone knows how bad Humana INS coverage really is!

    Thanks for your vote!
    Coverage

    Reviewed Nov. 29, 2017

    DO NOT GET HUMANA! Humana insurance is such a horrible coverage! They will not pay for the claims the offices send, so you will end up paying everything just like you would without insurance! Horrible! I had to have deep cleaning at a Dentist, and they did not pay the office for the Deep cleaning because they want my roots to show for them to cover the procedure. They are waiting for me to lose my teeth to cover it? Thanks a lot! Now I am paying everything out of pocket!

    Thanks for your vote!
    CoveragePriceOnline & App

    Reviewed Nov. 26, 2017

    Do NOT ever consider signing up for this insurance, medical OR dental! They take your premiums, happily, every month, but give you next to NOTHING in return! When the going gets rough for them, in states where they are failing to turn an obscene profit, they simply let you know they are no longer going to be operating in those states anymore. They have pulled this BS TWICE, in my state! Also, their website is a joke. The logon computer is almost always down. It will cue you to select a new password and then not recognize it or your correct security question answers a few seconds later. Total frustration for big premium bucks! PASS THIS OUTFIT BY, if you're smart!

    Thanks for your vote!
    Staff

    Reviewed Nov. 24, 2017

    This company sent their agent Josh to my parent's house in Mountain View today. He was explaining the rates to my parents and I said that some of these rates were crazy compared to what we had seen on the internet with other companies. This guy got mad, slammed his laptop shut and acted like a fool. My mom said that she wanted to see some of their plans and he refused to show them to her because he was pissed.

    Thanks for your vote!
    PriceStaff

    Reviewed Nov. 23, 2017

    They collect huge premiums from their clients and then deny almost every claim submitted even when the clients follow their rules and stay within the network. They are more concerned with their shareholders than their patients. No wonder their stock price is so high. The patients pay to boost the stock!

    Thanks for your vote!
    Customer Service

    Reviewed Nov. 20, 2017

    Put on hold for extended times such as 4 hours and 42 minutes and other long hold times as I so desperately need the meds. I was seeking information pertaining to why they'd made me need a prior authorization, yet my doc had filed his part within 5 minutes of receiving the P.A. request and my pharmacy even told me it was common that my insurance, Humana jacked folks around like this... Humana was supposed to have the P.A. finished within 24-48 hours, however it's been 96+ hours now, and guess what, I'm back on hold cause they still can't find it, so I'm having to answer very personal questions and jump thru hoops I don't want to have to jump thru but yet I can die without this med, especially since I have chronic pancreatitis.

    I have never been so angry and disappointed with a company. It's feeling like they are purposely making it hard. They are rude, they have the worst telephone manner also bad reception, double checked to see if them or my phone, it's them, plus they all have such heavy thick accents none can hardly understand the things being said. Bottom line I wouldn't recommend that anyone deal with Humana ever.

    Thanks for your vote!
    Staff

    Reviewed Nov. 18, 2017

    While trying to fight an infection Humana has decided I really don't need to refill the prescription even while the infection persists. They have denied me refills, my doctor has assured them I need the medicine but Humana doesn't think my licensed U.S. Medical Doctor knows what he is talking about. This is malpractice.

    Thanks for your vote!
    Customer Service

    Reviewed Nov. 7, 2017

    Humana is a fairly good insurance company, but if you purchase dental insurance, be certain prior that dentists actually accept it even when their ads claim they do. It's a real pain when you want to cease extra policies because they REFUSE to take your word over the phone. You HAVE to put it in a letter. It's **!

    Thanks for your vote!
    Customer ServiceCoveragePriceStaff

    Reviewed Nov. 7, 2017

    I myself have humana. I won't even give them the courtesy of using a capital H in the name of their so called INSURANCE COMPANY. See, I have been in this field for 34 years and I have also taught medical billing, coding and insurance for 14. LOL on me right? No, in 2001 I proceeded to study even more just because I seen so much of this ugly stuff. So I tested to become a Medicare compliance officer. Yep, that's right. Now I have that too. At one point I even went to school (only for a few weeks) just to get my broker's insurance license for property and casualty, I just did that for work that my husband had. But I even learned more about insurance, they all really work the same way.

    You just have to know how to read what the words mean, that they use when they are giving you those wonderful benefits. That's my problem, I did. But right know, they not only took more then some away, they and our wonderful government took (Obama Care) took a lot from all of us. See, when that nice man, yes he was a nice man but, when he said, EVERYONE WILL HAVE INSURANCE IN AMERICA. I am on Social Security disability and I have been for 23 years. I don't care who knows it. I never wanted to have to do that. All the work I have done, I had to have a lot of education and time and hard work to get there. I really wanted that for my life. I can't do it anymore. But I still try, I even have to do it at least 16 hr. a week, maybe not that but something, I have to get some kind of income to help me with my Dr. co-pay, meds, and all the rest.

    With all the education and work I did just to have that career I was not going to give up my career for anything. I never have. Yes, there have even been a few years that I have not been able to do anything at all, not even volunteer at my church when I wanted to. I moved from my home just to be near my only child in another state. I became very ill, my child ask me. "Mom, will you please just sell your house and move back home?" I just said, "Yes, you know I want to do that anyway." My child loves me that much, my child was that concerned about me, my child and their spouse both had to work every day and they were so worried about me being alone in my house every day. I had been put in a nursing home there once already. They told her there was nothing she could do about it.

    I told her, "It's okay, just go home. I'm fine, I'm not going to stay here. I will be home in a few days. Just don't give anyone any of my information. Don't let anyone sell my house." I was home in 4 days. See I am the LUCKY ONE all of the rest of the people that EVERY INSURANCE COMPANY IS TRICKING AT ENROLLMENT TIME that is VERY SAD for all of us. I too have my hands full with humana. See I have this program called: Medicare Extra Help? I never asked for it. Hey if you have this you better LOOK AT YOUR EVIDENCE OF COVERAGE, because it is going to let you know how much your deductible is going to be for 2018 part D prescription drug cost/not humana deductible??? Okay okay, okay and when you get your smart summary every month from humana about your wonderful RX benefit for that month. If you do get Medicare Extra Help make sure you look at the last space where it tells you how much they paid.

    Now this is why I am telling you this. humana owes me a lot of money. I mean I lot. I never ask for Medicare Extra Help. See Social Security, once a year their computer does a scan and it picks up people's income. When it picks up low income then it detects why it is low. Now Extra Help comes from 4 sources, I know that anyone can look that up. But from what I have read on there today, I think that a lot of people may have humana the same reason I do. I bought humana as a SECONDARY INSURANCE PLAN because I was alone and I had Medicare A and I was smart enough to take part B when it was offered to me 23 years ago at $129.00 a month. I did not need part B at that time because I was married and my husband had a good job with insurance but, I might need part B later and if I did I knew they may not let me have it or they may make me pay so much for it I could not afford it.

    So I paid for it for 23 years before I even had to depend on it. But see right now everyone is going to think, "Hey is she stupid, we all paid for it." Yes we did, so did I, I know you did and I am still working. Some of you I am sure you still have to do the same thing I do. That is the problem, we are the ones that paid to have that security in our life when we need it the most, AND THESE PLACES LIKE HUMANA THEY KEEP TAKING IT AWAY FROM US WITH THEIR BEAUTIFUL MEDICARE ADVANTAGE PLAN. See even they try to give it a pretty name. Don't worry I am going to tell you about that Medicare Extra Help, but only the one I get, remember I told you there is 4 programs I did not ask for mine, but I have it. Now read this. I pay for every month from my social security check. Medicare Part D. Medicare Part C. Medicare Part B. HUMANA? EXTRA HELP FROM MEDICARE.

    WOW, see I only ask for Medicare part B and my Humana Choice PPO, because it already had my dental, script, vision basic needs everything I wanted. Why did anyone change it. MOST OF ALL WITHOUT EVEN ME SIGNING ANYTHING. And here is the worst part that extra help that I am paying for, I am still paying the full part of my cost for my scripts, NOBODY, CAN TELL ME WHERE THAT MONEY IS BEING PAID TO. Nobody, not Humana, not Social Security, not Medicare, not Health and Human Services in Washington DC and even more so why in the hell would I even return a call to our so called state's Rep Gov. Donnelly whose stupid people keep calling me and asking if I would just hear what he would like to do for us about our health care.

    Lol, lol, lol, our government is the last people on earth that could help us right now. They are all too busy fighting with each other. What a joke. I am not trying to hurt anyone's feelings but the worst thing anyone could do right now is keep jumping up and falling into other insurance companies' plans to take you under. Everyone just needs to keep reading what ever Blue Cross actions are right now. Blue Cross is the first medical insurance we ever had.

    Thanks for your vote!
    CoveragePunctuality & SpeedStaff

    Reviewed Nov. 5, 2017

    I have never written a review, but this deserves one! It’s Sunday afternoon, just watching television, a Humana commercial is on boasting about how wonderful they are. My 91 year old grandmother is now in a long term nursing home, she has Alzheimer’s, and is down to about 85 pounds, she has been there about a year or so now and being well cared for, no thanks to Humana. About two years ago my grandmother almost died, she came down with pneumonia, had heart failure, was very confused, and diagnosed with Dementia at the hospital that we immediately took her to.

    The social worker recommended rehab, Humana refused to pay for it because she could stand up, and maybe take a few steps. This is actually why she was denied coverage! Never mind that she was weak, having difficulty breathing, and extremely confused. Never mind that she paid her premiums on time for years, up until she got dementia. They would not work with me so that I could make payment because I did not have power of attorney, and so her insurance was eventually canceled due to nonpayment. Do not choose Humana, they will not be there for you or your loved one when you need them the most!!

    Thanks for your vote!
    Customer ServiceStaff

    Reviewed Oct. 30, 2017

    I am yet to encounter a worse runaround from insurance companies. I work at a provider's office and deal with multiple carriers daily. Policies are changed without notice and despite having a prior authorization, it's a gamble whether your claims will be paid. If they are, months down the road a letter is sent requesting a recoup. When you attempt to file an appeal-- you have to leave a message for a rep; wait days for them to call back and after sending all the paperwork/arguing your case your appeal is still denied. If you have a question regarding contracting-- good luck. The reps will give you co-pay amounts when you didn't even provide them with a user id. PLEASE train your staff. PLEASE route people/providers to what department they actually need! Such a shame this is your healthcare standard today.

    Thanks for your vote!
    Customer ServiceContract & TermsCoveragePriceStaff

    Reviewed Oct. 26, 2017

    Humana has been making harassing phone calls to my 86 year old mother who is not a plan member nor has she ever been. They have called several times claiming to be Medicare, in aggressive attempts to intimidate her into agreeing to sign up. During one call when my mother was about to hang up the phone, it was handed to a supervisor who was more aggressive. My mother never solicited their business, yet they had all her personal information, using it to confuse her into believing they were Medicare. She called Medicare, concerned with the false claims they made to her regarding her Medicare coverage, and Medicare told her THEY DO NOT CALL PEOPLE. They knew immediately it was HUMANA.

    This harassment of my mother cannot be an isolated incident. How many seniors has this company swindled? Where is consumer protection? I have the name and phone number of the supervisor claiming to be from Medicare - From what I understand Humana gets seniors to agree to sign an agreement with them, then they charge them a monthly membership fee and take over their Medicare account — pilfering funds. This is a class action lawsuit waiting to happen, Illegal in so many ways, but their victims are the elderly who often don’t understand what has happened. Humana is not a legitimate company, they are grifters and they need to be stopped.

    Thanks for your vote!
    CoverageSales & MarketingStaff

    Reviewed Oct. 22, 2017

    I have paid more in premiums than they are willing to pay for my prescriptions. Anything that costs more than 10 dollars, they either take a week or more to approve or won't cover at all. This company is nothing more than a scam. And remember, once you choose this as a part D coverage, you are stuck with it for a year. This horrible company was recommended by an insurance agent, clearly I will not use him again either. I have a chronic illness and my prescriptions are costly, that is why I have insurance. They covered so little, I ended up buying most of my meds from Canada. So in addition to paying for my Canadian meds, I still had to pay my premiums to Humana, meet my deductible for my cheaper meds and wait long periods of time just to find out they wouldn't pay for my more expensive drugs. DON'T CHOOSE THIS COMPANY!!!

    Thanks for your vote!

    Reviewed Oct. 20, 2017

    Currently dealing with the NIGHTMARE that is Humana's Managed Medicare plan for my Daddy. He had a stroke. His doctor will only release him to InPatient rehab as he is a fall risk. Humana refuses to approve any InPatient Rehab. Claims unnecessary since Daddy can stand; nevermind he cannot walk, needs a guide belt, a walker and two physical therapists to even attempt a shuffle.

    He gets a maximum of 20 minutes of therapy at the hospital he is in. He needs aggressive physical therapy if he is to walk again. But HUMANA, does not care. Refused. Repeatedly. We are told. This is a similar story, I have found, to numerous other people. Please... If you love your parents, do not let a salesman con them into getting HUMANA insurance. It is horrible and will not pay for the care that is needed.

    Thanks for your vote!
    Customer ServiceCoverageStaff

    Reviewed Oct. 20, 2017

    Humana canceled my husband's policy for nonpayment in error when they had a working cc number! We appealed. They denied the appeal because we failed to send in paperwork they hadn't asked for. I made a fuss. They asked for more paperwork. We sent it in. They denied the appeal on the grounds of something that had nothing to with what we were claiming. We spoke to customer service reps who promised to call back and didn't. I'm pretty determined but this went on for months. They wore us down and we will just switch companies during open enrollment. There is no doubt in my mind that this was done deliberately just to avoid re-instating the policy.

    Thanks for your vote!
    Coverage

    Reviewed Oct. 16, 2017

    Humana has been covering my med that keeps me alive for many years. Without notice they cut me off. I feel so sick I don't think I'm going to around much longer. Humana was good at first but now they may be the cause of my death.

    Thanks for your vote!
    Customer ServiceStaff

    Reviewed Oct. 16, 2017

    Bad customer service, no cancellation number, transferred five times, this replaces my mom Medicare plan part A and B... Don't enroll in Humana plan. They're horrible... Here is the cancellation number 1-800-258-7197. Ask for Jon. Beware beware beware. Don't do it!

    Thanks for your vote!
    Verified purchase
    Customer ServiceCoverageStaff

    Reviewed Oct. 11, 2017

    When I became eligible for Medicare I was warned off Medicare Advantage Plans offered by 'for profit' organizations and I decided on a Mutual Supplemental Insurance Plan to cover the missing 20% coverage, but Prescription Drugs were still not covered. So I signed up with a Humana (for profit) Prescription Drugs Plan. The sign up was easy - one phone call; a couple of minutes, done! I soon found the Plan was not good value and I phoned to cancel - no can do they said, you must wait till the cancellation window opens on 15 October. So I waited and continued to pay. Now the window is open so I phoned to cancel - not so fast.

    First I had to talk to a bot, this is a non-human (from Humana, lol,) who claims they can understand and help you (They rarely can, but are real good at wasting your time). Finally after much toing and froing, the bot relented and after some more minutes waiting I was transferred to a customer support person, who asked me a lot of questions, and then said he needed to transfer me. This was upsetting; it only took a few minutes to enroll me, why all this to sign off? Anyway, after another delay I was transferred to another customer support person (I'm not giving names, it's not their fault). She asked me a lot of questions mostly the same, and then guess what? She said she had to transfer me.

    What? Now I know older people have shorter fuses, but I swear Job himself would have gotten upset by all this prevarication. OK I waited, then the third customer support person came on, (actually the fourth if you include the bot who suggested he could help me (which surely means support me). She asked some obscure questions about was I returning to an employer program, or going to a new one, and said these were questions mandated by law. I answered them. To which she responded that she now had to send me a form, or I could send a cancellation letter. As furious as I was with this all stonewalling, and knowing the cancellation window closes real quick, I realized I had to await the form as any letter I sent might not cover every little thing they needed in order to cancel the plan and I would be stuck with it again, but the form surely did cover everything as they originated it.

    This is where things stand right now. Now I've stayed pretty sharp for my age and I'm not intimidated or frightened by protocol, but many people of my age might be, and would give up and suffer on with the wrong Humana Plan rather than handle all this rigmarole nonsense. Does anyone in the Federal Health Department care that older people are forced to jump these ridiculous hurdles? Can't they insist that enrolling and leaving these programs should only take about the same amount of effort?

    Thanks for your vote!
    Customer ServiceStaff

    Reviewed Oct. 5, 2017

    Whenever I have called the number on back of card I am lucky to get the help I need. It is so hard to get beyond the voice that answers! I put my personal info + ID # twice only to have them tell me they don't have me in their records? When The voice finally connected me to real person, she got to my records right away? This year I got a new book on Humana without talking to agent to discuss what they offer, again! A sweet lady named Cory gave me phone #s to call a stranger in the office! When I had fusion on back, was promised home health for mo but it never happened? Dr gave strict limits on what I COULD DO!?

    Thanks for your vote!
    Customer ServiceCoverageOnline & AppStaff

    Reviewed Oct. 2, 2017

    If you're looking for a Medicare Advantage Plan, please, please, please look elsewhere. If you don't you'll regret it. Humana doesn't care if you live or die. Since being with them for 8 years now, I've filed 6 complaints to Medicare. I've also had to file complaints to 2 congressman to get Humana to take my complaints seriously. They deny claims for no particular reason, require you to provide proof of referrals from your doctors, and make it extremely difficult to talk with a human being on the phone.

    You can call Humana 5 times asking about a benefit you may need to use, such as x-rays, CAT scans, etc. and get 5 different answers. Humana mail order pharmacy is worse. I've had medications take 3-4 weeks to arrive. When you call to report a missing medication, they blame it on you. If you have more than one prescription sent in and have a co-pay and one has a zero balance, they'll hold the one with zero balance until you pay for the one with a co-pay.

    I see in the 2018 handbook they no longer cover basic dental care. Good thing because I've argued with about 12 Humana employees about 2 dental claims my wife and I had in 2 states where the dentist was covered in network and they claim in all instances that they've never heard of the dentists, even though I called in all cases to get approval beforehand.

    The latest nightmare that's lasted for about 3 years is their website. EVERY claim they process is shown as out-of-network. The troubling part is, I've never gone out-of network. I always confirm that all providers are in the Humana network, always. I've brought this to their attention many times and they always say the same thing on the phone "We don't see that on our end". Just 2 days ago I talked until I was hoarse to a rep that swore I was lying.

    If you don't mind screaming into the phone for hours on end or writing letters to Medicare or your congressman about them not processing claims correctly, then Humana is for you. Be warned, Humana ONLY cares about signing up patients so they'll get re-reimbursed by the federal government. They do not care one bit about their customers. I just saw their latest infomercial yesterday on TV. I almost threw up before I could change the channel.

    Thanks for your vote!
    Customer Service

    Reviewed Sept. 23, 2017

    My wife has been enrolled in the dental service plan since Jan 2016. The plan was automatically renewed for 2017. Her online profile shows active, but Humana denied the June teeth cleaning claim because internally she is profiled as not eligible. Reported the problem on July 17th. Customer service agreed that her internal profile was incorrect and would take a 21 day turnaround to resolve. Humana failed to keep this service level and as of 09/22/2017 the claim is still not paid. Four escalations with Humana still has not resulted in a paid claim. Humana has continued to withdraw premiums from our account in spite of her not eligible profile. Humana refuses to establish an escalation route. Each call results in a status of under supervisor review.

    Thanks for your vote!
    CoverageStaff

    Reviewed Sept. 22, 2017

    Humana prescription coverage plan drops a 60-year-old disabled man. There was a lack of payment since May. The gentleman contacted Humana on March 13th and let them know his new card number with new expiration date. They show no record of that update. On the 18th of September. The gentleman I spoke with stated that letters did not go out to this gentleman. On the 21st a person contacted this gentleman and said yes indeed the letters did go out. Although we don't have any record of having them. The gentleman paid the past due balances for May, June, July, August and September on the 7th of September. The final notice and the dis-enrollment came on the same day which was last Friday. It was dated August 12th. At this point a disabled gentleman with a heart condition and spinal injuries he needs critical medicines.

    This company did not send the information or make any contact with us until it was too late to do anything about it. The gentleman had longevity with Humana. We aimed to correct the problem. He at this point does not have Medicare Part D prescription coverage. Due to negligence on the part of Humana. They can state that they sent letters. However the receiver did not receive any letters. Again the credit card was updated with the correct and new expiration date. They claim they have no record of that as well. If you care about your loved ones please do not use Humana. The gentleman has an insurance agent who will no longer endorse Humana.

    Thanks for your vote!
    Customer ServiceCoverageEase of Use

    Reviewed Sept. 6, 2017

    Switched to Humana for 2016. Dropped them for 2017. It took the place of my Medicare and secondary insurance. They said it would be easier but it was not. Some of my medical providers would not accept it and DID NOT want to get on it. In fact one of my providers got upset because the Humana office that called to see if they would start accepting their insurance got pretty pushy with them.

    ALL of my medical providers were unhappy with the switch. It was hard to find new medical providers that would accept me as a new patient where I have never had a problem in the past - or since I have switched back to my previous providers. Their web portal and explanation of benefits were difficult to navigate or understand. Final straw: we were on vacation in Michigan and I came down with a bad sinus infection. I went to an urgent care facility knowing it was probably out-of-network but I was too sick and time constrained to find another one. I was treated and paid the full bill for the office visit. They did cover their portion of the medications.

    After returned home got online and electronically submitted and claim form using the medical codes that were listed on my paperwork from the urgent care facility. They refused the claim. Multiple calls and waiting time to be told it was missing the medical diagnostic code. Called provider, they gave me the same numbers I had previously listed. Called Humana again - would not allow me to resubmit online as would be automatically kicked out as duplicate. End of November mailed me a new form (wouldn't fax) and had to fill out again and put "corrected claim ####" at top of form.

    When hadn't heard anything by mid-January called and spent a 30 minutes while they hunted for the original and the resubmitted form to file. Received another denial letter in February. Numerous calls and time to be told wrong code again. They would not tell me what the correct code for a sinus infection was. While I was online she called the providers office and left a message on their voice mail. I was told they would follow through. In March I called back and we repeated the 3 way call. Finally in July I called my Human Resources office. Only then was the case handled and I received a check to cover the out-of-network cost.

    Thanks for your vote!
    Staff

    Reviewed Sept. 5, 2017

    Humana never told my 81 year old mother that they would drop her insurance if she moved to another state. Her doctors in the new state didn't know this either. So she ended up with almost a 2000 dollar medical bill that Humana refused to pay. She has now been in the nursing home since 8/26 to receive physical therapy for a broken leg. The new state's Humana still has not approved her therapy. It's been 10 days. Humana is not only crooked, but they also cause harm to their customers. I will drop them for my mother as soon as open enrollment happens.

    Thanks for your vote!
    Customer ServiceStaff

    Reviewed Sept. 5, 2017

    Deny, deny, deny. For the last year and a half I have had to deal with Humana's incompetence in handling and getting claims paid. They had me listed in the wrong state (LA--listed as New Orleans, LA--is not Vegas people, read the entire address!). They claimed the codes were changed--they were the same codes they approved within the same coverage year. You must have ordered something extra--nope, didn't. I chased all this idiocy for more than a year. They have the power (they think) to keep stringing you along till the end of time. They bounce you from one rep to the other, they don't care if you get cut off, or they have sent you to the wrong department. They think you will give up--DON'T.

    How did I get results??? When you get a claims rep, immediately ask for a manager, not a supervisor, to expedite your claims mishandling. Take names, extension nos., employee numbers, and let them know you are doing that. Take notes with dates and times--document the daylights out of your conversations. But that most instant effect? File complaints not only Humana, but now go to Medicare and CMS (same but not the same for paperwork work). Make sure you politely and firmly give them all the details and all the screw ups and denial and mishandling for your claims. Boom! Fixed mostly within 24 hours. They oversee these clowns. Get the rep from Medicare's phone number--and they will get this done--freely and apologetically. They are your new best friend. No more games from Humana anymore.

    Thanks for your vote!
    Customer Service

    Reviewed Aug. 30, 2017

    Humana's customer service is horrible. In order to get results to requests they have to be done through Facebook to get their attention and even I had to file a complaint to the Attorney 's office. It took more than 60 days for Humana to assume responsibility for the payment of a rendered service. Even though that Humana advertise services nationwide, they do not have any providers in the Keys so they had to pay for the services because it was not up to me as a subscriber to pay for the bill if they don’t have the providers available in the area.

    Thanks for your vote!
    Coverage

    Reviewed Aug. 25, 2017

    Medicare covers most of my medical bills. Humana is my secondary insurance as well my husband's, which he wants me to use, but it doesn't cover the bill as well as my old insurance did.

    Thanks for your vote!
    Coverage

    Reviewed Aug. 23, 2017

    Humana has been a very good health insurance. I have been with them for a long time and have never had any problems. I would recommend them to anyone.

    Thanks for your vote!
    Customer ServiceCoveragePrice

    Reviewed Aug. 19, 2017

    In April I had severe neck and shoulder pain. Had gone to my MD and in and out of Urgent Care. I called HUMANA nurse advice line and was told by HUMANA RN to go to ER for further treatment. I would NEVER go to any ER without calling my insurance company and getting an OK. I went that day and HUMANA is now refusing to pay $800.00 charge because they did NOT think it was an emergency. Took me 3 weeks and numerous phone calls to everyone I could to get a copy of that conversation. Finally when I received it, guess what? They erased the last half of the tape to cover their butts. How convenient for them huh? This is NOT an honest practice and you really have to be careful.

    When communicating ANYTHING with HUMANA get names, dates and times and I recommend that you record conversations as they will try to cover up anything that costs them money. I learned an expensive lesson and I am taking to a higher level. Would not recommend this company to any Senior unless you can afford ER visits when they refuse to pay a legitimate claim. I guess you get what you pay for as HUMANA has a zero copay. Buyer beware and look around as there are other reputable insurance companies.

    Thanks for your vote!
    Customer ServiceInstallation & SetupPunctuality & Speed

    Reviewed Aug. 1, 2017

    Moved from Florida to Las Vegas -- so knew I would need a new primary care doctor. Called Humana to change my address - and get instructions on how to get list of approved providers on the Internet site. Found listing of approved providers --- and started going thru ones listed as accepting new patients. The first 5 I called said they are NOT ACCEPTING NEW PATIENTS... contrary to information shown on web site. Eventually I found several that were accepting new patients, but wait times ranged from 7 weeks to 6 months before appointment could be scheduled. Finally forced to chose Doctor from Iran, who was trained in Ecuador. Can't wait to find out what he is like... but he was the only Doctor available.

    Then I got a letter from Humana that was sent to the wrong address, fortunately, the post office was able to deliver as Humana had the street and city correct--- but the wrong house number. Imagine my surprise when I opened it up---- to find out that Humana had retroactively cancelled my insurance policy!!! Got letter July 17, dated July 13 --- that my policy was cancelled June 30 --- because I had a new mailing address! I called Humana --- was told they do this all the time when people move -- we have to get a new plan. How come they did not inform me that was going to happen when I called to change my address?? As far as I am concerned --- the ** that run Humana should be publicly flogged and crucified... Their organization is lousy, NO customer service... Total crap organization. Give them your business at the risk of your health and financial well-being.

    Thanks for your vote!
    CoverageSales & Marketing

    Reviewed July 29, 2017

    This company is a scam as I bought Humana one dental and now I need a root canal and was told that they do not cover that but on their website they say they do. So I will be reporting them to the state insurance commission asap. And I will be ending my dental plan asap. And just a heads up they will continue to take money out of your account if you put them on autopay as I did but I will get a new debit card before the end of the month. Also I will let every one I know not to do business with this sorry company.

    Thanks for your vote!
    Customer Service

    Reviewed July 26, 2017

    I'm so dissatisfied with this company that it bring me to tears when I have a doctor visit. Because I'm not sure if they are going to pay my bills or not, sad I'm in the doctor office and they call me to the desk and said we can't wait on you because your bill was not paid through Humana and they said you have a primary inc. Which I don't. So got to leave until it's straighten out and pay the bill. I call and tell me I'm not enrolled with them and I've had a card since 2016. Finally I'm transferred to someone else and they fine me in the system. This was May! Bill is not paid, my understanding my co-pay is a 186 dollars and I've met that. But I go too the hospital for a medical problems and I can't it's a 300 dollar deductible!!! How? I pay a hundred and twenty five dollars a month! What for? I have never been so dissatisfied in my life! If I had that type of money what the purpose! I would not recommend them to any one! If I could I would take that one star back.

    Thanks for your vote!
    Customer ServiceContract & TermsCoveragePriceStaff

    Reviewed July 24, 2017

    First let me open with the very first thing under member rights on the Humana website. "1). Be provided with information about your Humana health plan, its services and benefits, its providers, and your rights and responsibilities as a member." My husband and I have been attempting to go to an urgent care clinic for the entire day. We started by going to one across town where we have been to multiple times in the past. As it turns out, they no longer accept our insurance plan. However, they are still listed as accepting our insurance on both the Humana website and the Humana representatives on the phone claim they do as well.

    Our second stop I called ahead and was told they did take our insurance. As it turns out, no they didn't. At this point I called Humana only to be told that they try to keep the list of providers up to date, but they obviously can't. I was given two more locations over the phone via Humana that take our insurance. Well surprise, none these other two locations actually don't take our insurance either, so now we're up to 4 locations. I call Humana back again which is a labor in and of itself and tell them that this is unacceptable, that part of our agreement as a paying customer is that they provide us with a list of providers. Why am I the customer spending an entire workday doing their job for them?

    I was emailed a list of 32 supposed urgent cares in our network by the second Humana representative, but hilariously all four of the clinics we tried that don't accept our insurance were on it as well. I called 2 or 3 others on the list for good measure and only one of those clinics claimed to take our insurance. So they may as well have sent me a list of every urgent care clinic in our city and told me to figure it out myself. Considering litigation because this is completely unacceptable and sub par healthcare. This company should not be allowed to charge people an exorbitant amount of money for a service they aren't providing.

    Thanks for your vote!
    Punctuality & SpeedStaff

    Reviewed July 14, 2017

    I am considering changing back to Anthem this October because of the need for a referral for every doctor you need to see. Even the doctors offices find it excessive. Everyone I tell that I have to get a referral before I can see a doctor thinks it is a bad practice. My feet hurt very badly for a week, I finally decided that I needed to see someone. So I called the doctors office and got an appointment quickly but oh wait "you need a referral." So I called my Physician, "please try to hurry and get me a referral so I can see this doctor, my feet hurt badly." I don't like to go to doctors and won't go unless I need to, so I don't just make appointments needlessly.

    Thanks for your vote!
    CoverageStaff

    Reviewed July 5, 2017

    There was an error made by Medicare who wrongly suspended my coverage. They quickly admitted the error and reinstated my coverage. BUT THAT DID NOT MATTER TO HUMANA!!! Without any explanation, they refused to admit my coverage without explanation. I am a licensed attorney in California. When I asked Humana for their office that would deal with the legal consequences of their negligence, they had nobody in California. They referred me to a South Carolina office that was closed. If you do business in California you must have an "agent for the service of process" in California. They illegally refused to provide this information. The Secretary of State should cancel their license to operate in this state but that office is also totally incompetent!

    Thanks for your vote!

    Reviewed July 4, 2017

    Humana is definitely just another business. My experience with their business from signing up for my son to finding some doctors that accept this insurance this mess. Everything is a fight. This wound vac is horrible. Constant problems, a total nightmare and I can't believe this is allowed. The wound vac is creating more problems it's total garbage. If you can get KCI wound vac do it. It actually works good. Humana legally cheating their paying clients and gets away with it.

    It's all about the money with Humana. I'm so sorry we changed insurance after moving to Florida. Medicare approved corrective boots for my son and when we changed insurance to Humana they denied the boots. I wouldn't recommend Humana to anyone. I wish I had something good to say about this illegal business but I don't. They are total bad karma. SHAME ON HUMANA. The only reason I give them 1 star is to post this not because they deserve or have earned it.

    Thanks for your vote!
    Profile pic of the author.
    Customer ServiceStaff

    Reviewed July 3, 2017

    Rather than paying $320 dollars for a mistake they made (all is documented), the workers at Humana Medicare have used various techniques to discourage me from holding them accountable. Here is the list: left me on hold for 40 minutes - then transferred me where I was on hold another 20 minutes, given me an incorrect address for the grievance and appeals department, transferred me to a wrong number- transferred me to another wrong number - and another wrong number and another and another all in one call, had multiple oral and written errors in each and every communication, which became the focal point rather than paying the bill, disregarded my grievance which was based on updating my benefits for the new year (the rule) and receiving incorrect information which I did not know until I had already acted on the given information only to find out the customer-service representative didn't know what she was talking about.

    99% of calls are not returned, if returned and the receiver isn't immediately available the phone message states to call the number on the back of your Humana card and give a stated reference number but when I called the reference number wasn't in the Humana computer, and twisting the information -- i.e. saying that my dental provider had to send in the appeal -- the dental provided as pointed out to Humana workers many, many times didn't make the phone call. I did. The list goes on and on.To the point, Humana personnel consistently avoids the payment they are accountable for and does every possible trick to discourage a client from collecting. It is no wonder that the Medicare Advantage health plan ranking from NCQA has Humana rated "F" for customer satisfaction.

    Thanks for your vote!
    Price

    Reviewed June 29, 2017

    I have been with Humana since moving to Georgia in 2012. I have had no complaints other than co-pays increasing each year until today and having to all to request a provider directory. I have to have lab work done 2-3 times a year. My doc is very conservative and does not overdo it. I am on two meds for BP and trying to get off these. I am low cost to this company. However I must have labs. Never have I had a copay for labs until recently. I paid. Then on my next trip to the lab, I was quoted $189.00 that I "may have to pay" in addition to my copay! What's up? I cancelled my appointment and came home to call Humana. Not!! Is their 1-800 number out of service? I have tried calling for 2 days at different times of the day and I get a fast busy. I will now call my agent!

    Thanks for your vote!
    Verified purchase
    Staff

    Reviewed June 22, 2017

    I was told that Humana no longer serves any part of the state of Georgia. I was surprised to find out my 76 father carries it when he had a mini stroke last month. We paid over 2000 dollars monthly until Obamacare brought it down drastically. I still paid a lot out of pocket and I'm not sickly. But last year my husband had a too high red count, was sent to a oncologist only to find out it was his red rice supplement causing it and a month later I had to get blood transfusion sent to an oncologist only to find out I was anemic. I take an iron pill daily. Suddenly I was told Georgia was not carrying Humana anymore. Liar liar it does. Several family members have it. So does many businesses. I was told by a lawyer they have violated my rights because I had the highest bracket they carried. I paid the most out of pocket and the first four payments would have paid the bills the paid. I made them a lot of money. This company is crooks and thieves. Shame on them.

    Thanks for your vote!
    Customer ServiceStaff

    Reviewed June 17, 2017

    Trying to get Humana to pay legit bill for 2 or 3 years. They blame it in my provider, but provider says it Humana. Now it's in collections. Humana needs to huMANa Up and do their job. Pay the bill! I have spent countless hours on the phone over the years with bumbling, idiotic customer services reps. Some were very, very rude. One put me on hold for like an hour and talked bad about in her break and when she came back, I told her she forgot to press Mute and I heard all her nasty remarks and she told me I couldn't possibly have heard what she said as she put me on hold, then she hung up! Unprofessional. HUMANA... PAY THIS BILL. $177.00. It's been years. Are you guys hurting for money? Stop hiring idiot customer service reps and pay my bill.

    Thanks for your vote!
    Coverage

    Reviewed June 16, 2017

    Worse company ever. If I could rate no star I certainly would. I paid Humana for dental and eye coverage since 2001 through my employer. It was self-funded by my employer and the only option. I had a $1,000 annual limit and have almost $400 left of that amount to be used in 2016. It's been a year now and the claim is still being denied. For about 6 months they questioned the date of service, insisting that I no longer had coverage when the work was done. They were wrong.

    Since that has been resolved the problem now appears to be a question about the tooth numbers involved in the work I had done. I had forbidden them to contact my dentist again, as he has talked to them numerous times and sent X-rays three times that they requested but continue to claim not to have. My dentist is semi-retired and has jumped through hoops for a year. I was on hold for 2 hours and 18 minutes today trying desperately to get this problem solved.

    I am beyond frustrated and embarrassed for the way they have stalled this claim making me look very bad and questioning my honesty about dates, but especially the way they have harassed my dentist. $400 wouldn't buy a decent lunch for their board of directors, but they spend time and effort to avoid paying a legitimate claim. The five ladies I talked to today were all very polite but relentless in their intention to not see this claim resolved. What recourse do I have now??? Take care senior citizens when considering Humana as your supplement to Medicare. You won't be happy I promise!

    Thanks for your vote!
    Customer ServicePriceStaff

    Reviewed June 15, 2017

    Before I signed up with Humana I read as many reviews as possible and they had a 4 or 5-star review on Medicare website. I had them in Palm Beach Florida with no problems. However not so in rural North Florida. I signed up with their pharmacy in October and ordered 2 prescription drugs, no charge. When it was time to renew I called and spoke with someone in the pharmacy and asked if there was any change in the cost of the meds. I was told no.

    In January when the Dr. sent in for refills, Humana said one medication was 450.00. I declined refill and told the representative that I spoke with someone in the pharmacy before I signed with again for 2017 and was assured that my medication cost would remain the same. The rep. said she was sorry but that was misinformation. Since then I was told that they will not pay for some of routine blood work testing ie test for vitamin D. Today I called for tetanus dep and was told they do not pay for that.

    I am actually quite healthy and rarely use the insurance so I am not a high cost to them. My medication are for HTN and the one I no longer take was for overactive bladder. I will not renew my coverage with them for 2018 and will go back to straight Medicare if it is still around by then. My advice to anyone using Humana, get everything in writing.

    Thanks for your vote!
    Staff

    Reviewed June 13, 2017

    I joined Humana Gold Plus (HMO SNP) 05/11/2017, BIG mistake, an agent with Humana set me up with Piedmont Senior Care. They don't accept Medicare or Humana, also set me up to see a Dr. Ann **, she doesn't work at the clinic. She works at the nursing facility. The receptionist said Humana is constantly telling people the same thing, she said everyone using Humana is telling her they are to see Dr. **. This company Humana, should be PUT OUT OF BUSINESS, they are endangering patients' lives. I switched back today 06/13/2017 to Medicare after only 32 days. Humana is A FRAUD!

    Thanks for your vote!
    CoverageStaff

    Reviewed June 7, 2017

    Worst insurance company ever! Unfortunately this is what is available through my employer. They are always trying to override the decisions made by doctors in your medications. Once you meet your deductible and they may have to pay a little, they step in and won't give you the medications you need. I have been on the same eye drop since January and I have been paying for it. Now that I have met my deductible, they decided I don't need it! They cash the checks for my premiums with no problem. My employer pays almost 6000 a year for my coverage with a 2500 deductible. Now they won't approve my drops because it's their turn to pay! Horrible! If you can steer clear of this insurance as a company, please do! Your employees deserve better!

    Thanks for your vote!
    Verified purchase
    Customer ServiceStaff

    Reviewed June 4, 2017

    Humana will rip you off! My mom has been paying Humana $64 bi-weekly for the past 13 years for short-term disability insurance. She has been having health issues that are severe enough to cause her to be out of work. As soon as the doctor took her out of work and she filed FMLA she filled out her claim thinking everything would be ok. Let me just say nothing has been ok. She now faces eviction and is going to lose her car, her only source of transportation, why? Because she has been waiting for her insurance money from them for nearly 3 months. She has complied with them when they say they need something, her doctor has even called them and still nothing. She has been speaking with different reps and even a supervisor who is now avoiding her calls! I stay with someone and have been helping as much as possible but she has nowhere to go if she gets evicted which is inevitable! She has had zero money coming in this whole time!

    Thanks for your vote!
    Customer ServicePriceStaff

    Reviewed May 31, 2017

    ***

    Note to approvers:

    Review already posted on https://www.complaintsboard.com/complaints/humana-medicare-drug-plan-part-d-drug-coverage-for-seniors-c875900.html

    ***

    ENDANGERING CLIENTS HEALTH CARE - HUMANA (Medicare) Rx Drug Plan - Profits from pain 4/26/2017 1:25 PM

    I have had HUMANA as my Drug Rx plan in NY for several years and now in Florida since moving here a year ago. In NY it was determined by 3 specialists, that I am ALLERGIC to preservatives in eyedrops (it caused me severe blepharitis) and then the anti-inflammatory drugs to resolve this caused permanent vision damage to both my eyes. I have to use unpreserved eye drops to avoid vision loss. All the eye doctors I saw notified Human of my sensitivity to preservatives and the need for unpreserved medications (I too am an eye doctor). Humana then authorized the (not on the formulary) drops at a $45.00 copay each purchased months supply (after a yearly first purchase of $125.00).

    I called today to get a price on the drops in Florida, as recommended by my physician who thought she might be able to save me money by NOT using my drug plan. I was told by your rep 1-800-281-6918 that all the past reports my doctors filed were of no value. I was told that I had to start the process over and get new doctors to request this exception because it was a new year (each year). You did not promise to make an exception in any case. I was also told the drug is not on your formulary and I would have to pay full price. The Walmart discount prices is $175.84 for a months supply. It sells for over $200 / mo supply. It is illogical (and unethical) to ask me to go through the doctor request process each year. When your representative said I would have to do this I asked to speak to a supervisor since allergies dont go a way. He then played the same trick all "annoyed" providers do and said he would transfer my call to customer services who would help. He promptly disconnected us. (he had my phone number and if he wished to call back he could have).

    I am a retired doctor, I understand how you play games by forcing doctors to do unnecessary time consuming paperwork and phone work so that you can stop patients who need exceptions from getting the meds they need and for which they have paid your insurance fees for years. Sure you tell the patients it is their doctors responsibility to contact your service department as if it would take just a moment or two. When I was a practicing doctor, I would have been doing this all day! Doctors are paid poorly enough already and now you add to the injury by making them do unnecessary paperwork or spend time on the phone with your company (which hangs up on them too) which is not possible for them to do today. It is a neat little way of deceiving your patients. You tell them ask your doctors to get an exception and put the blame on the doctor.

    Having a formulary that allows you to negotiate for a lower price with a drug company is not a bad idea. However when a patient needs a drug not available on your formulary and when there is no alternative on our formulary, making them jump through hoops to deny services is UNETHICAL. We as patients, all know the stories of suffering senior citizens who live in pain because they cannot afford the medicines they pay their plans for. The medicines they can get from Canada pharmacy cheaper than WITH their drug plans.

    As patients, you take our money in premiums with false promises of care and then deny service for greater profits. Nothing could be more unethical other than directly causing injury to your clients by stabbing them with a knife or shooting them. You get away with it indirectly, without putting a knife in them, by denying services. I wonder how this would read on the Internet? I gave you 24 hours to set this straight in writing and then I waited w weeks. On 4/26/2017 I then sent my email to your customer services and received no response. Today is 5/9/2017 If you intended to respond, 2 weeks was clearly enough time. This clearly paints a picture of the ethics behind your services and your concern for your clients. Dr Joseph A Ross

    5/30/2017 --- The Human Drug Plan Rip-Off only gets worse.

    My eye doctor prescribed a second med for me today. Unpreserved again because I am allergic as documented. This drug was also denied. Now she is going to write to them to see if they can get it approved. Meanwhile the records for several years show (at their company) that I am allergic and that does not change.

    Today my wife needs and eyedrop for post surgical care. The drop is called Prednisone. When she went to pick it up today they charged her an $80.00 co-pay. I went online to Canadian pharmacy to see what it would cost without insurance. The price in us dollars is $27.00 and it is the same product from the same company, Allergan. GET THIS STRAIGHT NOW: WITH INSURANCE $80.00 WITHOUT INSURANCE $27.00 .. How ethical is this? I looked at HUMANAs ratings online.

    Rating: 1.2 stars out of - 367 votes <== Any wonder why?

    Thanks for your vote!
    Customer Service

    Reviewed May 27, 2017

    So much for having Humana as a secondary insurance. My daughter has Lou Gehrig's/ALS and the doctor ordered an all electric bed. Medicare will only pay for a semi electric bed and Humana refused to pay the difference. Terrible customer service.

    Thanks for your vote!
    Customer ServiceCoverageStaff

    Reviewed May 25, 2017

    My husband has had Humana for years to help cover the cost of his prescriptions. He went to the pharmacy like he does every month to get his prescription and it turns out that Humana terminated his coverage last month and never sent him any prior notice stating that fact. When he called to speak with a representative, he was also told that he owes premiums! And stated that if he pays almost $150.00! That's money we will never have, and then MAYBE they will sell him another plan!! Again, never notified of this fact. My husband's medication is to help with his insomnia, and now he can't get it. Humana was aware of this fact when he initially got the plan. I also found out that insomnia can be an indication of something serious. He is currently in contact with an attorney, to see if there is something that can be done about this situation.

    Thanks for your vote!
    Verified purchase
    Customer ServiceCoverageStaff

    Reviewed May 19, 2017

    Have been with this company over 10 years and only have used it for a claim one time back in 2015 due to a high risk pregnancy that left me unable to work. Recently I filed another claim because I am currently pregnant again and have been diagnosed with the same high risk problem I had last pregnancy that was an approve illness, but now I have been denied for this claim. I have called several times trying to get answers on how this is possible being that I had a claim approved before and all I get is rudeness and very nasty attitudes from the employees.

    These people are not even doctors and have the nerve to send a letter saying I am not total disable before delivery date. I'm confused how am I suppose to do my job as a letter carrier if I can't even walk from my illness. They instructed me to appeal the decision and pray it be overturn. So now I have been off well over a month with no pay with 4 kids and one on way and I'm having to fight for money I paid for this insurance. I hate this company and as soon as I can I will be dropping them and I will also be making a complaint to my company so this company will not be allowed to sucker postal workers into purchasing this insurance.

    Thanks for your vote!
    Customer ServicePunctuality & SpeedStaff

    Reviewed May 16, 2017

    I called Humana about my prescription benefits and spoke to at least four different people with no results. They all were quick to blame Social Security, pharmacy or myself for the problem. To compound my frustrations I could not understand half of what was said. They either spoke too quickly or without clear enunciation and I finally hung up. Without answers!

    Thanks for your vote!

    Reviewed May 6, 2017

    Following instructions received from Humana, I attempted to renew consents by clicking the options provided. Using several paths that I thought might work, I kept getting instructions to try again later. I don't want to try again later... It takes an act of Congress to even get signed into my account. I dread using this site because of the sign-in procedure and the fact that I either have to keep trying again later.

    Thanks for your vote!

    Reviewed May 5, 2017

    Humana Health Insurance offer a good deal on preventive care, like x-rays and cleaning, but not on crowns, fillings, root canals and extractions, but the dentist office offers interest free financing.

    Thanks for your vote!

    Reviewed April 27, 2017

    My doctor no longer accepts Humana. Now I'm having problems finding a newer doctor that will. My old doctor sent me to a specialist for my hearing because my left eardrum is blown out. I don't want to lose my dr and would rather change insurance companies without the hassle. But I'm having a hard time changing my health care plan.

    Thanks for your vote!
    Coverage

    Reviewed April 25, 2017

    All dental insurance is very limited in regards to dollar amount coverage. $1,000 does not cover major issues like getting root canal, crowns, implants, etc. We end up paying the bulk of the costs, rather than, say 20%, as you would in medical plans.

    Thanks for your vote!
    Price

    Reviewed April 23, 2017

    They should help with the cost with dent or should help with keeping the teeth that are good. Sometimes not all the teeth are bad but they would like pulled and that are good.

    Thanks for your vote!
    Punctuality & Speed

    Reviewed April 22, 2017

    I get in and out timely. They are very patient and appointments when I need them without a long wait. They are willing to work with my schedule.

    Thanks for your vote!
    Customer ServicePunctuality & Speed

    Reviewed April 20, 2017

    My car was broken into on the 10th of April. Cash, jewelry, a few other items and my prescription meds were stolen. I take these meds multiple times every day, and if I stop abruptly I go through awful withdrawals. I have severe anxiety and PSTD, and the meds treat both. As a law student, I CANNOT afford not to have my medication. I've barely been able to leave the house, and my final exams are one week away. I have missed so many classes because I'm so scared. I filed a police report immediately and called my doc. She wrote me a new prescription for a fewer amount than usual and said it was fine. Humana, however, was a diff story.

    I called on the 10th. Told them how important it is that I resolve this asap and get my medication, for all reasons aforementioned. The rep said she filed an expedited claim & that I'd hear back w/in 24-72 hours (by which time I'd already be in hellish withdrawals). I had no choice, so said ok. After hearing nothing, I called back in the 14th of April. Rep gave me the runaround, said she'd submit another expedited claim, with the same time window. Still, 10 days later, NOTHING. I have been on the phone with them all morning, and they are saying the claim was denied bc it was filled too soon. DUH, my medication was stolen. Wtf?

    Humana has let me suffer for 10 days without my medication. I may have to drop a class because of poor attendance, and I can't focus long enough to get anything done, nor can I relieve my crippling anxiety. I am physically in pain from the withdrawals, I'm so sick I can't go to class. My final exams are in one week and I am INCAPACITATED because Humana REFUSES TO HELP ME. I can't get a refill until the 4th of May, by which times I will be in full swing of Law school final exams. I am living in HELL right now. Am being punished for being burglarized, which is punishment enough! I am disgusted that they would let someone SUFFER like this. SHAME ON YOU, HUMANA.

    Thanks for your vote!
    Customer ServiceStaff

    Reviewed April 19, 2017

    Humana Ins. Co. has got to be the WORST insurance company I have ever dealt with! The people who are suppose to assist you with any questions you have are not very knowledgeable and sometimes quite rude. And to top things off they will not let me see the Dr. that I've been seeing for the last ten years. Even though he is one of the Drs. on their list. They say he has too many patients already. They have to split the new patients up between the other Drs. My Dr. even called Humana and told them he would take me as a patient but Humana said no. This is taking away patients from my Dr. and giving them to a Dr. people have never seen before. Don't they realize that the Dr. that has been seeing you for the last ten years knows a lot more about you than some Dr. that has never seen you.

    Thanks for your vote!
    Verified purchase
    Customer ServiceStaff

    Reviewed April 19, 2017

    I received auto calls from Humana that starts with (without any identifiable notice) asking Yes or No questions. It is a common phone hack in my area of country to let scammers bill your phone. I called them and customer service rep was clueless and didn't understand why I was alarmed by their attitude.

    Thanks for your vote!
    Customer ServiceCoverage

    Reviewed April 14, 2017

    I changed from Humana to Anthem on January first, 2016. Humana has continued billing me 71.10 dollars a month for prescription coverage which I have from Anthem. I have tried repeatedly to get this stopped to no avail. I have even gotten a new account number to stop fraudulent charges but Humana follows me. I have called them repeatedly over the last year and they pat me on the head and tell me everything will be fine-- it isn't. Today I called them 4 times before I was finally given someone who told me their stupid policy. The first three times I was told they were transferring me and they just hung up on me. I believe this is company policy to see if they can make you give up. For 16 months they have stolen 71.10 dollars a month from an old lady on SS. This is a company based in Kentucky, BEWARE!

    It seems I can't cancel their stupid insurance without mailing them instructions which I did today. I was never told this before. I have been told that I couldn't cancel without proof that I had other insurance. I have asked Anthem to send me a letter stating the date I started and that I am still insured by them. I am going to go to war to get my money back. I would strongly advise that you never ever consider getting any policy from these Kentucky republicans. They do believe in getting your money for the billionaires. I would never have done any business with them if I had known they are a Kentucky corporation. I don't know the order number, I disposed of all that stuff when I was sure that Anthem was up and running. I have something called the PPD ID **. I hope this helps.

    Thanks for your vote!
    CoverageStaff

    Reviewed April 13, 2017

    I have Humana Gold Plus with RX. I have gout bad at times and been on gout med as needed. Now they tell me that my meds for gout isn't covered under their plan, instead they want $628 for a 30 day supply. If I had personal or private insurance, I can get it for $15. What's wrong with this insurance company? I'm 71 and need these meds, but can't pay for them. Gout is very painful and these people don't care to help people but fill their pockets. What a shame, we seniors are being treated almost as bad as our veterans. Investigate before you buy or you'll have the same problem I'm having. Good luck.

    Thanks for your vote!
    Contract & TermsCoverageSales & MarketingStaff

    Reviewed April 11, 2017

    I went to Humana for gap coverage between COBRA and Medicare, and now I will be poorer by $3,920 for an emergency room visit one month before my 65th birthday. Neither Piedmont hospital in Atlanta nor Humana deigned to let me know, though the salesperson was eager to sell me a policy, that Humana has no contract with the nearest hospital to me. No recourse now but to take Humana to court. It is fraudulent to solicit a customer without alerting him to significant holes he is likely to encounter in his coverage. Also, Piedmont was remiss to tell someone on a fixed income that he can afford to fork over 25% of his income to that hospital, because of Humana, is obscene. Both outfits make a mockery of Affordable Health Care, and so does the serpentine healthcare.gov. Come the revolution, bloodsuckers, guess what...

    Thanks for your vote!
    Verified purchase
    Customer ServiceStaff

    Reviewed April 9, 2017

    New CAPTCHA security blocks log-in for days. Humana web support says it's a known issue. Placed another "ticket" for correction. Not fixed. Have waited twenty-two days for official word on approval of out-patient PT for my wife post-knee replacement (VERY routine). Best we can get is informal word from Humana's outside contractor. Humana Customer Service, benefits, and "approvals" has no record of any PT being approved. Apparent breakdown between third-party contractor and Humana - several weeks duration and counting. Nice reps - very nice. Awful automated systems.

    Thanks for your vote!
    Staff

    Reviewed April 6, 2017

    Please be careful. I have not work since January 2017, HUMANA refuses to pay out my premium. This has cause me to get behind with my bills. HUMANA keeps sending me letters saying they need papers and information that's been giving to them several times!!! Spoke to an agent today, told me they will be sending me a 28.00 check W.I.T.H again trying to avoid paying!!! AGAIN BE AWARE OF THIS COMPANY.

    Thanks for your vote!
    Customer ServicePunctuality & Speed

    Reviewed April 4, 2017

    First off stage III heart failure. I received a letter from Humana asking me to change to their mail pharmacy. Three months of medication at a time. Great. Save me from waiting at other pharmacy. First order 7 out of 8 medications came. Then bam doctor did not sign off on prescription. Got that fixed and had it faxed to Humana. Everything looked fine until 7 days later and no meds. Spent 8 hours to find the doctor had sent in order that read 1 every 4 hours or as need. Humana thought it read funny so they stop the order. Called my doctor and you all know how doctors respond, call back at their leisure.

    So anyway, called Humana and spent 8 hours to find out there really are no one in charge just a bunch of yes men who can do nothing. My advice is corporations don't care so let's respond the same way. Drop them like a rock post and talk to as many people as you can. Let the people change this. You can. Your voice is what we need. Tell everybody you see or know they will change or their corporation will die. Do it now.

    Thanks for your vote!
    Customer ServiceCoverage

    Reviewed April 3, 2017

    My experience is Humana has pretty good coverage, but here's the part that is terrible - they will pepper me with annoying calls either from Humana Pharmacy or my general healthcare, but when I call them to ask a questions, I'll be put on hold for obscenely long waits. Today I waited over 50 minutes to get an answer about my dental coverage (3 different calls - I gave up twice).

    Thanks for your vote!
    Verified purchase
    Customer ServiceCoverageStaff

    Reviewed March 31, 2017

    I was put on meds for high BP and I have Spinal Stenosis so I'm taking **. I pay $104.00 per month out of my $570.00 I get on my SSI to see a Dr. I have yet to see one. I have seen only a NP. This yahoo from whatever country he came from almost killed me. I ran out of meds and so I called it in and they said it was at the usual Wal-Mart so I went to pick it up and they said it was not approved for them because it was in a delivery system (WHAT!). 7 to 10 days. I went to the Dr office and the manager there said she would fix it. She did not.

    The next day I called Wal-Mart and they said the same thing as before. No insurance. So I spent three hours getting this straightened out. I was in so much pain I had to go to a neighbor to borrow a pill from him. He takes the same stuff. I had an appointment today so I went in and confronted this NP and he ran like a little girl. The office manager came in and told me I should get another care provider. If you ask me I never had one to begin with. If I were a person who had a heart problem and this happened, he would be dead. I pay to see a DR not a NP. I want my money back. That's like paying for a Mercedes and getting a Kia. I live in Las Vegas & this is not over. :(

    Thanks for your vote!
    Price

    Reviewed March 23, 2017

    I've paid for a prescription plan for many years, and always got my generic ** and thyroid med for no extra costs. In Jan 2017, I ordered a 90 day supply of **, at no cost. Then, when refill time arrived, I was told I had to pay $8. Why? Because they "reclassified the drug". I told them that I am paying over $200 a year for a prescription plan, and refuse to pay more. They said, "Sorry." That's it. It is not my concern that their CEO makes 10-20 million dollars a year, but don't suck more out of me and give him $8 more. When I tried to opt out, they said I can't. I despise them. Rip-off. The GOOD news is that they are leaving Georgia at the end of 2017, per news. If they don't leave, I will be leaving them.

    Thanks for your vote!

    Reviewed March 22, 2017

    Again "You don't need this." 75 year old man fell and tore up leg. X-ray revealed not broken but damaged. Prescription given for swelling. Took it to Walmart and was informed that Humana says "he doesn't need this". Did they see x-rays? No. Did they examine him? No. Did they read medical report? No... Just "He doesn't need this". I feel that Humana has no qualm about the elderly suffering.

    Thanks for your vote!
    Verified purchase
    Customer ServiceStaff

    Reviewed March 21, 2017

    I filed a fraud claim with Centers for Medicaid on behalf of my 85 year old mother and the Physical Therapy she never received. Humana was to investigate and answer the claim. It has been two years and I am still getting bills from the provider. Every time I call Humana I get a different person or State. In June 2016, Robert ** in the Kentucky office sent a letter saying my Mom's liability was only $206.71 (which I paid) of the $1100.00 billed and the claim was to be settled.

    It is now March of 2017 and I am still receiving monthly statements for $718.00. When I spoke to Robert ** today, he mocked me, talked over the top of me, and laughed at me for thinking this is fraud even though he already indicated a year ago there was no liability. When I asked to talk to his supervisor, T.J. **, he again laughed at me. This is the most reprehensible and unprofessional behavior I have ever experienced in my entire life. My Mom just passed away a few weeks ago and this is how Humana is treating me.

    Thanks for your vote!
    Customer ServiceStaff

    Reviewed March 20, 2017

    I have called and talked with ten different people in Member services, HR, agent services, sales department, agent support, customer services and market support for Hillsborough County FL and I honestly can't remember who else trying to find my AGENT. YES, silly me I lost her number and address. But I thought someone somewhere in this maze they call Humana Health Insurance would be able to find the insurance agent that sold me my policy. Wow, was I wrong. It sure is a sad situation when they (Humana) don't know how to reach their own agents!!

    Thanks for your vote!
    Clark increased rating by 2 stars.
    Customer ServiceStaff
    After a positive interaction with Humana Health Insurance, Clark increased their star rating on Nov. 19, 2022.

    Updated review: Nov. 19, 2022

    They ended up not making me pay it, but still upset about their business practices back then.

    Original Review: March 18, 2017

    I called to cancel my Humana plan in November 2016. I was told that all I had to do was not pay it. The representative said it would auto cancel. The person on the phone then asked if there was anything else they could help me with, I said no and hung up. It's now March of 2017. I'm still getting emails from Humana about my invoice, which is now apparently at 1300 something dollars. I contacted them again, to make sure my plan was canceled. They said IT'S NOT!! Apparently I owe all of this money, when I already tried to cancel my plan. I've had a different health insurance provider for months through my work. I'm livid, and I wish I would have recorded the original phone call. If that would even do anything..

    Thanks for your vote!
    Contract & TermsCoverage

    Reviewed March 15, 2017

    I am currently enrolled with Humana's short term disability plan at my place of employment and I have been a member since 2011. Bi-weekly, premiums are being deducted from my payroll, as planned and as agreed upon per our contract. As of November 2, 2016, I had injured my left wrist requiring me to go on medical leave from work. As a registered nurse, my responsibility requires a lot of use of my hands, from chest compressions, spiking IV bags, heavy lifting, and the simple task of opening medicine packages to obtain a tablet and computer/typing skills. All of these tasks require the use of two hands and because of my injury, I was restricted from using my left hand.

    I have followed all the steps necessary. I visited my primary physician who referred me to a hand specialist. I got the MRI done that was ordered and as a result, it is evident that there is a very high grade tear, near full thickness tear in the triangular fibrocartilage complex - as Dr. ** (hand specialist) has put it "the cartilage is hanging by a thread", which is supportive of all my symptoms - numbness to my left arm and pain to my left wrist. I have submitted my claim to Humana. All paperworks required have been filled out by myself, my primary physician, and by my place of employment, Dignity Health. Humana requires a copy of my job description, which was also submitted by Dignity Health HR.

    By February 2017, my physician extended my medical leave due to the unresolved pain. Per Dr. **, the healing period for a torn cartilage will be approximately 6-8 months. This short term disability insurance from Humana is a supplemental insurance I decided to obtain back in 2011, in case of unexpected situation such as this. I wanted to be financially prepared for these unexpected times for myself and my family given that I am the sole provider. Now that I am in need of this coverage, Humana has me jumping through hoop after hoop. It has been so much of a hassle to collect what is rightfully mine.

    I paid for this extra benefit out of my own pocket. My disability has been extended by my primary physician to May 2, 2017. After submitting the numerous amount of paperwork stating this recommendation, Humana still requires me to submit my doctor's notes with every visit before approving it in between visits. Fine, I have complied. I have no problem with it. I have turned in all documents. My next appointment with my physicians is on April 25, 2017, but Humana will only approve my disability only up to April 10, 2017. Go figure.

    Until I can submit my doctor's notes, they cannot pay me, according to Vicky and Dawn of Humana Claims Dept. MY NEXT APPOINTMENT IS ON APRIL 25th, WHAT DOCUMENTS DO YOU WANT ME TO SUBMIT? THIS IS SO FRUSTRATING!!! I have submitted all documents supporting that my injury is legitimate, I don't know what else is needed. Shame on you Humana. You are unfair and have clearly stepped over your boundaries!!! You have notes from all medical experts, my physicians and MRI results. What more do you need?

    Thanks for your vote!
    Customer Service

    Reviewed March 10, 2017

    Just got off the phone with Humana regarding my health insurance. My question for them was why do the providers in my area keep dropping Humana and no longer accepts them for payment. I know it's not because I don't pay my premiums. I do. Even as they have risen over 30% in the last couple of years. Is it their goal to just eliminate all health care providers while racking in our premiums? Customer service hung up on me.

    Thanks for your vote!
    CoveragePrice

    Reviewed March 6, 2017

    I was disabled and chose Humana for my insurance company. After several years I was able to work part time and I picked up a little supplemental policy that covered $6000 a year with $6000 deductible. Now Humana wants to call this new policy primary and them secondary. Humana is over $200 a month and the Blue Cross is $80 a month. Humana refused to pay for X-rays or anything else since they are claiming to be secondary now. Worst company I have ever dealt with. Do not use as their coverage is no better than Medicare primary which cost a lot less.

    Thanks for your vote!
    Customer ServiceCoverageStaff

    Reviewed March 3, 2017

    Words can't describe the rage inducing, incomparable, 'Twilight Zone' experiences I have had with these people over the phone. How many numbers do they have? I spoke with probably 13 different people over the course of an hour, called at least eight different numbers, got transferred over a dozen times. Got zero answers - no wait I got several idiotic, incorrect answers. It went something like, "Oh you're on a supplemental plan," "Oh you're not in our system at all," "Oh you don't even have a Humana ID," "Oh here is your Humana ID," "I can't help you with that let me keep transferring you," "Oh if you move then you're probably not covered in your new state (WHAT), yep NC is not covered (this wasn't even my question)," "Let me transfer you again to see if you can be covered in your new state," gets transferred yet again, "Hello how can I help you with getting you information on our out of network service?"

    After telling the newest woman I was not interested in out of service information and was just told my plan would not work in another state, she helped inform me that yes, it would work, and I needed to be transferred back to answer my original question. Next, "Oh now you want to cancel your plan? You have to wait a year." And all this after navigating their automated phone system every time someone new got on the phone or I got pawned off to the next incompetent idiot. Kudos making an automated phone system navigation look like taking a trip to Mordor and JUMPING INTO AN ACTIVE VOLCANO WOULD BE MORE PREFERABLE. And if this review is too chaotic and jumbled to comprehend then you are getting a small taste of what it's like having to deal with this... this absolutely EVIL, god-awful company. RUN AWAY.

    Thanks for your vote!
    Customer ServiceStaff

    Reviewed March 2, 2017

    I have been seeing the same dentist at the same dentist office for 24 years. I have had Humana Dental for the past 3 years. Last year I had a bill that was partially paid. The reason given for not paying in full was the provider was out of network. This dentist was always in network before, so I contacted my dentist office. The dentist office explained that this had happened to all their clients with Humana for no apparent reason except that Humana decided to drop him.

    Several months and phone calls later, Humana re-instated the dentist giving no reason for dropping him in the first place. The customer service is apparently farmed out to an overseas call service. I had a poor connection and asked for a call back that I never received. I called a third time in one day and after explaining my problem, my call was mysteriously dropped. After calling the fourth time, I was put on hold for over 5 minutes during which time a call came into my phone from a Kentucky exchange which turned out to be a Humana representative. I am now waiting for resolution which I have been verbally promised.

    Thanks for your vote!
    Customer ServiceOnline & AppStaff

    Reviewed March 2, 2017

    I signed up in Dec for a policy. I paid the bill, received all of the paperwork, insurance card, etc. Went to the doctor last week & they said Humana can't find you in the system. After two days of conference calls w/ Humana & Marketplace they cannot straighten this out and are making me wait until Marketplace sends them more paperwork. Even though Humana has accepted my payments and posting them SOMEWHERE! This makes no LOGICAL sense. Can someone out there help w/ this? I called the corporate office and they refuse to let me speak with anyone. I sent a complaint via their contact us link on their website and have heard nothing. Marketplace called today and said I need to call back tomorrow about this. I would like to go to the doctor now & do not have the $ to pay them up front because I just lost my job. Can't anyone recommend what else I can do? Humana has received a $1,000 of my money so far.

    Thanks for your vote!
    Verified purchase
    Customer ServiceContract & TermsCoverageStaff

    Reviewed Feb. 22, 2017

    Two years ago, a check to me from Humana was stolen from my mailbox. I have been trying to get the check reissued for 6 months now and have spoken repeatedly to Humana's financial integrity department as well as their member services and claim department. I have spoken to 20 (TWENTY) agents and spent over 10 hours on the telephone with them. I also returned written documentation to them requesting reissuance of the check. They have repeatedly said that they will reissue the check, which has been confirmed as voided, but no check is ever issued. Humana repeatedly hangs up on me or disconnects the call. This happens virtually every single time I call them. Despite my requests to have them call me back, this never happens.

    I am permanently and fully disabled and must live on what I get from Social Security. This money ($179.39) is important to me. It was overpayment of a claim. But I am at a loss as to what else I can do other than to get an attorney and sue them for both the amount of the check as well as all the emotional distress that they have caused me. NEVER EVER CONTRACT WITH HUMANA FOR ANYTHING. ESPECIALLY DO NOT PUT YOUR HEALTH OR WELL BEING IN THEIR HANDS.

    THIS IS THE MOST INCAPABLE, USELESS, POORLY CONTROLLED company I have ever dealt with after a career of almost 40 years as a finance director and risk assessment specialist. The company should lose their license to do business. They have zero customer service! WHAT THEY HAVE IS CUSTOMER DISSERVICE! This is just one in a long list of problems that I have had with my health insurance coverage with them. If I could give them a negative rating I would!!!

    Thanks for your vote!
    CoverageStaff

    Reviewed Feb. 22, 2017

    I am a disabled nurse with Rheumatoid arthritis. I chose Humana Preferred Rx Plan because they said they covered my meds. My doctor wrote a prescription for one of the medicines, they refuse to cover it. They made me and my doctor’s office jump through hoops and still denied it.

    Thanks for your vote!
    Customer ServiceCoverageStaff

    Reviewed Feb. 21, 2017

    My husband just turned 65 on February 18th. He called tonight to double check on some meds that he was waiting for. Come to find out they don't cover several of those meds that are listed and they also telling him that some can't even be mailed in. What is up with this company. I saw so many bad reviews tonight that is makes me sick. I was reading all of them. This is crazy. How come this company is still opened. I will be on medicare in August and I will not be using Humana for darn sure. He is stuck in this a year. Now when will something be done to make this company stop all these lies just to get you to join then they send you out to the wolves after they got you! MADDENING! I AM SITTING HERE LISTENING TO HIM ON THE PHONE WITH THEM RIGHT NOW AND IT IS A MESS!

    Thanks for your vote!
    Profile pic of the author.
    Verified purchase
    Coverage

    Reviewed Feb. 20, 2017

    HUMANA GOLD PLUS MEDICARE ADVANTAGE - I received a TDAP Vaccine on 2016 and the insurance refused to pay indicating that is not covered by the plan because it is not a "Preventive Medicine (vaccine)". Since when a vaccine is not preventive??? Humana is doing fraud and must be investigated immediately. I will follow this complaint with all the vested authorities for fraud claims.

    Thanks for your vote!
    Customer ServiceCoveragePrice

    Reviewed Feb. 17, 2017

    Humana sent me a letter stating they would no longer cover my ** inhaler. That is bad enough but when I called them to stop paying my premium because they discontinued my coverage I was told I still have to pay until October. How is this right when they are the ones that discontinued coverage. My doctor can appeal but why should he have to and are they going to double the price? Well Humana you might get your premium but I am headed to Canada where I can get my meds at a fraction of the cost that you charge. So long losers.

    Thanks for your vote!
    Customer ServicePrice

    Reviewed Feb. 13, 2017

    Don't buy Humana Ins. They send a letter saying bill is this amount then send a coupon book that is higher than the letter quote. Nobody can give you a straight answer as to why. Whoever is running the Mickey Mouse outfit better get this straightened out real soon. I am going to try again Monday 2/13/17. I'm done with them. They don't understand why BBB is not on top of this.

    Thanks for your vote!
    Verified purchase
    Customer ServiceSales & MarketingPriceStaff

    Reviewed Feb. 10, 2017

    I get the same scripts every month for years. In January my pharmacist got an error message that I had received my monthly limit of 360 tablets of one of my medications and the script is for 90 a month. He spent over an hour on the phone with them and then I spent an additional 45 minutes but could not get it straightened out. I ended up paying full ($370) price with my credit card thinking I would get a refund later. It's now been over a month and I have filled the same prescription again for $7.17 just like every month except January for the last 10 years. I have called Humana at least 10 times and each time passed around from department to department and put on multiple extensive holds by each department. I just called again and spoke to 6 different people in 4 different departments. It was over 2 hours long and honestly don't believe I'm closer to a refund than before I called.

    I filled out all the paperwork they sent me and mailed it back over 3 weeks ago. They are not all idiots and can't figure it out. They are trained to do this hoping that eventually you will just give up. They are obviously a bunch of scam artist that take advantage of their own customers in a time of need. What a bunch of scumbags. I would say they have spent more money on employee pay on this care than they saved by stealing my money but if you have ever called then you know the employees they hire for phone support probably only get paid one bag of rice per day. My supposed case number is **. By the looks of that number I would guess they get many complaints.

    Thanks for your vote!
    Customer ServiceCoverageStaff

    Reviewed Feb. 9, 2017

    I am aghast that this insurance company can deny insulin to a diabetic. I have been a diabetic for 42 years, and have always had my medication approved by insurance. After retirement, I signed up with Humana. Lo and behold, they have STOPPED covering my insulin. How can they do this? How can a diabetic go without insulin? I can't afford the $987 I will have to now supposedly pay for my insulin. This is a travesty to me and all other diabetics. I didn't ask for this disease - yet this company has seen fit to deny my medication to me.

    I will be having my doctor file a claim with this company, hoping to have it approved, and will start looking for another insurance company to help me out. What kind of service is this? Way to go Humana!!! ALSO, it is interesting that when talking to a customer service representative, the phone connections are so bad. I realize that these folks are not the messengers, they are simply doing what they have been directed to do, but geez - the customer service people then get testy when they can't get their point across to the patient because of a bad connection!

    Thanks for your vote!
    Verified purchase
    Customer Service

    Reviewed Feb. 2, 2017

    I have been paying for years and when I needed them they asked for all excuses. Even when I asked them to cancel they ignore and kept withdrawing from the bank. They should not be in business for dental insurance. Their customer service is valueless as they cannot take decisions. THE WORST I EVER SEEN.

    Thanks for your vote!
    Customer ServiceStaff

    Reviewed Feb. 2, 2017

    While there are NUMEROUS reasons why I am disappointed with Humana my most recent experience tops the cake. They cancelled one of the doctors enrollment with them out of the 5 in my OBGYN office. They were not asked to do so, they made an error and her credentials were cancelled with Humana making her out of network. Therefore, after I gave birth to my daughter with, you guessed it, the one doctor they "accidentally" cancelled I am now stuck paying $1300 out of pocket because they refuse to correct their mistake. They even told my doctor's office it was a mistake on their end and it was being "expedited".

    My daughter was born in July and it is now February of the following year. One of the customer service agents told my doctor to submit the claim under another physician who is in network at this time and guess what - that claim was DENIED. Luckily my husband's new job offers amazing insurance so I can finally break ties with this joke of a company. Thank you, Humana, for processing claims wrong, never fixing your mistakes, and for taking another $1,000 from me.

    Thanks for your vote!
    Customer ServiceCoverageStaff

    Reviewed Feb. 1, 2017

    Do NOT buy Humana insurance! So far, Humana has deleted the one drug I need most from its formulary. And now that my prescription has changed, it has deleted that one too. When you call Humana and an hour later finally get to talk to a living person, they always tell me the drug I ask about is not on the formulary. So next time I'll just ask if there are 'any' drugs on their formulary. I doubt it. I believe the drugs most needed are the ones Humana gets rid of first. Just another greedy insurance company that wants your $$$ but doesn't want to give you any coverage. Hopefully President Trump can do something to make Humana accountable to those who are paying them but getting nothing in return.

    My friend just called me this morning and said she was shocked that I had Humana insurance. She said her doctor told her two years ago to NEVER go with Humana. Boy was he right. I will find out more about all this when my friend calls me back tonight and we get a chance to really talk. My advice is to steer clear of Humana forever.

    Thanks for your vote!
    Customer Service

    Reviewed Jan. 31, 2017

    Attempting to attain reauthorization, submitted information required. Received a return callback stating "Due to the number of faxes we receive daily, was unable to locate the information, thus a NOMNC letter will be sent." I have proof the fax was sent and have the conversation recorded. Stated she had called to leave another fax (never received). Stated had until 2/2 to appeal. When I requested the NOMNC be sent today as they are required to provide a 48-hr notice, the date was changed to 2/3. It is Humana's responsibility to have faxes and appropriate systems in place to provide the proper services for their patients. I would not even rate this company.

    Thanks for your vote!
    Verified purchase
    Customer Service

    Reviewed Jan. 28, 2017

    After numerous attempts and phone calls no one was able to get me enrolled registered. I did get a payment booklet though. When comes to getting premiums they get that done. Humana's customer service is terrible. Use another company if you can.

    Thanks for your vote!
    Verified purchase
    Customer ServicePricePunctuality & SpeedStaff

    Reviewed Jan. 24, 2017

    Going through some of the reviews here I wish I had come here before getting CONNED by Humana. When I called to enroll for their HMO plan the salesman was very convincing and I was mistakenly led to believe that I had hit the insurance jackpot! The Humana HMO Dental plan that I enrolled in was supposed to cost around $20 each month plus a registration fee that I got to know of after I had agreed to sign up! The other catch was that I had to sign up with a Primary care Dentist from their network to realize the more than "200 benefits" which included a copay of $15 for regular visits, free X-rays and other procedures like extractions with good discounts.

    I stay in a small town and I am within 5 miles of all amenities including more than 5 Dental practices. So it was a bit disappointing to find that the nearest dentist in the Humana network was 70 miles away from me. But with such great benefits I was not bothered. It looked worth it considering that an initial consultation at a dental practice in my town would set me back $120.00 and with my new Humana plan I would drive 70 miles and pay $15! Also I had to wait 2 weeks for the plan to be effected regardless of the fact that I had an extraction that I needed to get taken care of.

    Anyway, on the day of my appointment I made the trip to my new Humana Primary Care Dentist and lo and behold just as they were starting the examination Humana sent in a fax with 7 benefits. I cannot even make this up, 7 benefits! As if that was not enough, getting the initial consultation done would cost me $106.00 using my Humana insurance and $72 if I used the practice slide scale which was 50% off for me. Luckily I had my payslip at hand so I managed to use the slide scale. I got my initial consultation and extraction done.

    As soon as I got home and healed enough to be able to make words, I called Humana and cancelled the dental plan. The ease with which the plan was cancelled and the installment refund issued tells me that this is something they are knowledgeable to even though they claim that their contracts are ironclad and you can't get out. Now they only refunded the plan installment and not my registration fee. When I asked about that customer services gave me a Humana disputes mailing address and I sent in my letter complete with all the necessary documentation and waited for a response. About 2 weeks later all I got were 2 duplicate informational letters. At this point I realized that my registration fee was not coming back so I ignored and let the issue slide.

    Then to add salt to injury a month later I get the same pieces of mail again! This time I called the number on those mails and told the saleslady that I didn't want to get anything Humana ever again in my mailbox because they have taken enough from me. The saleslady did her best to calm me and told me that it would take 40-60 days to get me off that list then offered to transfer me to customer service to find out the status of my letter. I thought why not after all I had been through their horrible calling system anyway, so I got transferred. At customer services they had the request but not the letter I sent in, surprise! The customer services lady tried to get me to send another letter seeing as the initial one was not received. I declined, not because I don't want my money back, but because I feel Humana has wasted enough of my time and money as it is... I don't send mail for free, I have to pay for it!

    The short of it is this: IF YOU DON'T WANT TO BE TAKEN FOR A RIDE BY SMOOTH TALKERS, KEEP AWAY FROM THIS COMPANY! They make money by conning people through the registration fee because they know that once you realize their product is fake you will come back to cancel the plan. Unfortunately because of a confidentiality clauses all over their documentation I cannot upload that images.

    Thanks for your vote!
    Customer ServiceCoverage

    Reviewed Jan. 24, 2017

    Four dentists I've called do not take HUMANA. We pay a lot on premiums and now we're stuck with them for a whole year until open enrollment. In the mean time, I have to pay $218 out of pocket on top of our monthly premium because their coverage is so limited.

    Thanks for your vote!
    Customer ServicePrice

    Reviewed Jan. 22, 2017

    I am new to Humana's Medicare Advantage plan. The price and what it offers seems good so far. I've had enough problems dealing with them over the phone and internet to have formed an opinion about why this is happening. It isn't so much an issue with customer service skills as it is with their IT. I worked in IT for 43 years. It is all I did my entire adult life. When you've done anything that long you notice things that others might not who don't have your experience. Humana's IT systems are a mess and a huge reason for the disarray you experience when dealing with them.

    Thanks for your vote!
    Customer Service

    Reviewed Jan. 19, 2017

    After wasting my 40 mins on multiple calls to different department, they refused to authorize simple nebulizer treatment for my patient with acute exacerbation of her COPD. I was left with no choice but to send my patient to emergency room. What can a physician do if their hands are tied even to get simple life saving NEB treatments for the patient. This is so frustrating. And they all claim we need to reduce emergency room visits.

    Thanks for your vote!
    Customer ServiceSales & MarketingPunctuality & SpeedStaffReliability

    Reviewed Jan. 17, 2017

    The name Humana "sounds" like humans are involved. (And, please pardon any poor typing here. My broken arm is not completely healed.) Placed a order in late November, early December to renew 3 Rx. Received calls from their "friendly" computer a couple of times saying one of the Rx had no remaining refills. (Hey, Humana: human beings cannot feel rapport with a machine that interrupts itself in mid sentence with some message like “Sorry, did not understand what you said!” Don't waste our time with the lengthy chatty stuff. We call for medical purposes, NOT to listen to a cheerful recording.)

    One Humana human blamed that kind of interruption on me once since I was reading the label off the medicine bottle into speaker phone. She told me to stop using the speaker phone. With a cast on my arm; hold a phone to my ear with one arm and a drug bottle in front of my eyes with the other? Get a grip! (But with which hand?) Call my doctor's office a couple of times to verify the Rx was refilled. Used the online shipment verification to verify the drug had been shipped. (Computer bug here: Ordered 3 refills. Two did ship. The one that I verified by Rx# did not. The computer told me it did. So note to all readers: the Humana computer lies.)

    Got home when the Rx's were nearly out to find 2 of 3 in my mailbox. Again the 3rd had shipped, said the computer. Tried to call a human at Humana but those go home after 11 EST. (Hawaii, better stay away from Humana!) Humana computers had called me twice for some reason. The innate intelligence of the software designers is clear when the computer calls in the middle of a family Christmas party and on Jan 2, 2017, both on Federal Holidays, when my Dr office was closed.

    So a day after the last of the Rx was taken I finally reached a human at Humana who also confirmed the Rx had shipped and, since I was out, said should "ask a pharmacy for a sample". I don't know what State [or tree] that guy lived in but in WA that is against the law. Spending 30 minutes on the phone all he could say of use was the Rx had shipped and there was no charge. (Humana audio software designers: Why do you waste our time telling us there is a charge of zero dollars and zero cents, then tell us to enter a credit card number to pay the amount due of zero dollars and zero cents? Never mind, I'm sure the answer is to get access to our buying habits and get us more marketing SPAM.)

    Audio medical software designers; Humana hires humans to discus drugs. The minimum wage yay-hoo above had no clue how to pronounce drug names. Put some pronunciation help into the software. (The poor yay-hoo put me on hold 3 times to ask for help. He did not get useful help, but he did try. My local pharmacies all hire experts.) Later the same day I reached another human at Humana. Now the Rx in question had not shipped and Humana could blame all my confusion on my Dr. Anyway, the time for selecting a new insurer has passed this year, but I hope my agent will find adequate reason in this adventure to replace this defective insurer. While this failed Rx process will cause me only discomfort, service like Humana's could kill someone. (If it happens I hope their heirs have vicious lawyers who can put an end to this kind of nonsense.)

    Note that the average time I spend on the phone with Humana is about the same as I spend going to a drugstore for the same product. But it takes multiple calls to Humana. Humana touts this service as ensuring health, saving time and saving money. Saving money yes. Saving time no. Health no. Some of my drugs are to control blood pressure. Humana and Verizon are equal partners in raising blood pressure, slightly better at it than the IRS.

    Thanks for your vote!
    Coverage

    Reviewed Jan. 13, 2017

    No one told me all year that although I was paying 23.00 a month dental insurance that my dentist was not in network or needed to be or there would be NO PAYMENT. I received a bill at the end of the year for $170.00 after nothing had been paid from Humana all year. Garbage insurance. Thank God I changed to United Concordia this year which pays in and out of network. I never had this problem before since my dentist charges no more than in network Delta Dental always paid him. DO NOT go with Humana. Read the reviews. I should have researched it more. Humana made a killing off of me and I have to pay an entire year of bills which is less than I was charged by Humana.

    Thanks for your vote!
    Customer ServiceStaff

    Reviewed Jan. 12, 2017

    Waiting on the phone with Humana is a grinding teeth experience. Getting something accomplished is time consuming to the point that the last time I filed for something, it took eight months before they sent all the checks I had coming. They "required" send them information that they already had in their files (they read the information to me then asked me to send it to them). Doing something as simple as sending an email for a return label can take up to three hours. Being on hold can take up to 45 minutes listening to the same "auto information" so many times I had to turn on mute button. I would not recommend Humana ever, to anyone. It has been a nightmare from the beginning and the people they hire need to be trained properly before allowed to answer the phones.

    Thanks for your vote!
    Customer ServiceStaff

    Reviewed Jan. 11, 2017

    HORRIBLE CUSTOMER SERVICE. CAN'T ACCESS THEM WITHOUT TIMELY DELAYS ON PHONE, WEBSITE IS NOT USER FRIENDLY. They give you information that is not correct, the agents do not know much and continuously put you on hold. I believe they are one of the worst companies to deal with. New members be warned!!!

    Thanks for your vote!
    Price

    Reviewed Jan. 11, 2017

    Humana has a new tier pricing. They now charge $8.00 for EACH medicine for a 90 day copay. The subsequent expense is exorbitant. Yearly premium of about $22./ mo. plus for 90 day deliveries would be $32 per year plus the 22x12 or $264. $264 plus $32 or $296 for 1 year for 1 drug!!! This is unfair business practices. Just imagine if you had 6 drugs!! Needless to say I have filed a complaint with Humana. I did not complete my order.

    Thanks for your vote!
    Verified purchase
    Customer ServicePriceStaff

    Reviewed Jan. 10, 2017

    The purpose for this review is to vent my disappointment in how Humana handles their customers. I suppose I should rephrase "customer" for the true customer is the State of North Carolina and I'm a fly speck on a dung heap. More and more doctors are getting frustrated with the insurance system so they are requiring the patient pay and get reimbursed from their insurance company - which is an impossible task. My story begins when I gathered three months of billing and took it up to a Humana Office. They filled out the necessary paperwork and sent to the required address.

    I waited for two months before receiving notice that they couldn't process the claim because there was an error in the treatment code. A call to the doctor's office reassured me they would correct the problem with Humana. I received an email stating they worked it out with Humana and I would receive reimbursement at the end of the following month. It had been 90 days since I first submitted my claim and when the next Humana statement came they rejected payment because of lack of precise treatment code, which prompted another call to the doctor's office and assurances they would straighten it out.

    A few days later I received an email from the doctor's office stating they talked to a Humana claims representative and she assured them the problem was solved and I would receive the money the following month - which turned out to be another rejection due to code issues - four months had gone by. December brought another rejection letter stating Medicare reviewed the claim and rejected it as an unwarranted procedure and I could write a rebuttal within 30 days. Within the week I wrote the reasons they should honor the claim and sent it off. January 9th 2017 I received a response from Humana stating my claim will not be honored because I did not respond to their first rejection within the policy's 60 day time period. It took them 60 days to reject my first claim and they dragged it out for four consecutive months before I received the rejection letter in December.

    This is why we have the worst healthcare system among developed countries and our healthcare cost more. Insurance companies are for profit and the best way of making money is not paying claims. Think about it. They hold all the cards. Our system is so complicated the insurance company can find any number or reasons to refuse a claim and if get by the first reason they come up with another one until you finally give up - they win. This is why doctors are now requiring the patient pay and then the patient can file the claim - which is great for insurance companies. The patient, who knows nothing of how the game is played is monkey in the middle. There is a 99% chance the patient will never get paid.

    North Carolina switched from Humana to United Healthcare, which is just as poorly rated as Humana or worst. So why doesn't NC find a better provider? Because the bad ones charge less and that is all that matters. So what is the answer for those who are retired? Since most of us lost most of our nest egg in the great recession and SS pays so little since they figure cost of living by leaving out the 6% increase every year in the cost of healthcare, which makes sense because the elderly have more health issues so let them find a way to afford it. Some months I have to decide between who I'm not going to pay so I can afford my Parkinson's medication. Why doesn't our representatives in congress address this growing issue - because they have the best healthcare taxpayer's money can buy so what do they care. They care more about Medicare going broke so let's cut some of the benefits.

    Thanks for your vote!
    Customer ServiceStaff

    Reviewed Jan. 5, 2017

    I called on behalf of my family member who is hard of hearing. The phone rep not only was she really rude but she could care less of what he had to say. She clearly did not care about him or his concerns. I tried to explain to her what was going on and his questions due to he is hard of hearing. Just plain rude and very inconsiderate of his feelings. If this is how they treat people with disabilities!!! WOW. A bunch of lies and promises that they can't keep!!! Buyer beware!!

    Thanks for your vote!
    Contract & TermsPrice

    Reviewed Jan. 3, 2017

    On January 3, 2017 Humana insurance deducted a major increase from my checking account without authorization. The increase is in excess of 50% of the agreed cost which was set up through the marketplace. I plan to check my contractual agreement with Humana to see if I have any recourse for such shabby business practices.

    Thanks for your vote!
    Customer ServiceCoverage

    Reviewed Jan. 3, 2017

    I purchased dental insurance that went into effect 1 Jan. Approved dentist won't let me make an appointment for January because Humana failed to update the insured listing for January. When you try to contact Humana, you have to do it over email and can't talk to a human being. In summary, Humana received premiums for months that I'm not allowed to see a provider. Humana provides NOTHING.

    Thanks for your vote!
    Coverage

    Reviewed Dec. 25, 2016

    We received a letter of "congratulation" dated September 22nd. We received a notice of cancelation on Christmas Eve. This company is despicable and should shut down. Now I have to pick a new plan at more than twice my current policy and my medical expenses won't go to my next plan's something deductible. If they can cancel on you like this, then this is not insurance at all, but wealth redistribution instead.

    Thanks for your vote!
    Verified purchase
    Customer ServiceStaff

    Reviewed Dec. 23, 2016

    These people at Humana are the foot dragging, bunch of liars and scam artists in the insurance industry. They take your premiums then give you nothing in return, fight you tooth and nail for referrals, and any DME requests are trashed. If it is out of network, and they can't get it in their network they will authorize an out of network purchase. When the supplier calls for authorization Humana tells them that "The purchase is not authorized", even though Humana provides you the approval to get the DME, and provide an authorization number then refuse to provide the supplier with the authorization to move forward, wait 2 more weeks after waiting 4 months for a Representative at Humana to tell you again that the supplier is "OK" to dispense, then it goes back around in circles starting with supplier calls and is denied...

    So months go by and Humana is still foot dragging and making excuses why one person can't get the company to pay as the other person at Humana doesn't understand, and the next person sends you back to the start over, "what is it you need? How may I help you?" This will take weeks please hold (30 Min's again) OK send the information again, go back to the PCP he she needs to send the Tax ID, But! We have it already, we won't tell you this because we at Humana are "scum bags" ripping people off. What a hoax Humana is, as it is a "For Profit" bunch of "Scam Artists" this insurance company needs not to be allowed to provide anything to anyone. I would like to see Humana run out of the insurance business or have them held to a higher authority.

    No one cares what Humana does but they need that Premium payment every month, as you get nothing in return. Humana Executives need to be also held responsible for employees hampering medical care. I have a viable prescription by a licensed Medical Practitioner for a DME product and all other requested information provided to Humana as requested and Humana a US Insurance Company still won't pay even when Humana provide Authorization. Humana denies the supplier when they call. Sorriest Insurance Company in the world.

    Thanks for your vote!
    CoverageSales & MarketingStaff

    Reviewed Dec. 22, 2016

    For the past year I have had my doctors try and prescribe me ** or ** in the case of possible Narcolepsy. Each time your company had denied the prescriptions for lack of proof. I then have a doctor that orders a blood test for the genetic marker to see if I have this issue going on, which I do. Your company then DENIES coverage after the test is done in order for your needed proof. Leaving me with a bill from LapCorp for $475.00. To sum this up, your company requires this proof in order to get this prescription covered, yet you will not cover the test needed to hand over this proof.

    It seems you know how to set up a scam for your customers and leave them high and dry. After speaking to one of your representatives I am told that I need to write a letter of appeal, then your company has 60 days to accept this appeal or not. While in the meantime I cannot get any tests done through LapCorp because of this outrageous bill looming over me. This impacts my well being in such a negative way, which is the opposite of what your company is supposed to do. This is unacceptable and completely unethical.

    I was told today from your representative that your company does not do any type of genetic testing. How I am supposed to be aware that a simple blood test is not covered, which is absolutely needed in order to give you the proof your company asks for? I have had so many issues with your company. On multiple occasions your representatives have given me incorrect information, and at times I have had to pay for THEIR mistakes.

    I have been given different answers for one issue at multiple times. Three times to count. And this isn't even for the issue related above. What is the point of even having to pay your company for coverage when I end up paying for things out of my own pocket while paying an outrageous monthly payment? I am sure this will be deleted, but I will be posting this warning across every media outlet available. People should know what they are getting themselves into when it is in regards to your company.

    Thanks for your vote!
    Customer ServiceStaff

    Reviewed Dec. 20, 2016

    Have a dental policy which states it pays 100% in and out of network for 2 cleanings. However they have only paid 34.00 to date and have denied 168.00 still outstanding. Humana customer service says yes they see it and agree but state they cannot pay or make good. I must write a Letter Appeals PO box and state in detail the issue. God forbid this was a big dollar issue. Customer service does nothing. They cannot. The Appeals team does not accept emails or phone calls... If you buy HUMANA INSURANCE GOOD LUCK...THEY ARE USELESS.

    Thanks for your vote!
    Verified purchase
    Customer ServiceCoverageStaff

    Reviewed Dec. 19, 2016

    I should have known I was facing a complete failure of a situation when a non-doctor Humana pharmacy authorization dept. rep REFUSED to cover my prescription meds for uncontrolled, intractable colitis - which I had just come from a doctor's [LNP] exam *for*. Instead of allowing my prescriptions (which were definitely on Humana's formulary & have long been prescribed for exact diagnoses) my symptoms and to be filled, the rep told the pharmacist to tell me to "take over the counter **". 90% of all subsequent RXs, from the SAME MEDICAL OFC, encountered some ridiculous runaround, refusal, and/or excuse on Humana's part.

    Approximately 3-4 yrs ago, I stopped paying my monthly Humana premiums because I simply could not do so any longer (limited SSDI is sole income & I had NO other income source). Because I also cannot afford Medicare's annual and per-service deductibles (plus, sooo many doctors will no longer even TAKE Medicare, much less from a new patient), I have gone 100% without ANY medical care since the [supposed] disenrollment date; I am medically disabled including due to several chronic, continual medical problems, including high blood pressure and heart symptoms.

    YET HUMANA HAS APPARENTLY CONTINUED TO BE PAID FEDERAL TAX DOLLARS FOR A *FORMER MEMBER* of Humana's (DIS)ADVANTAGE Plan - and Medicare premiums keep coming out of my benefits every month... for ins. I can't afford to use and which thousands of physicians no longer accept as "health insurance". To this day, despite no less than three written letters from Humana later, and over time through to the present, THEY INFORMED ME I WOULD BE "DISENROLLED". Each letter stated I would be covered by "Original Medicare" only, upon and after the DISENROLLMENT DATE.

    Yet, they, YEARS AFTER DISENROLLING ME, continue billing me monthly for monthly premiums for insurance I haven't had or been covered by in appx. 3 yrs. Of course, the monthly payment demand letters also include an unpaid balance ostensibly up to the supposed date I was told I would be disenrolled from [i.e. dropped/no ins/no Humana coverage]. They do appear, however, to continue accepting the federal Medicare compensation based on me NOT being disenrolled.

    I have lost count of the number of phone calls, pieces of correspondence, etc., over these years -- to have the matter audited, the actual past due balance calculated, etc. I LIVE IN A "ONE PARTY" STATE - thus, legally can and do and digitally record every telephone conversation possible. I have made detailed notes during these phone convos, including the never-ending transfers, calls which were disconnected on their end and so on. No one I get to speak with has any idea why I am still (they claim) shown as a participating Humans insured, or why the situation is the mess that it is.

    I have gotten to the point that I have to point out TO THEM that *I* do not work for them, that 'keeping their books and records' is not *MY* job, and that if I were well enough to work I would not have ever been insured by them to begin with! THEY need to keep track of what letters they send out and when, why, AND SHOULD NOT BE DEFRAUDING THE FEDERAL GOVT/MEDICARE for someone they "DISENROLLED" YEARS AGO. The extra stress this situation worsens my medical condition and disabilities. THEY ARE ALSO REPORTING THE FRAUDULENTLY ASSESSED UNPAID PREMIUMS TO MY CREDIT HISTORY.

    I am doing what I can to pull together all my notes, the applicable correspondence, and the numerous digitally recorded telephone conversations with Humana about the situation. THEN it will be time to make a comprehensive and documented fraud report to Medicare Fraud Division, all other applicable federal agencies, as well as explore what recourse I may have against them for blatant, intentional, continual and ongoing violations of the applicable Federal Consumer Protection and Fair Reporting statutes and Acts. PLEASE, PLEASE DO **NOT** anywhere Humana for any insurance need of any kind!

    Thanks for your vote!
    Customer ServiceCoverageStaff

    Reviewed Dec. 18, 2016

    I came down with severe neck pain, dizziness, and nausea. I tried to get in to see my Primary Care doctor, but the soonest appointment was 11 days out so he instructed to me to go the Urgent Care to receive treatment. I had someone drive me because there was no way I could drive, but that ended up being a waste of time. When I got there, they asked for my ID and Humana insurance card. As soon as they saw that I had HMO insurance they said that they no longer accept HMO insurance and refused treatment and turned me away. I contacted Humana and they said that I was covered for the use of Urgent Care. I checked online for other Urgent Care Providers and 2 popped up as being covered under my policy. I called and found out that they no longer accept Humana HMO plans either. I also checked Humana's new enrollment HMO plans and they also show the Urgent Care Centers as being covered in the HMO plans.

    So anyone new signing up will also find out the hard way that they will NOT receive that benefit that they are paying for. THIS IS CLEARLY MEDICAL BENEFIT INSURANCE FRAUD!!! I'm sure that there will be nothing done to correct it either! Corporate America is becoming more exempt from following any laws and more exempt from any forms of prosecutions, penalties, and fines. They dictate to you on which doctors you have to use, they perform surgeries on you and send you home the same day even if you aren't well enough to be discharged, and now they sell benefit plans that are total fraud. I was also looking into changing my insurance, but the enrollment period has ended, so I'm stuck with this fraud insurance for another year!!!

    Thanks for your vote!
    Customer ServiceSales & MarketingPunctuality & Speed

    Reviewed Dec. 17, 2016

    I'm writing for my significant other. After selecting HUMANA ICP as one-among-many poor choices for Medicaid "integrated care" in Illinois, we experienced nothing but glitz and sizzle and little in the way of actual medical assistance. My SO is home-bound and requires home-visiting medical services; we've found that Humana is totally incapable of adhering to its own customer manual regarding providing needed services if they are unavailable within their network. The client manual specifically states (was on page 27 of their LTSS booklet, IIRC) there would be no problem rendering services out-of-network when needed. Did they provide effective, if not immediate, medical services? Did they perform due-diligence to ascertain whether subcontractors were properly credentialed and trained to provide the services they billed for? Did we receive adequate healthcare services? No, no, and no.

    Do they have a vast pool of medical resources (doctors, specialists et al) capable of providing the care LTSS patients require, especially for the home-bound. No. Is there anything in their client manuals that is fact-based? I doubt it. The past year-plus has been nothing but a frustrating, aggravating emotional nightmare for both of us. Not only did we have to endure three multi-hour conference calls with who-knows-who at Humana Corporate, but endless calls with the "case manager" (unhelpful, unsupportive, hasn't a clue) to attempt to obtain even -minimal- care, amounting to monthly 10-minute visits by an NP to write scripts. Great, but much more was needed.

    Several hospitalizations later (due, we feel, to inadequate in-home care) Humana is dropping my SO's participation!! Our next step, if at all possible, is legal action, preferably (another) class-action suit, while we pay, or attempt to pay, out-of-pocket to retain what limited services she now has. HUMANA (an incredible misnomer) cares not for its subscribers but values the income derived from their membership, as do their stockholders.

    They appear to have a very non-lean business architecture devoted to meeting regulatory requirements, denial of claims, and massive advertising, i.e. corporate momentum dedicated to self-preservation, not real, effective healthcare, regardless of any glowing reports by so-called healthcare quality-assurance agencies. I applaud the government's efforts to block mergers which would do nothing but increase healthcare companies' monopoly and recommend we all contact our legislators as we say in Chicago, early and often, until they have no recourse but to act.

    Thanks for your vote!
    Customer ServiceCoverage

    Reviewed Dec. 13, 2016

    I just read several unfavorable reviews on Humana and would like to submit a favorable view of Humana. I signed on to this plan 11-2015 after my husband retired and I had to get my own insurance. I have used this coverage many times, medical, prescriptions, hospital. I am very pleased with the coverage. I have had all items covered as they said they would be, I like the no monthly premium offered in my area, I am able to use all my same doctors. All in all this is great coverage for my needs. I do agree with the folks who say calling in is quite the trial. The CSRs are very willing and able to help but one cannot understand them and I can't figure out if it's my phone or their phone system.

    Thanks for your vote!
    Customer ServiceCoveragePrice

    Reviewed Dec. 13, 2016

    This is by far the worst insurance I've had my entire life. The job I was currently employed with did not offer a company wide insurance. It was supplemental. So I decided to get my own insurance through the Market Place for better coverage. Humana offered coverage for health, dental, and vision. Not all together, but it was at a fair price so I signed up. I'm not one to go to the doctor often, just for check ups and annuals. Yet to my surprise all my initial doctors were out of network. Well who has the time to find a doctor in network when you have been seeing these for several years. S/N I just read that the doctors that were in network still charged you out of pocket.

    So my doctors stated that they would work with me and the insurance company to get the best possible coverage so that I would not have to pay an exhorted amount out of pocket. Well needless to say I did. Humana paid nearly to nothing for dental and health. They only managed to cover my birth control and that only cost $20 out of pocket. It was a total rip off. I called and found out why my premium payment was so high and yet I have a bill twice the amount and it should've been covered. I am furious with this company. Just bad customer service and insurance coverage. I will definitely be appealing this payment. I will be damned if I have to pay $149.21 when my premium payment (which I just paid on the 10th of December) is $145.32. Just outrageous. Why the heck am I paying you if you're not even going to cover my bill.

    I am single, no dependents, and no health issues. Yet I am paying over $100 a month for insurance that did not cover diddly. They sure as heck were slow about sending out the claims but were not so slow in sending out how much I owed them. Just unbelievable. Next time if I have to shop for health care insurance through the market place I will read reviews first and then sign up. All in all it's just best to go with Blue Cross and Blue Shied if you can. Runner up is United Health Care. Humana sucks and I hope they go out of business soon, because ripping honest, hard earning American citizens is a crime. If it was my choice I wouldn't give you a star not even a half a star.

    Thanks for your vote!
    Customer ServiceCoverageStaff

    Reviewed Dec. 13, 2016

    Yes , I'll be the first to admit that I did get behind on my premium, when hard times hit, but when I called the agent assured me that with catch up payments, all would be resloved. So we all know where I'm going with this, that nothing was resolved! Instead the catch up money's being applied to both policy, only applied to one, and the one that has never had a claim filed against. Now as any normal person would I called to inquiry about my cancellation, only to be told that checks of refunds had been sent and all moneys paid were only applied to one account.

    I would also like to add that after being employed for over thirty years, the process was very new me, so of course I wasn't told or taught to ask about an waiting period, of procedures needed, so of course none of my works was covered done by dentist, because I'm use to benefits of automatically being in effect. AGAIN FIRST LAY OFF IN MY LIFE IN THIRTY YEARS. ALWAYS HAD COVERAGE. Needless to say all else had a domino effect, with me as the loser.

    Thanks for your vote!
    Customer ServiceStaff

    Reviewed Dec. 12, 2016

    I do not have this insurance and certainly will never have it or promote it. I work in healthcare as a rehab therapist in a skilled nursing facility. Patients with Humana are MORE THAN ANY OTHER INSURANCE denied treatment or cut from treatment (3-10 days) no matter how mild or severe their condition. This minimizes the chances of recovery including someone going home, being independent, walking, speaking, swallowing again! And so much more! Humana docs will call us every other day to pressure discharge or discourage us from recommending treatment. They also often stall or ignore requests for treatment.

    Thanks for your vote!
    Customer Service

    Reviewed Dec. 12, 2016

    For the last 4 or 5 years they have been calling me trying to get in touch with a Paulette **. I have no idea who that is and have reached out via phone and social media numerous times to get them to lost my phone number. They always say they'll take care of it and nothing changes. I have been getting these calls at least once a week for like 4 years. This is ridiculous.

    Thanks for your vote!
    Customer Service

    Reviewed Dec. 8, 2016

    I paid premiums that were deducted from my paycheck for 15 years to Humana. Now that I have filed a claim every month it is either a reduced disability amount or a delayed disability check because of whatever reason they can come up with. I am a member of the Teamsters Union. They along with the Insurance commissioner and whoever else I can think of will be getting calls about Humana. Humana I wonder how many of your customers are Teamsters!!!

    Thanks for your vote!
    Customer ServiceCoverageStaff

    Reviewed Dec. 2, 2016

    Humana raised my rate due to health place error, they say. I used the insurance one time and they DID not pay. Spent hours on phone. Once they hung up on me. When are we going to get people who are honest. They say I DID not give them a tax return. So why in the hell DID they give me coverage in first place. The whole place is crooked.

    Thanks for your vote!
    Customer ServiceCoverageStaff

    Reviewed Dec. 2, 2016

    I signed up for Humana January 2016. The whole time I had them, I had nothing but problems with having to talk to foreigners who barely spoke English to try to fix problems when these people didn't understand a word I said. Then I moved in September to a new area. I called customer service right away to see if I'd be covered in this area and was told I would be at least 10 times. I kept getting calls about verifying my address, again by foreigners who couldn't understand me, or me them. I was assured I still had coverage, though. Every call took over an hour.

    Then, out of the blue, someone calls who can amazingly enough speak English. She said my policy was cancelled November 30 because I was "out of the service area." She was just "so sorry" that now I wouldn't be able to get my respiratory medicines. I need to breathe. Everyone I talked to at Humana was "so sorry," like that did any good. I'm signed up with a different insurance company starting Jan 2017, thank goodness. I wouldn't advise anyone to go with Humana. It must be set up in Nigeria because no one, except one person, speak English there.

    Thanks for your vote!
    Verified purchase
    Customer ServiceStaffProcess

    Reviewed Nov. 29, 2016

    My wife has claims that dates back to October of 2015 that Humana has incorrectly been processed and therefore denied. I have spent time on the phone, on her behalf, 3 hours just today to get some explanation. I was transferred about 5 to 7 times between department. Always starting of with the "history" and then the agent starts looking into it and later states that I'm in the wrong department. I get transferred and yet again tell the story to come to find out that I'm in the wrong department.

    This has now gone on for over a year and nobody at Humana takes responsibility what so ever. The last agent I was switched to was suppose to call me back since the line was poor, most likely because being transferred around. BUT A CALL BACK WAS NEVER MADE. Where can I get help? I have had to pay for the unpaid bills to avoid being sent to collection. What is my next action? Humana seem to have a policy of not communicating with their Customers, nor via email or phone. So how do you reach the agent or department who handles the claims, there are several, and yet I make my monthly payments on time since 2014...

    Thanks for your vote!
    Customer ServiceStaff

    Reviewed Nov. 22, 2016

    The past 3 months I have gone on to Humana website I have tried (I don't know how many times) to find a chiropractor in the area. The information they have on doctors - wrong phone numbers, wrong addresses. I have contacted them several times and complained about the situation choose and they have not changed anything or add any new chiropractors or doctors on their list. How are we supposed to take care of ourselves if they don't accommodate us with the right information or more options as far as doctors are concerned. Doctors on there I would have to travel 10 miles 12 miles to get to one. And because of my illness I cannot Drive far.

    Thanks for your vote!
    Verified purchase
    Sales & MarketingStaff

    Reviewed Nov. 21, 2016

    Beware of Humana Advantage Plan. This plan was terrible. I had to pay large amounts over what I would have to pay with just Medicare and a Supplement plan. They advertised how good they were with preventative care and that I would get long appointments with my PCP, but when I went, I found out I was booked for a 5 minute appointment, and then the doctor was still too rushed to hardly talk to me. I left with more questions than I came with. I don't blame the doctors, they don't get paid by the insurance companies anymore, so I know they are not keeping their offices open and many are leaving. These plans are just plain false advertising. It should be illegal!

    Thanks for your vote!
    Customer ServiceSales & Marketing

    Reviewed Nov. 16, 2016

    If you go online to look at their advantage plans please be aware that when you click on "choose your providers" that the list probably IS NOT accurate. The HMO plan I chose listed providers I want but one call to the medical office told me the truth. The only plan they have contracted with is the highest priced PPO plan where I can use the doctors I want. Even if you call Humana, which is a nightmare in itself, they will tell you you can use that Dr. with the HMO plan. It happened to me.

    In the past I filed a complaint with Medicare but little good that does. This company needs to spend less money advertising and more on programming. Why should we have to call every possible provider to ask if in fact they do accept our chosen plan. If, in fact, your provider does accept your plan then ok, just double check prescription costs.

    Thanks for your vote!
    Customer ServiceCoveragePriceStaff

    Reviewed Nov. 14, 2016

    I'm 23 years old, recently graduated from college and wanted something affordable until I found a full time job. When given the monthly rates I immediately jumped on Humana. I thought it was a dream come true! But this past year has been a nightmare. Humana sends you to B-rated facilities, when you call you are never able to get your problem solved, and most importantly THEY DO NOT DO PROPER PAPERWORK. I sat on the phone for 5 hours to resolve an issue as to where I was billed $500 for an operational procedure when all the ENT did was shine a light inside of my nose. I've had to appeal many of my bills which take months to do.

    I got the dental insurance as well which was just as horrible. I was given a primary dentist only to be told that I would have to pay out of pocket for my visit because that was not my zoned dentist when this was who I was emailed to go to. I filed an appeal for hits as well which took months to resolve. This incident happened in January and was literally just resolved 2 weeks ago. I still was not on their roster and it took 3 hours to talk to a representative to get that straightened out in order for me to even go to the dentist.

    Everything about Humana is frustrating. Not to mention they're going up on their rates for 2017. Although the prices are affordable, it seriously is not worth the time especially if you regularly visit the doctor like I do. Just pay for better quality. I've even called to complain about my experience. Nobody cares. I wish I had someone tell me not to use them so I thought I'd do the same. I'm switching to another insurance for the New Year. Wish me luck.

    Thanks for your vote!
    Customer ServiceCoveragePriceStaff

    Reviewed Nov. 11, 2016

    Sad my complaint will get buried along with the other HUNDREDS that will never be seen in time to save people from making the same mistakes we did. I wrote a review last yr and now writing again at enrollment time. Lost my retirement insurance due to health care law changes. Was using reg. policy until after I began Medicare and changed my ins. to just a supplement. Humana offers the Medicare Advantage which I thought was a suppl. like I had before, and many companies like AARP & Blue Cross offer.

    What Humana does NOT make clear is that the ADVANTAGE plans are NOT an advantage to customers or medical care providers -- ONLY to Humana -- and surprisingly MEDICARE. Humana PAYS Medicare a fee to take over our healthcare. They BECOME the PRIMARY and a "PRIVATE INSURANCE". You CANNOT have a co-insurance - even your spouse's policy or Medicare. I still paid Medicare premiums for the right to KEEP it BUT could not USE Medicare for ANYTHING.

    Humana held my Medicare hostage and I had to pay an ENORMOUS ransom and yet got NOTHING in return except a little lower Humana premium -- which is not so low when it is added TO the Medicare mo. prem. for a plan I could not use. Humana said that I could go to ANY doctor or facility that accepts Medicare. WELL you can GO to that doc but Humana does not have network contracts that reduce fees (and some doctors have STOPPED accepting Humana and other plans that are HMO related).

    Humana has HIGH copays - especially for Specialists I have been using for YEARS - and Humana pays LOW benefits -- MUCH lower than Medicare did. Humana can set fees AND deny coverage as THEY see fit. And appeals do not work -- even for a blood tests I was required to get once or twice a year! BOTTOM LINE - I ended up paying the ENTIRE cost for the denied claims and 60% or more of the bill for the ones they DID cover. That's in addition to Humana and Medicare premiums. This type of plan SHOULD be ILLEGAL -- it denies people access to the FEDERAL Medicare plan that we qualified for and PAID for and Humana ALSO manipulated coverage and costs. 2015 was a NIGHTMARE yr.

    Humana SOURCES OUT all contacts (cheaper than employees!) so whoever you correspond with (especially by phone) is a third party who has NO knowledge of the plan except what they READ out of a manual or their "cheat sheets". They HARASSED me with calls - mostly SURVEYS (that even asked how long my wait was to get an appt. and how long of wait for the doc to actually SEE me or whether a doctor REFERRED me to a certain facility (including routine blood tests or radiology).

    I must add that I AM happy with Humana's drug plan and am staying with it. The mail order pharmacy has cheaper meds (90 day supplies) AND carries the meds I use (which local or chain pharmacies do not). I DO now have a high (but comparable) deductible on my Rx plan -- which so far I have not even reached but availability, cost and convenience are worth it. The drug program IS a savings under the Advantage plan (with low or no deductibles or co-pays) but if you do not need many meds it is not worth it. You are paying many times more for all other medical services.

    For the last 2 yrs. Humana has had personable and knowledgeable personnel and sufficient handling of my orders. I am back with Medicare as PRIMARY ins. and have a suppl./medigap plan with another co. - which covers what Medicare does not pay. All docs and facilities charge US only what Medicare allows. I do not KNOW about any other Medicare "All-In-one" type plan (which can be labeled as MEDICARE ADVANTAGE, MEDICARE COMPLETE, etc.) PLEASE thoroughly investigate the plans! Who knows what our insurance will be like in 2018 under a new president. I am betting it will be even WORSE - especially if we lose the pre-existing illness exception. Even a NEWBORN baby's problems could be considered PRE-EXISTING!

    Thanks for your vote!
    CoveragePrice

    Reviewed Nov. 5, 2016

    Poor prescription coverage. Two items I have needed Humana barely covers. ** my cost $598 use to be $25. ** My cost $833. Everyone I know pay between $5 and $15. I have been paying this company for over 7 yrs. Currently paying $577 a month.

    Thanks for your vote!
    Customer ServiceStaff

    Reviewed Nov. 4, 2016

    This insurance company has failed me at every turn. From the customer service being atrocious and the fees being so high this is by far one of the worst companies I have seen. If anyone is debating on using this company I would stay far away. The customer service representatives usually do not have any answers you are looking for. The last call I made I was hung up on 5 times. Please do not make my same mistake. Go with any other company.

    Thanks for your vote!
    Verified purchase
    Customer ServiceStaff

    Reviewed Nov. 1, 2016

    I got health care insurance October 1. Did it over the phone. She made it sound great. She said she would stop by and tell me all about it. Never did. I called her 2 wks ago and ask if I could cancel any time. She said yes. After looking at the plan it wasn't what I wanted so I called her back. She said I couldn't cancel until the first of the year. I got a new plan and now I'm stuck with 2 months of paying for. I don't think it's not a very good way to run a company. I was even thinking about putting it in the paper. Not very happy with Humana.

    Thanks for your vote!
    Customer ServiceCoveragePunctuality & SpeedStaff

    Reviewed Oct. 27, 2016

    Please do not hire Humana for your Insurance needs. Save yourself hours and in my case a year of trouble. I purchased a Humana Medicare advantage Plan. I spent 1 year trying to just find a Dr that was covered. I must have made 1000 calls to Humana because the Doctors they list in their book for my area were 1, not taking new patients or were a long list of Doctors that are only at walk-in clinics. Now that's a year of my time and me paying them. Then 1 person decides to tell me they have a list of 1,500 Doctors in my area that they can email me. AFTER A YEAR OF CONSTANT CALLING THEM. Next... I am not the type to call every time have some minor issue. About a week ago I called them because I have a neck surgery coming up. I had a few questions so I called the 24 hour Nurse helpline. I asked my questions and was told they are not a Doctor (Um that might be why it's called a Nurse helpline).

    He then says I need to talk to my care manager. I asked who that was. He checked and said mine no longer worked at Humana anymore. He then said he would send my information to the correct people and they would call me and set up a new Care Manager. A week later no response from Humana so I call. I get the runaround, I get transferred to 8 different people 1 who had no idea why I was talking to him because he didn't even have access to my account. I have now had enough. I'm in the timeframe to Disenroll. I will steer anyone away that ever asks anything about Humana. It is the worst health insurance on the planet if you ever have to contact them about anything. If this was a split scale of 10 I would give them a -5. PLEASE GO ELSEWHERE and save yourself a lot of time and trouble for horrible service.

    Thanks for your vote!
    Customer ServiceStaff

    Reviewed Oct. 25, 2016

    If you are considering Humana, please, please, please choose ANY OTHER COMPANY. They are crooks. I specifically picked Humana because they offered coverage at the area hospitals, and my wife was pregnant, so we knew what the year would bring. We made sure the hospitals were in network with our plan. Now Humana is saying they're not in network with the hospital. The hospital (St Thomas, Midtown, Nashville) says they *are* in network and they have this problem with Humana often. And what is Humana's response? I can send them a written appeal! Wonderful, in an age where email is an option, I should send them a written appeal, then I have to wait 15 days to call and make sure they got it and then I have.

    I paid over $8000 in premiums this year and this is what I got for it. I should have just stayed uninsured. And when I told them I wanted to cancel I got put through to the marketplace who told me that I couldn't cancel for another 14 days and the only way to be sure that I had in fact canceled would be to call Humana to make sure. So, I have to pay MORE MONEY before I can cancel my plan? What other "service" is there that will make me pay more for something after I have asked cancel? Clearly they want to make this entire process harder than it needs to be so they won't have to pay. If I'd known they'd be like this I'd have stuck with BCBS. I should have known I was screwed when every health care provider I gave my insurance card to frowned and told me they felt bad for me. Humana is the worst and I will never work with them again. I will go uninsured if I have to since that's basically what this was.

    Thanks for your vote!
    Verified purchase
    Customer Service

    Reviewed Oct. 19, 2016

    Humana is out of network with palm beach county, Fl. In the newspaper in September 2015 it said Tenet which is in charge of many hospitals and doctors in my area was trying to negotiate with Humana and that as of now Humana is out of network. When you go to protectmyaccess.com, I was told that I must change to another medicaid plan. When I call Humana they say they are legally not supposed to answer any questions. To call my local department of children and families so every time I call they say they have to receive a letter from Humana or I cannot change my plan. We are supposed to change plans immediately but Humana is not notifying our local or state medicaid offices because they want to keep our business. I have many illnesses and will not get medications. This goes into effect January 2017. I don't know what to do?

    Thanks for your vote!
    Customer Service

    Reviewed Oct. 18, 2016

    I have thyroid disease and must take a ** as I have adverse reactions to ** which is the tablet form. I was paying 0 then began paying $11.00, then $15.00 and now $100.00! I filed two appeals and my doctor who is furious filed a grievance and they denied us. I have two sons and live on disability hence I cannot afford this payment and I am bedridden without this medication! I want to rename Humana INHUMANEA, they give me 10 phone numbers and transfer me in circles! Someone needs to help those of us who are suffering!

    Thanks for your vote!
    Customer ServiceCoverage

    Reviewed Oct. 17, 2016

    Worst health coverage ever, need family doctor referral to see eye doctor and dentist. Constant calls from Humana continue even after begging and spending too much time to be taken off of call list. Feel bullied and beat down. Even getting hang up calls from them. So frustrated can't wait to get plain old Medicare back. I do not recommend Humana Insurance. Family doctor even said they are the slowest paying insurance company and worst to bill. Hope telling them that if the hangup calls and non emergency solicitation calls don't stop I will report them to attorney general. Works and calls stop since cursing and yelling doesn't.

    Thanks for your vote!
    Customer ServiceCoverage

    Reviewed Oct. 12, 2016

    I had all 4 of my wisdom teeth pulled last year, when we sat down to do the payment chart I was told my bill we be about $1,600.00. Well I figured that was what I needed to pay after insurance which is Humana HMO. I was in so much pain and suffering I just paid it to get it done. After a year later my husband is needing similar extractions done and the payment was super high. I told her mine was cheaper last time because of what insurance covered, so she pulled up my chart and told me that Humana cover 0% rejected the whole thing, which is why I paid $1,500.00... So we called Humana and they said "Yes we cover extractions" and also about 6-8 out of 12 codes that was on my chart but yet as of today they just told me, they don't cover that and they won't cut a refund check after one Rep from there said I should get something back because that didn't seem right.

    Our dentist office has told us about 4x that over time they send over our chart to them, Humana rejects them. They pay for NOTHING OR at least $10 out of $250 which that's what it looks like. Has anyone had a similar experience? I am about to get a lawyer to look into this. I think they are beating around to give me most of my money back.

    Thanks for your vote!
    Customer ServiceSales & Marketing

    Reviewed Oct. 10, 2016

    Because of disability I had to switch to Medicare from group Medical, and had to choose from ins. on my employer's list. I enrolled in Humana, selected a Dr from their list, and then discovered 90% of the listed Dr's would not take it. Finally was assigned to a Dr 10 miles away (I live in an area with over 300k population). This Dr could not give injections so while I was waiting to get approval to get injections elsewhere I got severe shingles. I wasn't allowed to see anyone w/o referral from the primary, who would not referral w/o seeing me and offering an appt 2 months later. Tried to escalate with Humana, they only would approve a commercial urgent care 50 miles away but none at a medical facility or closer. Because of delay in getting anti viral med I was in severe pain for 6 weeks, and never saw my Dr (I paid cash at ER). Complained no help from Humana.

    The next year I had a crushing break to foot and toe. Had switched to another 'approved dr' same thing. No Dr avail, go drive 50 miles with broken foot. I ended up splinting it myself and just stayed off it for six weeks. RX costs me more than using GoodRX would ins. If I saw another Humana commercial with old people talking about how great it is I think I'd scream. But no worries, they just said (5 days before open enrollment) they aren't selling ins. here anymore. But I've still gotten 12 robot calls from them even though I'm on their DNC list, surveys, sales pitches to use their pharmacy, etc. When I see the government has been partnering with Humana on modeling future medical on their method, I shudder to think how much worse it can become (FYI I don't get Extra Help, government handout, etc. I spend $$$$$ for medication after paying taxes, Medicare tax, Medicare premiums).

    I would RUN from this company. Maybe in other regions they are better, but where I live I have given in and haven't had basic medical tests for the past two years. The only time in my life I've needed medical, I have gotten nothing but lies, unfulfilled commitments, and the amount of time spent trying to get them to do anything has negatively affected my health.

    Thanks for your vote!
    Coverage

    Reviewed Oct. 7, 2016

    I would really rate them -5 stars. The latest issue was when I went to get a flu shot and was told I was no longer covered. I called and was told premiums were due. I informed the customer service rep that I had just sent them the full payment as my online account indicated. She checked and found that I had a credit balance in my account, but it didn't cover the current month. I cannot understand how an account that is carrying a credit can be closed. Luckily the latest payment for $1200 hadn't cleared the bank and I was able to get my money back. I am waiting for the refund on the credit. I found out too late how the medical field feels about this insurance company. SWFL doctors aren't taking it as of 2017. My guess is the company is too difficult to deal with. Blessing in disguise for me I guess.

    Thanks for your vote!
    Verified purchase
    Customer ServiceCoveragePriceStaff

    Reviewed Oct. 4, 2016

    I am my mother's authorized representative, therefore I'm the one who has had to deal with countless phone calls to HUMANA. They tell you wrong information just to get you off the phone, and if that's not bad enough they LIE! They tell you they are "resubmitting claim", "sending to supervisor", for you to find out later NOTHING has been done with your denied claim, and there's no documentation of your past phone call. You also can not complain to anyone higher. My mother switched to Humana 1 yr ago, and we have had to go through hell and back on EVERY claim that has been submitted to them. Not one has just been paid with no incidents.

    At first it was she was not covered, which she was. Then that she had a primary insurance other than them, which was not the case either. Thank God my mother has no chronic illnesses, and does not see doctors much. She has had 3 visits, and a lab visit in that year, and we are still waiting on 2 of the claims to be paid. If you do not have time to spend countless hours on phone dealing with each claim, I advise you to go with another company. It may cost you a little more, and I totally understand retirement, and fixed incomes, but it will pay off in the end.

    Thanks for your vote!
    Customer Service

    Reviewed Oct. 4, 2016

    I moved to NV in August and I choose Dr. ** as my PPC. I soon learned that all the PPC Dr in my area were with health care partners. I feel trapped in this constraint. Dr. ** answer to all my problems and complaints is to refer me to other doctors in her group. If you call her office during lunch the phone just ring and rings. I recently tried to make an appointment with a gastroenterologist and their lunch is between 12 and 1. No one answers the phone, it just rings and rings. I needed ** for my liver ailment and Humana won't approve, they will approve **. Dr. ** won't prescribe this because she says an in-hospital medication. I am unable to take this because it gives me severe diarrhea. Please help me resolve these matters.

    Thanks for your vote!
    CoveragePriceStaff

    Reviewed Oct. 2, 2016

    I just moved to the Ohio area late July. Starting in August I signed up for health insurance. It was my mistake using an agent off the web. After my first 2 bills I noticed I was not getting the coverage I had paid for. Coming from NY things were a lot cheaper. Just the problem, I had also signed up for dental and eye care as well. According to humana I was not signed up for it. While the cost wasn't too bad, $226 a month compared to over $800 where I was, there was a reason why I wanted dental. There is an off chance I may be stuck until Nov 1st to sign up again. This company should be avoided.

    Thanks for your vote!
    Staff

    Reviewed Sept. 30, 2016

    I am in need of thoracic surgery to remove a bronchogenic cyst - my second one. To my knowledge I am only the 9th documented case of one returning. That said, mine has grown over 49% in 6 months (Jan 2016 - Jul 2016), no telling how big it is now (Oct 2016). My primary care physician and my lung specialist both petitioned Humana for an out-of-network thoracic surgeon to remove this cyst. Humana denied the claim saying that there was a in-network surgeon who could do the surgery. However, the in-network practice I was referred to, and the only one within my network, reported that they would not remove the growth and would refer me "out-of-network" to a specialist. So I am now in a catch 22 situation where Humana will only approve an in-network practice that has said my surgery needs an out-of-network specialist. And here I sit, with a growing cyst, appealing a decision. This is just wrong!

    Thanks for your vote!
    Customer ServiceCoverageStaff

    Reviewed Sept. 30, 2016

    In Jan 16 I went with Humana thru the market place. Feb 16 my husband was hospitalized and ended up with a bill over 5k out of pocket. In March I had emergency surgery and was in the hospital for a few days. When I got home I had a letter stating that I would only have coverage til May because I was not covered by the market place because I was on SSI (not Humana's fault) which was mentioned to them several times during enrollment. So after I met my deductible I was dropped but my husband and kids still had Humana. Humana transferred over my kids and husband to a new policy and supposed to transfer over all my deductibles that we met.

    I went to the dr with my daughter and after meeting deductibles in Feb from my husband’s hospital stay and come to find out my deductible was back at 0 and I was now responsible to meet it again! Well after calling and calling to get the deductible fixed and every time being told that they will work on it and return my call and they never did my deductible. Was never met and I was out of pocketing cost that should have been covered. I had enough and cancelled it in July. Well, now Sept 30th I get a call saying that I owe them money for my policy that I cancelled in July. I NEVER got a notice or a bill or anything at all. These people are crooks and are not willing to right their wrongs but, yet want more money from me. Stay away from these crooks!

    Thanks for your vote!
    Customer ServiceCoverageStaffProcess

    Reviewed Sept. 29, 2016

    Every time I have had to deal with this company it has taken many hours and most time they do things wrong and I have to call back to get things fixed. Every year I spend winters in Arizona and when I call in to put in a temporary change of address, I get disconnected and have to call back. Then it takes at least one hour for them to process the temp change of address. Two years ago, I did this and they ended up cancelling my policy because they processed it as a permanent address change and said that my policy was not available in Arizona. It took many hours and phone calls to get the policy reinstated. Don't do business with this company. They are incompetent and not capable of getting anything right!!!

    Thanks for your vote!
    Customer ServiceCoverageStaff

    Reviewed Sept. 29, 2016

    So they came back and took money from a procedure they paid for over 2 years ago. They said I was dual covered with other insurance. When I asked them what date Humana had for my effective date of the new insurance...they had a date that was the day before the procedure that was done 2 years prior. The crazy part is I just barely applied for the new insurance this year. When they found out I got new insurance they put in their system that I had both insurances for the last 2 years. This is not an exaggeration...I have called over 20 times over the last year to correct the issues with them to get the doctor paid again.

    I get transferred, hung up on, calls dropped, mis-transferred almost every phone call I make. It's comical at this point. So initially they took back $1200. They finally reprocessed the claims and repaid $800 - some odd WTF??? Do I go through this whole process again for $400? Their supervisors are not horrible, but their normal reps they must just pick up off the street. I have no problem with getting people off the street, but TRAIN THEM before they talk to people. I had Humana for a year with no problems and ever since there has been crazy problems. Good luck if you need anything outside of the ordinary. Good luck if you need them to pay a claim.

    Thanks for your vote!
    Customer ServiceStaff

    Reviewed Sept. 26, 2016

    I have dental insurance with Humana. Two fillings were done in mid July. Humana placed the claim into review for a narrative and x-rays. They denied the claim saying that they did not receive requested information. These have been sent three times, the dental office copied me the last time to show that they were sending it. Today, they still claim that they have not received this. They either lie or delay in an effort to halt other work and avoid payment or they are all incompetent. I don't care which. Either way, they are an insurance company to be avoided. I have spoken with their reps on several occasions and sent multiple emails but each time they give the same response trying to blame the dental practice that I know for a fact complied with their request each time.

    Thanks for your vote!
    Customer Service

    Reviewed Sept. 16, 2016

    Humana has violated HIPAA regulations by requiring patients to send back WRONG RX to them. Medicare had informed that once RX is dispensed -- wrong or not -- the RX needs to be discarded. Humana sets their own rules that do not follow Medicare guidelines. Hours on the phone and I get no help. They buy the cheapest generic RX from shady manufacturers. I had my RX analyzed by a local lab and the RX they sent me does not contain any go the medicine -- that's a felony.

    Thanks for your vote!
    Customer ServiceCoverageStaff

    Reviewed Sept. 12, 2016

    After dealing with Humana for 9 months, I've come to realize they are either run by imbeciles or the devil. I was on ** prior to going on Medicare. When Medicare became active, so did my coverage with Humana PPO. They denied the ** but suggested I pay out of pocket $4,000 per month. After that they denied everything my doctor prescribed for my arthritis. 7 months later, I'm in a full blown flare up with a sd rate over 60 and CRP over 20. I'm now sick and can't get the meds I need. My doctor finally got them to cover **. Only problem was my co-pay was $5,000. I was able to get assistance through PAN network.

    I have a stack of denial letters from Humana. Some are dated the same day. I finally received an approval letter and was tempted to frame it in a gilded frame. As unbelievable as it may sound, I got a denial letter after their approval letter. I even got another letter stating they needed my doctor's authorization - after I received my first dose! When I called the number on the letter, they were just as shocked as I was. The number on the letter was to the pharmacy who transferred me to the specialty pharmacy who was equally confused.

    I asked to speak to the person who sent me the letter, Mr ** whose credentials included director of pharmacy professions. The specialty pharmacy didn't know who this person is. They explained that the insurance side sent the letter. (Insurance side?) So what I take from this is the left hand definitely has no clue what the right hand is doing! Like I said that in title, RUN from this company - stay away from them!

    Thanks for your vote!
    CoverageStaff

    Reviewed Sept. 8, 2016

    I just went to CVS to pick up my son's prescription. Again denied by Humana. Not on their list of drugs. Here we go again. I spent a year fighting with Humana to have a drug covered which is the only thing my son responds to. We went through appeal after appeal until finally the Medical State Commissioner overturned the decision sending a scathing 4 page letter to Humana REQUIRING them to cover the medication. Humana had to reimburse us for thousands of out of pocket money for the medication they refused to cover. Now here we go again. Some moron at Humana has decided to not cover it yet AGAIN! I will fight them again all the way again. But it is exhausting and ridiculous. Humana plays God. Interfering with your care and your doctor. Your doctor knows what is best for you, not some idiot at Humana. I have had to fight them on medical procedures that I have needed but Humana seems unnecessary.

    When did it become their right to play God and make decisions about my care when they haven't even examined me and have no relationship to me. This is the worst health care company ever. They only care about their shareholders and not the people that are their customers. It is a conflict of interest to be publicly traded and pretend that you are serving the interest of your insured. This is why we MUST go to a nonprofit single payer system where they are not trying to serve stockholders! I hate Humana!! I will keep fighting, but I shouldn't have to!!!

    Thanks for your vote!
    Customer ServiceCoverage

    Reviewed Sept. 4, 2016

    I have experienced the worst insurance company I've dealt with ever. Dating back a year ago when they declined covering my insulin in acting as a doctor which they are not they declined coverage because they felt that I needed oral when my doctor expressly felt otherwise. They tried to weasel out of covering an accident in which I went to the ER that was covered under my plan. Recently I had to take my wife to the ER because, she was running a fever, severe pain, dangerously dehydrated etc. These crooks sent a letter saying that they would not pay a dime because they deemed that it wasn't an emergency. Their customer service is a joke as well. I would like to know why insurance companies are allowed to decide your health treatment over doctors? By doing the corrupt garbage that they do it discourages people from seeking health care in emergencies. Stay away from this company.

    Thanks for your vote!
    Customer ServiceCoverage

    Reviewed Sept. 1, 2016

    Due of my credit card expiration Humana had been cancelled my insurance without notifying me or sending me any mail or emails to me. I try to work with Marketplace to re-open health insurance with Humana. They have been working on last 3 month nothing has been resolved yet. I spoke with Marketplace they told me that requested to Humana and Humana says that he never got any request from Marketplace. I am tired of calling both parties to fix issue. I have having serious health issues no one is talking me without insurance. I am really helpless. What kind of stupid insurance government making legal? If I died who will responsible for me? Since 3 three months I have been suffering with serious health issues. I need help emergency help. Is there any way I could get help. I am having kidney stones bothering me unable to concentrate and lost my job.

    Thanks for your vote!
    Punctuality & Speed

    Reviewed Aug. 26, 2016

    Our Humana coverage ran from 1/1/2015 through 12/31/2015. At that time, we did not give any permission for renewal. In other words, Humana coverage was to end 12/31/2015. Humana deducted three premiums from my checking account for the months of January, February and March 2016. These were for $91.70 each. When I discovered this in May 2016 I requested a refund and it was denied.

    I filed a Grievance and mailed it to the Appeal Department. Humana determined that I should receive a refund in the amount of $366.80. That was July 19th. On August 4th -- not having received the refund -- I contacted Humana. I informed them of my correct address. They said they would reissue the check. Here it is 5 weeks later and still no check received. I know they would not wait this long if I owed them money! While the amount they owe me might seem insignificant, I am on a fixed income and had to pay the credit card bill for the amounts they did not have my permission to charge.

    Thanks for your vote!

    Reviewed Aug. 19, 2016

    Humana pre-authorizes medical services, then in some cases with large bills refuses to pay the provider, leaving customer on the hook. They have done this on two occasions with me, totaling over $1,000. The company is lying and crooked. BEWARE.

    Thanks for your vote!
    Customer ServiceCoverageStaff

    Reviewed Aug. 17, 2016

    It has become such a problem having claims denied that I don't even want to go to the doctor anymore. I have had multiple issues with Humana continually denying to pay for routine medical procedures. I was recently sent to a collection agency because Humana took so long to review a claim that they denied. I have wasted hours of my life on the phone with incompetent customer service reps. It is beyond frustrating. If you are considering Humana insurance, I would strongly encourage you to keep looking. I would not have this insurance if it weren't a group plan provided through my employer.

    Thanks for your vote!
    Customer ServiceStaff

    Reviewed Aug. 15, 2016

    I moved from GA to VA and was assured by the Humana sign up representative that the psychiatry care was extensive. I suffer from Major Depression and have had many suicide attempts over the years. I enrolled in Humana on June 22, 2016, but the insurance did not kick in until July 1st. I then had to wait four weeks to see a Primary Care doctor to get a Psych referral. I called Humana and explained that I was going to run off my antidepressant RX and this could be very dangerous for me. The rep told me at least 10 times, that I could not see a Psychiatrist until I saw the Primary Care doctor.

    I pleaded with her, sobbing, and crying telling her I was not doing well, and asked her what I should do. So 10 more times she told me the same thing and with each repetition she got nastier and nastier to me. I eventually gave up trying to get her to see my problem and at the end of the call, she wished me a nice rest of my day. I was so upset that it took every ounce of my emotional strength to resist the urge to kill myself. These people are completely without human emotion and are quite possibly evil.

    Thanks for your vote!
    Customer ServiceStaff

    Reviewed Aug. 12, 2016

    Never have gotten any answers to my questions through Humana's customer service - it is so bad that every time I need to call for help - I might as well talk to my dog... Ugh! Need an in network medical supply company in Charlotte county Florida that can give me the supplies I need for my cpap machine... Apparently Humana customer service cannot or will not give me this information. How do you train these people who usually "piss off" your customers!!!

    Thanks for your vote!
    Customer Service

    Reviewed Aug. 10, 2016

    I moved from AZ to WA end of July 2016. I called to change my address, fully expecting the policy to change to WA as well. I was informed on Aug 9, 2016 after receiving a letter dated Aug 3rd 2016, they were cancelling my policy effective JULY 31st. Customer service intimated I should have applied to HUMANA in WA!!! So then Customer Service say sorry, nothing they can do. I'll have to enroll in October. Meanwhile, I have prescriptions I can't fill. Isn't Humana a company hired by the government to manage Medicare? This speaks Class Action Suit to me. How can a company inform you that they are cancelling a policy AFTER the fact? And then not making it right...

    Thanks for your vote!
    Customer ServiceStaff

    Reviewed Aug. 9, 2016

    I am very disappointed in the lack of training of the representatives at Humana. Every time I have called, I have been placed on hold for lengthy periods of time only to be transferred to numerous representatives due to the lack of communication. I feel that the representatives do not pay attention and instead just pass on members to someone else. Today I was placed on hold for over an hour and transferred 7 times, finally speaking to a supervisor.

    Thanks for your vote!
    CoverageStaff

    Reviewed Aug. 9, 2016

    In one week I have been denied seeing a ophthalmologist in Nashville, that they previously had in their network. He was a specialist that I needed to consult about a previous procedure. Today I was denied pharmacy coverage for ** 100 mg tablets, an old, old drug that has been used forever for bladder infection pain and was previously covered by Humana and Medicare. Even United Health Care covers this drug, which costs a few cents per tablet to produce, but costs over $2.00 each at Walgreens!! This is pathetic and a direct discrimination against their female patients.

    Thanks for your vote!
    Customer ServiceCoverageStaff

    Reviewed Aug. 5, 2016

    This company is horrible. Thanks to Obamacare we can only get our insurance once a year and if like in my case the company makes a mistake then you are screwed. So I set up on automatic payments from my bank account with one of the reps for humana, that was never done so because I was out of town. I didn't get my mail to see the letters they sent. So now because humana screwed up not only did they have a payment of over $700 dollars my family doesn't have insurance... And it's been 2 months of calling them weekly to get my refund. UNBELIEVABLE. They are rude not helpful and a JOKE.

    Thanks for your vote!
    Verified purchase
    Customer ServiceStaff

    Reviewed Aug. 2, 2016

    My coverage was to begin on June 1, 2016. Today is August 2, 2016 and I still am unable to access my prescription benefits! After NUMEROUS calls to Humana, I am still unable to fill any prescriptions! I am out of blood pressure, diabetic, and heart meds. Humana blames Walmart... Walmart blames Humana... Result still no meds. I'm on hold yet again with Humana being told, "This is really messed up". All the customer service operators were very nice and tried their best to resolve the problem only It ended up never getting resolved. Each time I am assured the "problem" is taken care of... yet my card still is refused. I have paid monthly premiums to no avail... I WOULD NOT RECOMMEND even if the amount is lower than other programs. I will be switching when renewal comes around in Oct-Dec! My FINAL STEP is to call the Indiana State Insurance Dept.

    Thanks for your vote!
    Verified purchase
    Customer ServiceCoverageStaff

    Reviewed Aug. 1, 2016

    I would like to state my experience with Humana Insurance Co. and I have one bit of advice for anyone trying to decide what company to purchase a supplemental insurance. RUN, DONT WALK!!! I have had a problem with Humana going back to October 2015! I called Humana in February 2015 to let them know I was moving to Mexico for an extended period of time. I told them Mexico did not honor American companies there. They told me "fine. We'll note it on your account." I also asked them if I needed to do anything else and they said no. Big mistake taking that advice.

    In October, I received a notice that I owed $596.00 for the months from March through October. I have made no less than 30 phone calls all to no avail. I told them that I spoke to a gentleman in February and he said I did not need to do anything else in order to stop my coverage. NO ONE LISTENED!!! Some said, "Oh, we do not see any notes of you dropping your coverage." Or some said, "Yes, we see where you called at the end of February, but you did not send a letter to follow-up." I told them I was never told to send a letter.

    I have spoken to supervisors and they were no help. I also went to the local office of Humana in North Raleigh several months ago. I spent 2 hours waiting to talk to someone. When I finally spoke to her, it took over an hour to relate what I have been going through. She said to call her in 2-3 weeks and she would try and help me. I have never spoken to her. I called several times and was always told to leave a message and someone would get back to me. No return phone call ever.

    I had decided I needed expert help, as I finally realized what Humana was doing. I purchased a new plan in February 2016, thinking the past problem was resolved. I realized that they were taking my monthly payment and applying it to my past due balance. I contacted the NC Insurance Commission. They forwarded my complaint to Medicare. I called Humana last week and was told a resolution letter was in the mail. I incorrectly assumed they were going to offer me a solution, like maybe me paying half and then lowering the past due balance. What did I get? A letter telling me they had heard of my complaint and I owed $497. And a threat that they would take my account to a collections agent if I did not pay the past due amount. I will never pay that bill. This is 100% Humana's fault.

    The latest problem with them is that when I called to purchase the coverage I specifically asked if the 3 doctors who I see were in network. They assured me they were. A few weeks ago I received a notice from Humana that I owed over $400 for doctor visits that were not covered under my policy. I called them and told them I had checked to see before purchasing this coverage and was assured they were all in the network. So I now owe over $400 for visits that were supposed to be covered. What do they say? "Oh, we are sorry for the mistake, but there's nothing we can do."

    I have spent countless hours on the phone and I always get the same response, "Oh we are so sorry you are going through such a bad time", but bottom line they would not budge, even though this is entirely their fault. I am considering a lawsuit and would like to know if anyone else is interested in starting action against this aggressive, clueless, biased company. It is unthinkable that at 73 years of age, I have to deal with their incompetence and have spent so much time and effort to get this resolved. All for nothing.

    Thanks for your vote!
    Customer ServiceStaff

    Reviewed July 30, 2016

    I am enrolled in Humana Gold Plus (Medicare Advantage)...but not for long. They were fine when I just needed meds (They arrive in the mail at no charge to me, free for me but Humana charges the medicare about 4X the Wal-Mart Price). HOWEVER, I broke my ankle in 2 places and had to have surgery. Most of the bills are arriving in my mailbox because Humana refuses to pay. They simply mark everything as "not medically necessary." If you want to spend many frustrating days on the phone, and additional days writing letters to Humana's Grievance Dept, this is the plan to choose!

    Thanks for your vote!
    Contract & TermsCoverageSales & Marketing

    Reviewed July 28, 2016

    Signed up to Humana Dental and found out through other customers and dentist that Humana coverage is industry and customer laughable. Stated coverage was often turned down or went unpaid. Talking to their customer services was like talking to a brick wall. When asked if I could cancel the policy as they did not cover anything was told I was in a one-year contract and would be required to make payments even though no benefits were received. I paid in for a full year and no benefits were received from this plan. It is a consumer rip-off and a scam. Don't waste your time or money with these fraudsters.

    Thanks for your vote!
    Verified purchase
    Customer ServiceCoverageStaff

    Reviewed July 25, 2016

    My son is currently on Humana insurance. He has A.D.D and seizures. He has no clue on what is going on with the company. I handle all of my son's medical issues. Every time I call into Humana about my son's health coverage it always a problem for me. It has been clear several times that I have authorization to speak on my son behalf. Whomever decided to go with this company made a big mistake. There are a lot of doctors that do not take Humana and that's not good. This is the messiest insurance company I have ever endured.

    Thanks for your vote!
    Staff

    Reviewed July 23, 2016

    So, I needed a overnight sleep study. Went to their recommended and in network pulmonary specialist. The specialist scheduled a sleep study at a local sleep center that he is affiliated with. Humana refuses to pay. As a result of the sleep test I need a CPAP machine. Going through Humana's list of DME providers (only a few that do CPAP) and out of the 2 within 150 miles of me found one that offers the machine I want. I had called ** listed as Aprei in Bozeman Montana. A recording comes on giving a new # of **. This office told me.

    We drove the 150 miles each way to get the machine. Guess what, Humana denied as being out of network. Very mad and as I get extra help with prescriptions, I was able to change. I switched from Humana PPO to the Humana Gold Choice. Next month's around, they deny the monthly charge of the CPAP they deny as I have not met my $1000 deductible.

    We had asked several questions at Humana before switching. One of the questions was about the deductible. I had met my annual deductible with Humana on the PPO. Now they treat the mid year switch (my right to do) as I am a new customer and did not switch the annual deductible to the PFFS Told Choice. I pay a fortune for insurance to make sure I am covered. Running the numbers this year, I would have been far better of with the standard 20% share on regular Medicare. Medicare would not have held back any deductible on DME either. I feel like I just had a prostrate exam by a very mean doctor. I have switched carriers. I'm done!

    Thanks for your vote!
    Customer ServiceCoverageStaff

    Reviewed July 22, 2016

    Terrible!!! I have called 3 times. First time operator could not answer my question. Second time, the operator was to send a booklet explaining benefit coverage. I did not receive the booklet. Third time, I was put on hold numerous times while the operator looked up my request. She evidently had problems and asked if I wanted the booklet resent. I had answered that question twice. Then she put me on hold to enter the request, then transfer me to dental coverage because she did could not help. I was on hold so long, I just hung up!!! I need to call a 4th time now. I have been diagnosed with possible cancer and will need to take at least one more test. I already owe for one test ($327) that Humana may or may not cover. I am NOT PLEASED WITH HUMANA.

    Thanks for your vote!
    Customer ServiceCoverageStaff

    Reviewed July 22, 2016

    Wow, where to begin... When I needed heal the coverage due to being pregnant I decided to go with Humana not knowing that it was part of Obamacare. It was just something I could afford. So, I selected a PCP. I called that PCP office and I got an operator of which I assumed was transferring me to the correct place. I set up an appointment and started going to my visits. I called when I got close to my delivery to ensure that the UNIVERSITY of UTAH was in network which they stated was. After coming home with my newborn I received a bill which was for the exact amount out of network charges that I owed. I called Humana and requested an appeal and a retro authorization. They helped very little and I had to get a charity reduction from the hospital themselves even though Humana messed up.

    I spent hours in the phone instead of with my newborn to fix their mistake. Thanks for putting a very small authorization on so I didn't have to pay the close to $20,000. Humana. Almost a year later they change their policy to not accept credit cards. Okay fine. I switched to my credit card which expired in June. I called Humana saying that I noticed the amount had not left my account. They said it takes up to 10 days even though it says processed on their side. Apparently they terminated my insurance for non payment and having an infant. I called back to get it reinstated and they promised a call back which I never received. LONG story short they are not reinstating it. THANKS Humana. For nothing but time, lost of money and frustration.

    Thanks for your vote!
    Verified purchase
    Customer ServiceStaff

    Reviewed July 21, 2016

    HUMANA IS THE WORST INSURANCE COMPANY I HAVE EVER DEALT WITH. When signing up the representative are very nice and convincing. Once enrolled, the trouble begins. The doctors, Dentist and Eye Care listed on their website -- states accepting new patients. However, when you call the provider they are either not accepting new patients or has moved and telephone not in service. I was told by my eye care provider that they accept HUMANA. However Humana rejected my claim stating that the doctor was out of network but they could give me up to $100 discount by fill out an out of network claim form for the eye exam.

    NEVER have I spent so much time trying to get a provider, and/or correct bills, etc. Medications are denied even when the doctor states that the medication is necessary. If you have HUMANA please don't get sick. I am on a fixed income and disabled. This company has caused my stress level to go up through the roof. WHAT IS EVEN MORE DISTURBING IS one day after joining I call Humana and asked to be released because I could not find a provider with my area to service me. I was told that I would have to wait for the enrollment period (which is in October) in order to be released. NEVER USE THIS COMPANY OR YOU WILL BE ____++++

    Thanks for your vote!
    Customer ServiceCoverage

    Reviewed July 21, 2016

    I am POA and Guardian of one of their insured. It is beyond comprehension to me that I have provided Humana out of Lexington, KY, with copy of the POA and was denied access to the account, then provided them with the Humana account number and was told by them that that number was non-existent, but they continued to cash checks written by me on their insured both from my personal bank account, and her personal bank account!!! When I was finally contacted by "Lois" from their billing department about the faxes that I had sent in and the contacts that I had made to them by U.S. Mail and phone calls, I was told to have OMNICARE issue a letterhead to them and they would review it.

    I waited for nearly two weeks to hear from OMNICARE out of San Antonio who put me on a 3-way phone conversation stating that Omnicare was being paid for their services (HOORAY!!!!) which was a worry off of my mind, but still the refusal of Humana to answer a question that had nothing, nada to do with Privacy Issues (HIPPA) when I simply wanted to know if Humana was not paying for her medications, why should I continue to pay them the premiums? While waiting to hear from Omnicare as to HUMANA'S instructions to have OMNICARE send them a letter on OMNICARE'S letterhead as to how OMNICARE fit into the situation, I receive a notification that Humana was dropping coverage on the prescriptions due to being "out of area".

    Well, my mother's situation is "in limbo" right now due to transferring guardianship from one state to another, so I can't help it. That is a legal issue that I have no control over. Now, I received an "OVERDUE" notification from Humana stating that she is now three months behind in payments, and I just sent in payment for the previous two months while following HUMANA'S instructions to wait until hearing from OMNICARE. Absolutely the most incompetent agency I have dealt with yet.

    Thanks for your vote!
    Customer ServicePriceStaff

    Reviewed July 18, 2016

    Was talked into Humana "great company" top tier company etc, NEVER have I spent so much time trying to fix bills, medications that "aren't formulary", try not to be ill due to not being able to get said medications. Used the eyeglass "benefit". What a joke, talk about disposable eyewear! Unless you wanted to pay an especially overinflated price at the only glasses place in town. I didn't even receive a case for my glasses! Not an oversight, I asked for one. I was told they start at $5.00. Are you kidding??? I used the benefit because I'm on a fixed income, not because I wanted to use that particular business, I've never had such garbage glasses.

    Other issues have been centered around other billing issues as addressed in previous posts of others. Why you cannot talk to the same rep. baffles me. You have to repeat your issue over & over till you get so disgusted you finally hang up, with a much higher blood pressure and heart rate! Hum... UM possible to keep you sick & confused? Maybe so. RUN, don't walk away from Humana. YOU will end up sicker and your family stuck with mountains of unpaid bills! I don't know how they operate and not get in serious legal trouble.I received a denial notice the other day from a procedure a year ago, AND it was dated June 1! This is the middle of July 2016! I changed to UHC/AARP community plan in my area and have had NO issues with anything! AMAZING! No insurance company is perfect but Humana talks out of both sides of their mouths. RUNAWAY! Unfortunately there are on negative stars in review so they got a 1 star, but it's a double negative!

    Thanks for your vote!
    Price

    Reviewed July 15, 2016

    Humana reject me as client after a surgery. I been paying 300$ each month. Due that I'm new in USA I didn't know about the quality of this insurance company. I suffer a vertebral compression in a domestic accident. While I was in intensive care at Mount Sinai, Miami waiting for surgery, the Chase bank "I don't know why" sent me a new debit card... Something that I didn't realize due that I didn't ask for a new card and I was in big pain after being 11 days in intensive care and a surgery. I didn't lost it or anything so they change my debit card number. The point is that they say that they couldn't charge me so I'm out of the insurance... but I didn't know about the debit card change...

    Thanks for your vote!
    Staff

    Reviewed July 14, 2016

    Can't hear person, sounds like under water - long wait time and would not provide access to records even though power of attorney was on record. Demanded verbal auth from 96yr old mother with dementia.

    Thanks for your vote!
    Coverage

    Reviewed July 13, 2016

    I asked my doctor for a prescription for ** as I have gone back to school. I tried stimulants years ago and didn't like the way they made me feel in addition to the high risk side effects. Humana would not authorize coverage even after an appeal because I must have tried not one, but two stimulants within the past 12 months. I don't understand why I would have to try something that made me feel bad again. Also, it does not make sense that a non-addictive alternative would not be covered when our society is laden with drug addiction problems. Humana is encouraging patients to become addicted to stimulants.

    Thanks for your vote!
    Customer ServiceStaff

    Reviewed July 12, 2016

    They should be taken over by the state and then prosecute every executive and employee who propagates their fraud! I am a day away from a stroke dealing with them. In the middle of cancer treatment and a sick child these ** cancel our insurance with no notice. We had bank fraud and notified them. "Don't worry" they said "You have 90 days before we will cancel your policy. Just get it resolved." I called three times trying to make payment and it was refused. Then they cancel for non-payment. They don't even deserve one star! Hate these **! When I die from lack of care my family will put you out of business so no one else dies on your watch! Piece of crap company!

    Thanks for your vote!
    Customer ServiceCoverage

    Reviewed July 5, 2016

    First I was told I was never cover by them. Was put on hold for 20 minutes and they came by on "Oh yeah, we see you were covered by us." So ask why all my bills are being denied. "We will look into this" and then told, "We don't understand why the bills are being denied" - so on this call 2 hours and got no answer. This is third time I called and still don't understand. Humana is the worst insurance I have ever had... DO NOT PURCHASE HUMANA HEALTH INSURANCE.

    Thanks for your vote!
    Customer ServiceCoveragePriceStaff

    Reviewed July 2, 2016

    Humana canceled my policy without even giving me a chance to pay for it. I am 5 months pregnant and I have a 4 years old child that was on the plan with me. I had automatic payments set up for Humana for last few years so I never been late on my payment. On June 1st Humana try to charge my acct but it got payment denied. My account changed doe to fraud and I had no idea I haven't received new card from the bank yet. So instead of contacting me and letting me know that payment did not go through Humana canceled my policy and do not want to reinstate me back. I had my bank sending them fax stating that my acct was changed and offered to explain them over the phone the situation that happen.

    Humana do not want to accept anything from me personally (I do have all the evidence that I was not aware of changes and all the bank prints from my bank). Manager is very rude. I am 5 months pregnant and uninsured, hospital want me to pay for delivery at 32 weeks in (9 weeks). I do not have that kind of money, that's why I had insurance all my life. I do not know what to do at this point. Market Place not helping me at all. Humana doing the same. It is a nightmare that affect my health. I haven't slept through the night since June 13. It is my part time job to call Humana, Bank and Market place and it is never ending circle. I am and my 4 years old baby uninsured and no one want to take me because I am pregnant so it is preexisting condition. Even Humana do not want to take me as private insurance.

    Thanks for your vote!
    Customer ServiceCoverageStaff

    Reviewed July 1, 2016

    Terrible company with the worst customer service. Coverage is awful. Customer service is horrendous. Phone connections are very bad. Cannot understand them. Sound like they're underwater. Can't ever get the same customer service person and every time you call, you end up in a different state. Your records are not complete, so the next customer service person has no records of your previous calls. If you need to make a call, plan on 6-8 hours. If you have a question, then you get transferred to another person who doesn't know, so then you get transferred to another person who doesn't know. Can't wait to drop this company during open enrollment in October!!!

    Thanks for your vote!
    Customer ServiceCoverageStaff

    Reviewed June 29, 2016

    This is the worst insurance co I deal with - I'm a medical biller and their address is in Kentucky but the call centers in the Philippines cannot resolve any issues and pass you like a hot potato from one rep to another hoping that you'll give up in exhaustion. They deny everything medically necessary and force doctors to run the gauntlet for doing surgery! We are going to drop this because we can't do business with their non service, non communication and flat out incompetent handling of medical claims. One Humana agent even called our office asking for a patients' home phone number - hello, who are you? Ever heard of HIPAA? Lazy, bumbling, murderous - stay away from Humana!!!

    Thanks for your vote!
    Customer ServiceCoveragePriceStaff

    Reviewed June 29, 2016

    Got a letter in April stating I did not pay my May premium of $18.40. Checked with my bank, and a check for this amount was sent, and cashed. Called a clueless customer service rep who was unsure of what I should do, and informed me that the billing office in Pittsburgh had no direct line, so that I might contact them. She thought it a good idea when I suggested that I mail a copy of the check which I downloaded as well as a letter of explanation. I did this and, eventually, got a call saying that everything was fine. Then I got a letter saying, I owed for the May premium and, if I did not pay by August 31, the company would contact Medicare, saying they were dropping me. This began a cycle of calls, and a variety of unsatisfactory explanations of what was wrong.

    Please note, you can never contact the some customer service rep a second time as they have no extension. Despite everything being recorded, the information is subject to myriad interpretations, depending on the acumen and energy of the person you get on the phone. Eventually, I requested on speaking with supervisors. One who was barely articulate said she was a supervisor, and had been with the company a total of one year.

    So, round and round we go, all for $18.40. Someone eventually got back to me, saying it was not good enough for me sending documentation. The check must come directly from the bank. My last contact was with a nice woman who said my account was, in fact, up to date, and I only owed the July payment. I told her I mailed that on June 17 which they have a record of. She said that payment covered June, because June covered May which meant they still insist I owe for May. I can handle a little chaos, and appreciate drifting into the land of the absurd, but lord, after a while, it gets old. I finally called Medicare, gave them the story, and they are issuing a complaint on my behalf, and will investigate.

    Advice: do not go near this company. I am 67 years old, hold two degrees, and done business with the good, bad as well as the ugly. This company is the single worse I have engaged not only with billing, but also produce distribution. Two examples: my doctor said I needed two types of medication for acid reflux. One of Humana's pharm techs said I didn't, and won't fill the order until my doctor insisted. Let's see, pharm tech vs doctor's opinion?

    Another, I request capsules of a product because at the given tier level it will cost me zero out of pocket. The company sends me a letter saying the cost will be $300. I ask why, they say that's what the pills cost. I say "so what, I ordered the capsules." A misunderstanding, a lie, trying to get over, who knows? I got the capsules, and it cost me zero. October 15 will be a big day for me. That's when I dump Humana. Advice, in case you read this and for some out of left field reason still go with them, do not let them talk you into automatic payment. Now I'll do the stars. Regret, there's no place for, none.

    Thanks for your vote!
    CoveragePriceStaff

    Reviewed June 28, 2016

    The worst people ever. Can't get anything done. This a...fax this, fax that and then to say they didn't get it or you got the wrong fax number. It's like I don't want to help you at all and they don't have had the same problem for 4 months now. I do not receive Medicare part A or part B but they say I do and they say they need this than you, that I give him all the information and they won't fix it. They refused so I'm paying for health insurance and cannot use it and nobody seems to care to give me help. I've tried everything. I've called Humana, I've called the health market and nobody. It's just all I get is the runaround.

    So they can just find me because I can guarantee you I am not going to make the next payment on the insurance. Why should I pay a high price for insurance if I can't get coverage when I needed one to what I'm going to do it if they decide to find me at the end of the year. They're going to have a lawsuit on their hands because they failed to do their part. I've already talked to attorney and I suggested to be out soon as a problems with these people need to do the same thing.

    Thanks for your vote!
    CoverageStaff

    Reviewed June 27, 2016

    Humana illegally drafted my account and did not provide me with insurance!!! And they have the nerve to deny this!!! I have had to do all the leg work to prove this multiple times. I've spent days on the phone. Sent multiple faxes. Several three-ways with bank managers and my local insurance agent. Humana has been given permission to speak with my bank manager, insurance rep., etc. They have no excuse to not return my money... But they have came up with every excuse possible. I've even contacted the insurance commissioner. This company is very crooked. I have been jerked around every which way. Do not trust this company. They do not care about their customers at all. Yes, they illegally took money from me and did not provide me insurance. I couldn't believe it either. I will be lucky to get it back... Hopefully the insurance commissioner will!!!

    Thanks for your vote!
    Customer ServiceCoverage

    Reviewed June 23, 2016

    I have four emails asking to cancel an automated payment on the 1st of January, since I had already paid my coverage premium on December 28th. They never replied to my emails. Instead they tried to collect the same amount twice for the month of January. I emptied my account so that they could not collect but I paid $34 as a returned check penalty because they still tried to collect and did not reply to my emails or to cancel the payment. They have denied returning the $34.

    Thanks for your vote!
    Customer ServiceCoverageStaff

    Reviewed June 22, 2016

    My boyfriend has submitted payments to Humana since January 2016. The checks in the amount of $423.31 have been cashed by Humana every month however they informed him he does not have coverage due to non premium payment. He received 2 different ID cards and every time he calls, he is not in their system using the ID Numbers printed on the card. We tried to get a refund but they did not have record of the payments made even though they cleared the bank.

    They told us to fax copies of the cleared checks and bank statements and they still do not have record of the fax. We were forced to go to another Health Care Provider since they dropped him from Humana. Every time we call we are on hold for one to two hours and nothing is resolved. We keep getting told they have no record of payments made yet they were cashed each month. Humana is stealing money from clients. Humana lies to all their clients who ask for refunds by saying you are not in the system. The Better Business Bureau should look into Humana's fraudulent practices. Humana to me is like Bernie Madoff! They are thieves without remorse.

    Thanks for your vote!
    Verified purchase
    Customer ServiceCoverageStaff

    Reviewed June 16, 2016

    I have had excruciating knee pain, swelling for over a year. I have been to 4 orthopedic doctors and none can figure out the problem --- there seems to be 3 issues and the solution is either a full replacement, a partial replacement or a repair of a botched meniscus surgery by a doctor in another state. Two recommended approaches have been declined. The first one for injections was sent to the wrong department by Humana staff and declined. Turned out it was a covered treatment but not in the department they sent it to for approval.

    I spent 8 hours and my doctor spent 12 hours trying to get their mistake fixed. Finally, I wrote the office of the CEO and after several days, they said they would cover it. The next was a knee scope to determine which of the 3 surgeries would fix the problem. They had the information for 3.5 weeks and the night before 7AM scope surgery, they declined it with no information as to why. My doctor spent all day trying to get someone on the phone who could explain why it was declined because I do need one of these 3 surgeries desperately due to the pain and limited mobility.

    I am self-employed and had to clear two days worth of work to accommodate the surgery and have my husband, also self-employed, schedule 4 hours to drive me there and back. I pay a lot of money for healthcare and expect better. I am contacting the office of the CEO. You can do this on their website under the investors relations tab.

    Thanks for your vote!
    Coverage

    Reviewed June 16, 2016

    Humana has been purchased by Aetna. Since that time, the services have steadily declined. Delayed payments to physicians, increased confusion regarding doctor participation in the plan and other problems have occurred. My sister visited a doctor today who had a contract with Humana. She no longer takes this insurance because she has received no payment since Jan., 2016. I have been insured by Aetna in the past. Now, since they own Humana the same problems are rearing their nasty heads. I live in a rural county. There are only 3 options for health insurance. One is for low incomes. My income does not allow me to choose this one. Another limits me to physicians in this state. I travel to another state for services due to poor choices in my community. The other is Humana. If things don't change, I will be stuck. Maybe I'll have to return to Medicare and try to find a supplement. (In the past no supplements were available in my county.)

    Thanks for your vote!
    Verified purchase
    Customer ServiceCoverageStaff

    Reviewed June 15, 2016

    I called a Humana agent, who transferred me to Medicare's Limited Income NET Program. One hour talking to both agents and hold period. LI NET told me I should be speaking to Humana's Pharmacy Dept.; transferred me to an agent who told me he was having technical difficulties and the line went dead after 90 minutes total time including hold, transfer and misleading information. Called again, this Humana agent was rude and again transferred me to LI NET. The whole process repeated itself. I was told my coverage was ending in 15 days and being assumed by Wellcare. I called Medicare, who explained the confusion to me, but refused to give me my Medicare Number. I called Wellcare and in minutes the agent walked me through all the steps to apply for prior approval for certain medications plus gave me my Medicare number.

    The four hours wasted on the phone was enough to make me puke. That was four hours for only fifteen days of coverage. I wouldn't go near Humana. Each agent refused to accept responsibility and passed the buck to the next agent. Wellcare picked up on the first ring without torturing me by subjecting me to an obnoxious automated system with one option leading to another. "Sorry, I can't give you a live person till you answer this question." You answer it and get hit over the head with another one. The Wellcare agent was courteous, patient and assisted me thoroughly. My first experience with Medicare and Humana was like winning the booby prize for turning 62 years old.

    Thanks for your vote!
    Customer ServiceCoverageStaff

    Reviewed June 14, 2016

    I am not Medicare eligible so I am buying Humana HMOx from the Michigan Marketplace under The Affordable Care Act. Humana HMOx will deny claims and decide a doctor is suddenly out-of-network without warning or reason. They also seem to play games with your payments to avoid paying claims. I began seeing Dr. ** in July 2015. Prior to making an appointment with Dr. ** I was informed by Humana that Dr. ** was in-network with Humana HMOx/Select RX Network. Dr. ** also stated that he was in-network with Humana HMOx. I continued to see Dr. ** on a regular basis for the remainder of 2015 and his services were covered by Humana without incident.

    In January 2016 Humana paid all claims submitted by Dr. ** until January 27, 2016. According to conversations I had with Humana beginning in May, I found out that it had been decided by Humana that Dr. ** was suddenly out-of-network in January 2016. Dr. ** informed me that he’d been informed that Humana determined that he was out-of-network in May 2016.

    In early May 2016 I contacted Humana, and after several calls by myself and Dr. ** to Humana, the issue was “escalated to a supervisor” on or about May 6, 2016. I was also informed on or about May 9, 2016 in a conversation with a customer representative, that I would have to get a “retro referral” from my primary physician as there was no referral on file. I obtained and forwarded the “retro referral” from my primary physician as instructed. On or about May 26, 2016, I received a voicemail message from “Linda”, stating that the claims had processed correctly and no further action was possible at this time. I was also advised to have Dr. ** apply to be included in Humana HMOx, which he did, and was denied. What was the purpose?

    I strongly object to the way Humana has decided on this issue. To have been told that this doctor was in-network and to have Humana suddenly decide otherwise is obviously unfair and suspicious. And this is not the first time I’ve had this problem with Humana. In May 2015 I had knee replacement surgery. I noticed that the automatic withdrawal had not been deducted from my checking account that month.

    As I had many issues related to my upcoming surgery to handle, I simply kept an eye on my account for the withdrawal expecting the withdrawal would show up any day. Days after my surgery I realized that I had better send Humana a manual payment for the month of May and June, which I did. It took me a couple of weeks of recovery before I could contact Humana, at which time I was informed that my automatic withdrawals had been discontinued for some unknown reason.

    The Humana representative I talked with admitted that a mistake had been made by Humana and as I had shown good faith and due diligence by making the payments manually, I was reinstated and my medical claims were then paid by Humana. Imagine having to worry about your medical insurance at a time like that! I get the feeling that Humana likes to change their mind when faced with certain types of claims. I know that Humana does not care about me as an individual but I’d think that Humana would care about their reputation among customers as well as providers.

    Thanks for your vote!
    Customer ServiceCoveragePunctuality & Speed

    Reviewed June 14, 2016

    I have been with Humana for 2 yrs now under the affordable care act, yes ObamaCare. Yesterday I got a letter saying I had been terminated since March 2016 due to payments being late. My due date is the first but I can't pay till the 14th or 15th. It's been that way for about 18 months. I'm a caregiver and my payments are always late, for one reason or another. They never sent me a letter telling me that I was at risk of losing my insurance. Till yesterday, after it was terminated.

    I was terminated in March but they have accepted 3 months payments after termination, and to top that off my Dr's office sent me a handful of bills today worth over 500.00 that Humana didn't pay, even though they took my premiums till this month. I called Humana and was told that nothing but an appeal could be done. I can't even get my premiums refunded, even though I was not covered. Last year I was treated fairly. I got a book, explaining rights and my obligations, and a card showing benefits. This year I got nothing but robbed.

    Thanks for your vote!
    Customer Service

    Reviewed June 13, 2016

    I called Humana Health Insurance today and it was definitely Humana. And right before I choose benefits, a spastic creep broke into the line and demanded my bank card number. I told him I didn't want to give it to him but he insisted I must give him my bank card number. I gave it to him despite a bad feeling. After that I spoke to Humana who knew nothing about this man asking for a bank card number. I called Wells Fargo and had to cancel the bank card despite having auto pay on it and tomorrow despite being ILL, I have to go to Wells Fargo and figure out what to do and get a new bank card. The morons who can't even speak English at Humana never discussed this with me and kept hanging up on me. As soon as I can switch to another company, I will.

    Thanks for your vote!
    Customer ServiceCoverageStaff

    Reviewed June 3, 2016

    I needed a prescription override because I will be out of the USA for a month. I cannot refill my prescription because the next refill isn't until June 11. The pharmacy attempted to get the prescription override but Humana would not do it. Humana said that I had to call. I have made four telephone calls to Humana. The first call to 800-865-8715, I sat on hold for 6 minutes to get to a so-called customer service specialist. When she came on, I explained that I needed a prescription override, the reason why including my dates of travel, and the drug. She put me on hold for "a moment." After six minutes on hold, I was disconnected.

    The second call to 800-865-8715, I again had to sit on hold for about six minutes. When the male took the call, I again explained that I needed a prescription override. He told me that he could not do that; he said I needed to call 800-281-6918. I called 800-281-6918 for the third attempt. The voice prompts at the beginning were the same as those for the first phone number. I was again put on hold. After about 6 minutes, my call was disconnected. For the fourth call, I again dialed 800-281-6918. After another wait, a male answered the call. I explained to him that this was the fourth time I had attempted to get a prescription override and I requested to speak to a supervisor. He refused to give me to a supervisor and hung up on me.

    I then went on to the Humana website which states: "File a formal complaint, as outlined in the plan's grievance procedure, and expect a response to that complaint within a reasonable period of time." However, there is no link to a formal complaint form, and the contact information only repeats the same circular loop to the so-called customer service center. In short, Humana's practices are to ensure that no insured has the ability to contact a person with the knowledge, ability, or interest in solving something as simple as a obtaining a prescription override. When the time comes in December 2016 to select a new drug plan, I will reject Humana as my carrier.

    Thanks for your vote!
    Verified purchase
    Customer ServiceStaff

    Reviewed June 1, 2016

    I went to the same radiologist for my yearly mammogram for 10 years. I went this year and the billing person told me to check with Humana because they have been having problems. I called from the office and verified my coverage. A week later an invoice came and it showed they paid the bill. Six weeks later I got a reversal letter and a bill for 1,500 dollars. They said they no longer had my doctor in their Network. I was told to file appeal. I did and a month later they said denied because I didn't file in a timely manner.

    Next month booked with my regular doctor. Later got a bill that he was out of network. I had checked because of my earlier experience. They said he was in network and sent a corrected bill. Then they send another bill saying out of network. I called again and they said they used his billing company address. They are out of network and they can use that address. I'm just done. I've had them 13 years and 2015 and 2016 changed everything. I'll make a complaint with the Medicare hotline tomorrow. This is robbery.

    Thanks for your vote!
    Punctuality & Speed

    Reviewed May 24, 2016

    Horrible! I received a bill from Humana confirming they would cover $50 of $200 bill for an urgent care visit. I confirmed with both the hospital and Humana that my insurance would cover a portion of this visit before going. After paying the portion my Humana bill confirmed was my responsibility the hospital continued to send me bills for the $50 Humana guaranteed they would cover. When I contacted Humana to confirm why they had not paid their part they could not give me any reason for their failure and only told me I could send a written letter in to request confirmation. I chose to file a complaint with their representative who told me I would receive a response within 30 days. Over 3 months later and I have yet to hear a peep from them.

    Thanks for your vote!
    Customer ServiceCoverageStaff

    Reviewed May 18, 2016

    Over a year ago, I opted to open a dental policy with Humana. After realizing that it only covered general cleaning, I chose to cancel when my husband needed extensive work. On April 13, 2016, I called their customer service dept and cancelled the policy. They informed me that I would receive my refund (for May's payment that had already been processed for the 15th) on May 1st. After fighting with them to close my policy, I was placed on hold and then hung up on.

    After the May 1st, I checked my acct daily to see if the refund had hit my account. Well, on May 16th, I opened my bank app to see that not only had I NOT received my refund, but they had processed ANOTHER payment. Being on disability and only getting paid a limited income monthly, the transaction caused an insufficient fee. I called THAT DAY, only to get hung up on AGAIN.

    When I called back, they were conveniently closed for the day. So again, I called back. On Tuesday, I spoke with a young lady who specifically told me that BOTH payments would be refunded, as well as the NSF fee (with proof). I was told that there were notes on the policy for cancellation, but the policy still showed active. Well, today, I checked my account and ONE SINGLE refund had hit my account. There should have been two. So again, very angrily, I called back this morning. (Wednesday) - I expressed to them that if it only takes 24 hrs to get my refund, why did I only get one. The customer service rep informed me it was because that payment had come out of my acct first.

    The second reimbursement would take 10 days. THIS IS ABSOLUTELY NOT ACCEPTABLE! When I was finally able to get a manager on the phone, I was told I had to show proof that the second payment had come out, along with the NSF charge and THEN I would get the second reimbursement after 10 days. WHAT?! You people can't see that a payment has been made? You took it out of my account in 2 days, yet it's going to take you two week (work days) to replace it?!

    I AM OVER THIS COMPANY! Their policy, their procedure and their customer service could use a makeover. There is no excuse for how my situation has been handled. Their customer service reps need additional training. The first two reps that I spoke with were so unprofessional. They spoke 'down' to me, as well as the first reps supervisor took over the conversation. Zero respect. The third and fourth reps were much kinder, yet had no control over the situation. When asked to speak to a manager, I got a supervisor (NOT the same) and still was told I had to PROVE to them that they took money out of my account. ARE YOU KIDDING ME? THIS IS INSANE! NEVER AGAIN WILL I DO ANY BUSINESS WITH HUMANA!

    Thanks for your vote!
    Loading more reviews...

    Humana Health Insurance Company Information

    Company Name:
    Humana
    Website:
    www.humana.com