Humana Health Insurance Reviews

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About Humana Health Insurance

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

Humana Health Insurance Reviews

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    Page 7 Reviews 840 - 1040
    Customer ServiceCoverage

    Reviewed May 14, 2016

    Do NOT purchase short term or any disability insurance with this company. When you need it and are off work for legitimate reason, they put you through horrible delays with decisions and fail to utilize e-mails or contact you by phone for any questions regarding your claim. All their correspondence is done through regular mail which takes five to seven days to receive and more delays to respond in return. They utilize a "control point" - third party insurance when requesting records. They refuse to provide the claimant with their fax number or phone number to help expedite the process for them (all very secretive).

    They refuse to allow you to speak to a claims rep managing your claim but can only speak with PEOPLE who answer the phone for the company. Do yourself a favor. Do not purchase any insurance from this company. I am dropping them, canceling my disability insurance, and purchasing AFLAC - I should have gone with AFLAC from the beginning, everyone who deals with them has great things to say. Goodbye and good riddance HUMAN DISABILITY INSURANCE COMPANY - you will not get another dime of my money.

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    Coverage

    Reviewed May 11, 2016

    Contacted Humana claims/disputes and told to write a letter to appeals because they have refused to cancel account and reimbursement!! Unbelievable! Humana has been automatically withdrawing money out of our bank account for FOUR YEARS!!! Signed up for 1 yr of dental insurance. Fraudulent practices and will never use this insurance again.

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    Staff

    Reviewed May 9, 2016

    My father has had a series of mini-strokes and was in the hospital. After a week in the neuro unit the doctors sent him to a nursing home, initially on a temporary basis. Now, after 4 weeks with little improvement (the family thinks he has actually regressed) Humana is refusing to pay for further treatment and sending him home. The man can do little for himself. He can't walk, clean himself, bathe, etc. My father is 6' 2", 220Lbs. His wife is 5. 2" and a 120Lbs soaking wet. There is no way she can give him the 24Hr care that his doctors and the staff at the nursing home have documented. My dad's wife has applied for Medicare, but it is going to take a bit longer for it to take effect. Meanwhile, Humana is just figuratively saying "Too bad, so sad" and booting my father to the curb.

    I have 8 months to go before I have to start the process of getting on Medicare. I am retired and thankfully I am getting my insurance (Anthem BCBS) through my employer. They will continue my coverage--them same as usual, making up the difference between Medicare and my current plan. Which is a good thing since my doctor, and many others in this area, will not accept Humana. I will conclude with my folks have complained about Humana for some time. I did not understand the ineptness and uselessness of Humana until I got involved with my father's healthcare. Having Humana health insurance is like owning junk bonds. They're both useless.

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    Customer ServiceStaff

    Reviewed May 1, 2016

    My Humana premium is automatically deducted from my account monthly. In January I noticed Humana had deducted the premium twice. I called their customer service department and was instructed to send them a copy of my bank statement. I did. Two weeks went by and I finally got a phone call from Humana telling me they gave me the wrong instructions. Instead of a bank statement they needed a printed copy of the two transactions as proof they'd collected premium twice. I did so immediately by fax and kept my transmission receipt. Three weeks went by and I didn't hear from them so I called them again at which time I was told they couldn't locate my fax. This time they said I needed to scan and email it to them.

    As I don't have a scanner and considering the premium is small, I asked that they take care of this and refund my premium or offset the following month. I also asked that the customer service representative escalate the issue to her manager. Having worked for 40 years in the insurance business myself, I am fully aware that Humana's has exhibited unfair practices and that it is illegal to double bill clients. Guess what. Two weeks have gone by and I still haven't heard from them. My next step is to notify the insurance commissioner which seems to be the only thing left to do. I will cancel this policy at the end of the year and find a company who doesn't screw their clients and double bill them. DO NOT DO BUSINESS WITH THIS COMPANY.

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    Customer ServiceCoverageStaff

    Reviewed April 28, 2016

    I've never used my Humana coverage, so I can't speak to that aspect of service. But I can say buyer beware - don't take anything on trust with this company! Humana premiums increased regularly since I initiated my policy in 2014, no surprise there. But, between 2015 & Jan. 2016, there was a sudden jump of more than $100. Upon investigation, I found that contrary to my explicitly stated request for medical coverage ONLY when I first contracted with them, they bundled dental coverage into my policy!

    The very courteous customer service agent claimed this had always been the case - if true, the agent I dealt with in 2014 misled me at best, or outright lied at worst. When the agent tried to transfer me to a policy expert, they refused to take the call. Rotten experience all around. I'll have to wait until January 2017 to be free of them! We needed national health insurance and I'm glad we've got it, but now it's time for clean up work - let's take action to get the insurance industry's greedy little digits out of our pockets!

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    Customer ServicePunctuality & SpeedStaff

    Reviewed April 28, 2016

    Humana needs to do a better job when contracting their local transportation companies. My experience with the local company has been horrible. LogistiCare is contracted by Humana for the transportation needs in West Palm Beach and surrounding areas, however, the job is then subcontracted to other companies like S.E. Florida Transportation, 777 Taxi Company and others. They give you a pickup time and confirmation number, then you're supposed to be all set. Problem. These drivers will do things like: show up two to three hours early and expect you to be ready to go to your doctor's appointment, or many times not show up at all. No rhyme or reason, just no show.

    This latest mishap included a driver who shows up at the very moment of my doctor's appointment and says "Are you Haitian, do you speak creole because it's better for me"! No mister, I do NOT speak creole, I speak English and you are extremely late picking me up to take me to my doctor so that he can help me resolve this tumor issue that I'm dealing with. Needless to say I had to cancel my appointment just prior to him showing up. Then to add insult to injury, both Humana's and LogistiCare's customer service don't want to address the issue so they put you in a voice response loop (I really don't like those and I'm sure many of you feel the same way). Humana needs to do a better job screening companies that will take their patients to doctors and hospital appointments, if they value those patients... I mean "customers". Very, very disappointing.

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    Customer ServiceCoveragePunctuality & SpeedStaffProcess

    Reviewed April 26, 2016

    Humana is the worst health insurance provider I have ever encountered, and their HMO "network providers" are sometimes a network of only 1 doctor seeing patients once a week, on Friday morning. Consequently, the wait for that one doctor is quite long, say 2 months... They keep calling you saying they want to "manage your health" by sending a nurse to your home to take your blood pressure and make sure you are taking your medicines and you are seeking the help you need, but that is all BS, because when you really need health care, they can't even get you an appointment within a reasonable timeframe (less than 6-7 weeks). This is my story. I am never sick or ill and just go for my routine exams, don't take ANY medicine, but when I have a treatable condition, I expect to get to see a doctor within a reasonable amount of time to make sure the condition is treated and does not get worse.

    I had an inflammation of the eyelid and part of the eye, which I thought was a stye. Went to my PCP who gave me some cream to apply, but that didn't work and the inflammation returned worse than ever. So I called an ophthalmologist group in the plan who told me I had to be referred to them by an optometrist. So I went to get an optometry exam, which was covered by Humana and they referred me to an ophthalmology group. They in turn set up an appointment for me 7 weeks off. I called them and they said that it was the soonest they could do it because only one of their doctors saw patients and only on Friday morning, once a week. I then proceeded to call Humana who said that I needed to be referred to an ophthalmologist by my participating doctor, not the optometrist, so I went to see a new PCP since mine had just left the clinic. But they only referred me to the same clinic whose appointments were 7 weeks off.

    I called around to other eye clinics, and they all said that I had to first see their optometrist before making an appointment with their ophthalmologist, even though I had just had an optometrist's visit. 5 weeks later, I am still waiting to see a medical eye doctor. I decided to file a grievance, with the clinical access team who might as well not be there as they were totally useless and resulted in setting up an appointment with another optometrist, which of course could not be covered since they had already paid for one optometrist's appointment two months ago. They are totally messed up and cannot even follow their own process. The problem is that they just don't have enough providers for the number of subscribers they sign up... that is obvious.

    I am not waiting and going to get an appointment with another ophthalmologist who can see me... guess when... in two days! I will pay full fare and send them the bill and will see what happens... Oh yes, and they told me that I didn't pay any insurance premiums for the HMO... I guess they don't consider what SS deducts from my check each month for healthcare plus what Medicare pays... real premiums. They must think they're doing us a favor! Unbelievable!!! Don't sign up for their HMO or anything else they offer they are the worst!

    They just pass you on to the next department and most of the representatives don't even understand their own process and certainly don't understand the difference between an optometrist and a medical eye doctor... so, I will have to go and pay for my own ophthalmology appointment but my eye sight is more important and is worth the money. Don't buy their HMO plan. It is basically crap and their network is non-existent with many substandard doctors and a process so convoluted it is designed to delay health care for all patients and save them money.

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    Coverage

    Reviewed April 26, 2016

    Do not EVER get a policy with them! Worst company ever. They even have been withdrawing funds from my checking account and I do not have a policy with them. I have contacted legal help to retrieve money owed me and the BBB.

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    Customer Service

    Reviewed April 26, 2016

    My doctor prescribed a medicine for Crohn's disease. Was told by Humana it would cost me $1000.00 a month. I couldn't afford that. My Doctor sent a letter explaining why I need it, but I was denied twice. Now I have to get surgery to remove my intestines. Oh they did have a nurse call everyday to see how I was doing. I stop taking the calls.

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    Customer ServiceStaff

    Reviewed April 21, 2016

    This company lies about their procedure and policies of people receiving insurance and they claim that they send out info when they do not and you stay on the phone the whole hour explain it and they all come up with the same excuse as to why. Very very poor with people and people understanding.

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    Reviewed April 20, 2016

    I signed up with Humana at the first of the year and they immediately began refusing to pay my claims. One instance was because I saw my psychiatrist twice in a month, apparently that's too often. I am particularly annoyed with their refusal to pay any part of one of my prescriptions. It took me 4 months to get the prior authorization approval even though my doctor sent it in January. I just tried to claim it and they said that the prescription was being filled too soon. First of all it wasn't too soon and secondly if they have never paid for it how can it be too soon??! So there is another $250 out of my pocket. I am anxiously awaiting the enrollment period so that I can go back to my previous Medicare Advantage Plan. Humana is the worst medical insurer that I have ever dealt with.

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    Customer ServiceStaff

    Reviewed April 18, 2016

    I have been a Humana member for three years and over the course of that time I have tried to contact them via the phone number on my ins. card (1-800-457-4708), and each time I get a message that my call cannot be connected and I should try back later. It doesn't matter whether it is day, night or weekends! I suspect they know this but simply do not care. This is an ethical issue that their CEO Board of Directors should deal with--or perhaps CMMS or congressional members if they don't.

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    Coverage

    Reviewed April 15, 2016

    They kept turning down claims. I paid one that was 58 that was ordered by their doctors. I say their doctors because you have to go to the ones on their list. Therefore their doctors are responsible for ordering covered expenses. How would anyone else know what is covered or not??? They turned down a 750.00 dollar claim and that was it for me. I wrote an appeal and informed them I was going to file a grievance with Medicare. Google it, you can do this when Advantage plans are arbitrarily denying claims. I WON, they said they agreed with me and also paid the 58 dollar claim without me even filing an appeal. They do this because they know most people will not go to the trouble of filing an appeal or filing a grievance with Medicare. I also had issues with prescriptions. One was a 3-month co-pay of 399, I now have BCBS of NM and my co-pay for the same generic drug is 18 for 3 months. Just fight them.

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    Coverage

    Reviewed April 13, 2016

    This has to be the worst insurance out on the market from what I can tell. I feel like I have been bamboozled. When I signed up the so conveniently had all of my Drs as network providers until I was reeled in. That's when the nightmare began. They started dropping my longtime providers, denying my prescriptions the whole 9 yards. It was like a Murphy's law type thing, if anything can go wrong it will.

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    Verified purchase
    Customer ServiceStaff

    Reviewed April 13, 2016

    Humana is good with sending useless mailings and impressing commercials and that is about it. They have a limited number of doctors available for personalized attention. Their telephone employees are from terrible to average with their knowledge of their plans. The last one I spoke with was so bad, with slow broken words, that I had to tell her she was not speaking clearly enough to understand. I had to hang up and call another then was transferred twice to get someone who even pretended to know what he was talking about. This company is great unless you need them.

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    Coverage

    Reviewed April 12, 2016

    Awful they dropped coverage for me at 6 months pregnant with the claim of non-payment. Even though they received the premium payment and had to give me a refund. My insurance couldn't be reinstated at 6 months pregnant.

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    Customer ServicePriceStaff

    Reviewed April 11, 2016

    Humana is the worst insurance company I have ever encountered. Reps are rude and those of us on disability are treated lie cookie cutters. I have never cried with any insurance company save this one. Reps just pass you from one person to another and then they generate all this appeals paper that doesn't amount to a hill of beans. They want to break sealed boxes of meds and charge exorbitant prices for a few patches. They do not consider your individual case. It's all about the bottom line. I'm so sick of them. It's hard for me to say everything. They do not answer, the Lexington, KY headquarter phone number.

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    PriceStaff

    Reviewed April 7, 2016

    Thank you for confirming that you officially dropped my entire family's medical care because of my VA disability. Thank you, because I make medical device applications. I own a company, and now my employees will never have to worry about doing business with you. Thank you for the hundreds of doctors that I work with that would have to worry about doing business with you. Thank you for their hundreds of thousands of patients who are about to be involved in the NPS nightmare you about to take part in. You just dropped the insurance of a medical device manufacturer, because I am a disabled veteran. By the time I'm done with you, I will cost your company millions of dollars. If you have any hope, at all, I expect some PR representative to reach out to me on LinkedIn with a big apology, and some quantifiable restitution, before I go full PR nuclear on your company.

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    Sales & Marketing

    Reviewed April 3, 2016

    I signed with me and family for dental insurance through Affordable Care. I went to the dentist me and family first accept me for over a $100 Dollars which I paid over 3000 and later on they come up with all the excuses and start to pull what they paid for so I end up have to pay the full amount to the dentist. Look this is a trap to get people money so be aware of this scam company. Do not recommend to anybody.

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    CoveragePunctuality & Speed

    Reviewed April 2, 2016

    I have been with Humana since 2009. At first everything was fine. I found a primary physician was getting my high blood pressure, Cholesterol levels down and dealing with chronic back pain. After 2014 I get a notice that Humana's policy no longer meets the ACA requirements. Two weeks later my doctor's office no longer accepts Humana Insurance. Now I am stuck trying to find a new doctor. Their lists are outdated and their network is full of doctors that are not seeing new patients. In a nutshell Humana has sold more insurance policies than they have available physicians where I live. To me if a company sells a product or service that they are able to provide, that is fraud and Humana needs to stop committing fraud on their customers by selling insurance policies that cannot be used.

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    Customer ServiceCoverageOnline & AppStaff

    Reviewed March 27, 2016

    They are the worst company, I have ever dealt with. They have one "Customer Service" telephone, which is terrible. The staff or phone help is incompetent. If you are lucky, will be transferred at least 3 to 4 times, and still not get an answer to your question. Their website is VERY unfriendly. I am a senior, and things are getting somewhat difficult for me. The part D coverage is terrible, and on top of it all, truly you will get close to 75 pounds of mail from them. Pages, and pages, of un-understandable stuff, and no help. STAY AWAY from Humana, especially if you are a senior, with no one to help you. VERY BAD COMPANY. The only thing the customer service staff can say is, "I'm sorry".

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    Customer ServiceSales & MarketingStaff

    Reviewed March 21, 2016

    For starters, don't be fooled by the phony commercials that Humana puts on TV. REMEMBER, these people are paid to act like they are all happy and cozy with Humana. The bottom line is Humana is a BUSINESS and should instead be named INHUMANa. Their list of doctors reads like the credits to a Frankenstein movie. The list mostly consists of doctors that do not qualify to accept other insurance plans, doctors who are not US citizens, and doctors who have NO HOSPITAL PRIVILEGES.

    Their prescription management personnel encourage you to join their mail in pharmacy, but DON'T DO IT, if you made the MISTAKE OF JOINING HUMANA in the first place. They messed up my prescriptions SO BAD, I will now be forced to go without my heart medicine until I either switch to another carrier or I die... I know it's hard, resisting all of INHUMANa's CRAP advertising. But PLEASE, PLEASE, PLEASE, believe me. If you join Humana, you WILL live to call it the biggest mistake of your entire life.

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    Customer ServiceStaff

    Reviewed March 19, 2016

    Humana has put me on their case management and since then have received calls every day for a year, to the point of harassment. They interfere with doctor's treatment plans, trying to treat my condition by sending literature. They refuse to pay my doctor for therapy treatments. My doctor appealed. They give no reason, for denial of claims. I am disabled now. They are garnishing my social security payment with their premiums, with no prior notice. If you call you are put on hold to the point you hang up. So now I owe back premiums plus past doctor visit claims that they were paying, but decided to end. They have called with invasive questions, wanting to know do I drink coffee all day? How was my doctors visit? What went on in my visit? Is there no privacy in this world? I am so fed up with Humana Insurance. They don't care about patients, just their profit.

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    Coverage

    Reviewed March 18, 2016

    Purchased Humana dental insurance through healthcare.gov only to find out the majority of the insurance is for 19 yr. olds and younger. I've never heard of this type of insurance and they sprinkle some adult items they cover throughout the plan to make you think you're covered. I'm older than 19 and they barely cover anything. I called them to discuss and they said we'll transfer you to someone who can help so they transferred me to healthcare.gov. What jerks.

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    Customer ServiceCoveragePriceStaff

    Reviewed March 18, 2016

    My family had Humana Health and Dental Insurance on the Choice POS plan. I pay my premiums online every month. I paid my December premiums as normal but noticed a price difference, the policy was less than normal. I called Humana and was told that system is never accurate just pay the normal amount due. This happened again in January. In February I received a call from Humana stating my account was past due and I needed to pay immediately. I went online and saw a large credit. I called Humana and after much time on hold spoke to someone that informed me this coverage was for Dental only and that my Health plan had been changed to another type of policy. We were never notified that our plan was being changed. We now have a Bronze plan; we must meet a $12,900.00 deductible before the plan pays anything. We never would have agreed to this plan.

    They have violated our rights to choose what type of coverage we want to pay for because the Open Enrollment Deadline was before we found their change. We had used our existing insurance benefits in January not knowing the policy was changed. After discussing this with several people on the phone, including a supervisor, I was told nothing could be done until next year. I am stuck with this horrible policy. I was told on 2/15/16 my checking account would be credited for the overpayment to the original policy. This would take no more than 10 business days. Today is 3/18/16 and I still have not received the credit. I also requested information about the new policy on 2/15/16. Humana would not give me any information including the member ID until I paid the "past due" premiums on this account I did not know existed.

    I paid the premiums and was sent an email with information about the policy. I requested membership cards that day and still have not received the cards. The paper you print out online says that the policy type is "unknown". I want to know if this is legal. It seems we should have been able to accept or deny the change since we are paying for it.

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    Customer ServiceCoverage

    Reviewed March 18, 2016

    I got insurance with Humana through Connect for Health Colorado in the middle of February that was effective March 1, 2016. The Marketplace has always and still does say the effective date is March 1, 2016. On March 7th, I noticed Humana changed the effective date to February 1, 2016. I called them and said you better not try to collect for February as I did not have insurance that month with Humana. They assured me they would not as the effective date is March 1, 2016. And of course, the end of March I received a bill for February and April. When I called Humana they said I needed to contact the Marketplace since Humana gets their information from them. THAT IS A LIE and I have screenshots of the Marketplace website clearly showing my effective date is and always has been March 1, 2016.

    I had to get the Marketplace on the phone with Humana to get Humana to change their records. Their excuse is my Dental insurance shows February 1, 2016, so they think they were incorrectly told by the Marketplace my health insurance was effective at that time. They are lying because my screenshots are taken at various days in March and it has ALWAYS and still does show March 1, 2016. Humana is a bunch of crooks who have no business providing insurance.

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    Customer Service

    Reviewed March 11, 2016

    A Doctor orders scans and it's set up to happen this Friday, but because the hospital doesn't receive an approval, the tests are postponed. How is this helpful to anyone where a life hangs in the balance? I wonder how long we'll have to wait for Humana to approve the scans before tests can be done. Calls to them go unanswered; why am I not surprised by that? All I can do is vent this way and worry what will happen to a family member that needs the scans done.

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    Verified purchase
    Customer ServiceStaff

    Reviewed March 10, 2016

    Contacted the marketplace end of Dec. '15 to elect my medical/dental for 2016. Suggested I contact an agent. An agent in Owensboro called me back and we set up my plans. Same medical as 2015 and new dental effective 2016. I went on MyHumana 01/07 and paid for my plans. Went on MyHumana on 02/02 and my medical plan was not there. Spoke with Ashley at Humana. She gave me Ref. #**. She said they see my payment and will investigate. I called back 02/16 & spoke to Kayla, Ref. #**. She said since I was needing an Rx she would send it to the retention dept with a 254 hr turnaround time. Nothing.

    Called 02/24, spoke with Shamika. She said they could not reinstate without a premium payment. I gave her my debit # & paid an additional $109.77. She said it will take 2 weeks to reinstate, Ref. #**. Nothing. Called back 03/10. Spoke to Jaquawn. He stated they could not reinstate. Asked, "What about the premiums I've paid?" Could not get me in touch with a supervisor. He said, "Go back to the marketplace." Useless. At this point I have no medical insurance but Humana had no problem taking premiums. I am lucking that I am in good health.

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    Customer ServiceCoveragePunctuality & SpeedStaff

    Reviewed March 9, 2016

    I was trying to get my mom on Medicaid as her health was declining & needed to be admitted to a nursing home. After being given incorrect information from a Humana representative I cancelled my mom's supplemental insurance through Humana, Not realizing that would mean she would have no Rx coverage which this rep failed to advise. Only to find out a 3 days later talking to another Humana rep that I "should have never cancelled and that rep gave me bad information!" I tried to get her re-enrolled, but of course they unenrolled in 48 hours & did not receive my requested to "re-enroll" which I sent 3 days later as soon as the 2nd rep said I shouldn't have done that (until 10 DAYS LATER and by this time the "enrollment period" had passed!).

    I sent ALL the documents, including the EMAIL THAT STATED FOR ME TO UNENROLL HER from that rep's Humana email address!! Not only did I NOT GET HELP (after to talking to FOURTEEN people) I submitted the appeals form & never received a response from them either! I expressed my deep concern for my mom not have any Rx coverage and my budget, nor my mom's, would allow me to pay out-of-pocket.

    Humana's message to me said (my perception), "We'll take your money but now that the mistake is made, oh well too bad for you and your 75-year old wheelchair bound mother with dementia." Out of all my experiences with their CSR's and I have my notes & since Dec., 2015 there was a lot of contact... I may have spoken to three empathetic, actually concerned reps. I would never recommend Humana coverage & I think it is a Shame that an insurance company is not held accountable for their actions. I thought that is what the appeals department was for?

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    Staff

    Reviewed March 8, 2016

    I have never had a company that I have ever dealt within 74 yrs that has been this bad. They signed me up for two plans. When I tried to get it corrected they got it wrong 3 times canceling my policy... over a 9 month period. One person tells you one thing and the next person tells you something totally different. They are simply horrible.

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    Customer ServiceCoverageStaff

    Reviewed March 8, 2016

    This is the worst health care provider I have ever had since the last 6 years. I just hate them. They have the worst customer service and their service is just worst. The customer care people are just sleeping and not doing any job. These people just take people's money and do nothing. Do not, do not take this. They are just cheating people. You will repent if you take this. I have called them like 20 times in 2 days. My premium has been deducted, everything has been done, but they do not have a policy on my name. Am not sure what the hell are they even doing. Then why are they even taking people's money without having a policy for them?

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    Process

    Reviewed March 7, 2016

    I have Humana denial ins. I had a check up. Total cost was 336.00. Humana paid 37.80 for their part because of every reason under the sun. I paid 83.40 only to find I still owe 214.80 which I will pay in two days. I pay over 86.00 monthly plus I pay for a drug plan that so far does not pay for any drugs I need. Their ins program sucks.

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    Verified purchase

    Reviewed March 7, 2016

    I changed dental providers during open season and chose Humana as the list of providers was full, the deductibles were reasonable and my current dentist was on the plan. The issue is there are ZERO orthodontic surgeons in our area. I live in Maryland and cannot find even one that meets my wife's needs. I have tried to see if I can change plans, but good ol' Obamacare will not allow this to happen. Thank you America for voting for these Politicians who voted for this mess and thank you Humana for driving all your doctors away. Misrepresentation, unfaithful, libelous and inept are just some of the adjectives that come to mind when I think of Humana.

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    CoverageStaff

    Reviewed March 7, 2016

    This insurance is a joke! The company plan shows x-rays Limit 1 set per year, excludes full mouth and panoramic. Guess what people? One set according to this crappy insurer is 4 bitewings only, if your dentist takes X-rays of all your teeth with bitewings (you know bite down on the cardboard) they don't cover anything. What a bunch of crap! It's no wonder that everyone hates insurance companies. They take your premiums and don't pay squat. Cancelled their coverage and will never use Humana Insurance again for anything, also letting friends and social groups know how bad they are.

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    Customer ServiceStaff

    Reviewed March 3, 2016

    My husband passed away in November. He had always taken care of business and bill payments. I have tried to find out why a debit or credit card from my bank account is taking monthly payments out. I called customer service for Humana and they had no idea or record of either of our names. As someone else stated, they asked for a member ID number and I can not find anything. I spoke to different departments and still no one had any information. My bank doesn't recognize the card taking it out. I do not know how to stop it or get refund if it was for my husband. I wondered if they had a life insurance company that perhaps he took out a small policy. Anybody help me?

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    Coverage

    Reviewed Feb. 29, 2016

    Just spent almost an hour on the phone with various representatives for the simple task of changing my PCP. Which I knew I had to do, because Humana will not recognize the PCP THEY assigned me when I signed up. Also, they billed hundreds of dollars for a very routine, COVERED checkup appointment. Unfortunately, this is all I can afford, which is the only reason anyone would choose this.

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    Customer ServiceStaff

    Reviewed Feb. 24, 2016

    I listened to an entire annoying automated call reminding me to do all the things that I have already done (get flu shot, schedule wellness check, etc) but the final message was to call the customer service # on the back of my card if I no longer wanted to receive these calls. That I did. It took 40 minutes of repeatedly going thru their automated system, talking to 3 real people, repeatedly giving my birth date, etc. before finally having the question addressed. The last gal seemed to be helpful but was very hard to understand. Was the problem solved? I won't know until I am no longer declining the calls. Very poor phone system AND website.

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    Customer ServiceContract & TermsStaff

    Reviewed Feb. 23, 2016

    We have Humana through my husbands' employer. Nov 2015, I was diagnosed with metastatic breast cancer. Humana has thrown unprecedented hoops involving my care--> from refusing to pay for the chemo my oncologist wanted me to take to throwing my oncologist out of network, adding tens of thousands of additional out of pocket burden on our part. Each time, we call, we get a different answer. On one day we are told that he is network... The next day we are told he is not. Imagine battling cancer and then the bigger battle of just getting this company to uphold their end of the agreement. Humana's actions, in my opinion, is a deliberate attempt to cheat their customers of their medical care. AVOID THIS COMPANY!!!

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    Customer Service

    Reviewed Feb. 23, 2016

    I had individual major medical with Humana. Had surgery in November 2014 (15 months ago) and Humana has still not paid the hospital one dollar. They originally agreed to pay $32,000 but then decided to put the account in "claim recovery", where it has remained ever since. I call both the hospital and Humana every 6-8 weeks to get an update, to which I am told it is "still in review". My Dr. said they have been trying for over a year to get paid on bills as well and told me they have filed a complaint with the Board of Insurance.

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    Customer ServicePriceStaff

    Reviewed Feb. 23, 2016

    Humana Insurance is telling me I should take steroids. Steroids can literally cause bones to dissolve. The person that wrote to me from Humana is Charity **. She did not state this in her letter but over 20 Humana employee told me I need to take steroids over the phone. I have the list of the names of the Humana employees that advised this. This is outrageous. Let me know who else to contact concerning this issue, please. Needless to say, I am trying to get released from my prescription drug plan. They refuse and they are charging my credit card hundreds of dollars without my permission among other outrageous acts. My doctors highly advise against me personally taking steroids.

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    Price

    Reviewed Feb. 22, 2016

    I am a single woman. My cost is $341 per month, and each time I go to the doctor I am charged at least $100. I just learned I will temporarily need a sleep apnea machine. My fee is $321.00 for the device, but I'm told other patients only have to pay $20-$25 with other insurance plans. Unless you can pay high cost out of pocket, don't use this company.

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    Sales & MarketingPriceStaff

    Reviewed Feb. 21, 2016

    I submitted a bill for a vaccine which cost $243. Their reply letter denied my claim saying the vaccine cost $2.43 and did not meet their minimum claim amount. Clearly their error as I mailed them my receipts. I appealed. They refused to deal with my appeal saying I sent in a previous claim for this bill. Yes I did and they made a mistake on that claim saying my bill was $2.43, not $243.00. Instead of correcting this error they are rejecting my appeal. I do not think this is a scam. From my experience so far they have a low-quality staff and the mistakes on their part are clearly due to stupidity. Now what do I do?

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    Customer ServiceCoveragePunctuality & SpeedStaff

    Reviewed Feb. 20, 2016

    I signed up of insurance with Humana. After 6 months, they decided to send me a renewal for $100.00 more than what I was paying. I was shocked! I had no previous claims. Always paid on time. When I FINALLY got someone on the phone, I kept getting cut off and it was difficult to understand her. She was also very rude. I'd rather be without insurance, than to ever do business with Humana.

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    Staff

    Reviewed Feb. 18, 2016

    This has to be the worst company ever. I have been trying for 2 years to get this computer glitch fixed. Nope, still can't figure it out. Now I have been told that it is all Utah accounts. The problem I have had is that my premium is auto-pay. Well, every month they get my money but the computer system shows that I have not paid, but billing shows that I have. SO all claims are denied. Then the Dr office sends the bill to me. I call Humana and they go through this same spiel every month. The Dr. offices now know when we tell them we have Humana, they all laugh and say "Good luck!" Yeah, we need it. DO NOT USE HUMANA. It's not worth the saving. Plus, it's very hard to find people in the network. Most are not wanting to deal with Humana because of all the problems.

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    Customer ServiceContract & TermsCoveragePrice

    Reviewed Feb. 13, 2016

    I have been on the phone for two weeks trying to get a physical therapist. I have gotten a different answer each time that I have called. I still don't have a physical therapist. I wish that I could get rid of this insurance today. They went up on my out of pocket expenses. That over the counter medication is a joke. Last year you could order $30.00 worth of medicine. 2016 you can only get $15.00 worth. That off brand medicine cost too much. I can't afford to buy my medication because Humana doesn't pay anything. The government needs to shut this company down. I am trying to find out how can I get out of this contract.

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    Online & AppStaff

    Reviewed Feb. 12, 2016

    I made a decision at the first of the year to change to a Humana HMO plan. Beware everyone - these HMO plans are not used by many of our doctors and I find myself now not being able to see my drs I have been seeing for years. Their website is deceptive. List my dr group on their website, but it's for the PPO, not the HMO. I will never again have this insurance.

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    Price

    Reviewed Feb. 10, 2016

    Not worth what you pay. Consistently deny claims. If this insurance does pay it is not over $80. They sent me a notice to pay early. I did. Now I regret ever paying. Do not purchase this flimflam insurance.

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    Customer ServiceStaff

    Reviewed Feb. 9, 2016

    After spending three days and countless hours on the telephone line to the Humana patient access team all they can say is they are "so sorry but cannot find a provider anywhere within 200 miles of Corpus Christi Texas for the most routine procedures." The customer care team blames the appeals team and the appeals team blames the Doctor who is not at fault. In a conference call with Humana, my doctor, and the referred medical provider, I thought it would be settled only to find out that my referral has been voided by Humana. The Texas state insurance commission should open an investigation on Humana and the way they are doing business with patients.

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    Verified purchase
    Customer ServiceOnline & AppReliability

    Reviewed Feb. 9, 2016

    I am reviewing their website, as I have been satisfied with the Medicare Part D plan that I have with them. If I could give the website zero stars, I would. It is extremely slow and I usually have to resend my info just to log in, as it will go to a blank page after the first time I press the Login button. I rarely can accomplish anything at the website, from renewing a prescription to updating a credit card. It is fraught with erroneous error messages as I double-check all the info that I enter and it is correct. I almost always have to call them on the phone to accomplish what I want. It is without doubt the worst website that I have to deal with on a regular basis.

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    Customer ServiceCoveragePunctuality & SpeedStaff

    Reviewed Feb. 9, 2016

    I was late on my premium for November, but got a letter in the mail from Humana saying that I had a grace period of 31 days and that I had to pay by December 1st to keep my policy. I paid at 1 pm my time on December 1st - well before the cutoff time listed on their own website - but my policy was still retroactively cancelled. I called them and after going through several people, finally got someone who understood what happened and sent my policy over to reinstatement dept. They called me a few days later saying that they could reinstate as long as I paid my December premium. So I logged in a few days later - again, well before even the new deadline that they gave me, and made the payment.

    So several days later in the mail, I get a refund check for my November payment. I call customer service and tell them what I was told about reinstatement - the rep apologizes and sees in the notes where they promised reinstatement. She sends her notes (supposedly) over to the reinstatement department again, which calls me back again, and says that they will reinstate my policy and to just make my December payment and repay the payment that they refunded to me. So I deposit the check, log in, and make the payments for a second time. I'm expecting my policy to be reinstated, but it isn't.

    About a week later, I receive in the mail ANOTHER REFUND of my premium payments... So I call Humana again. I'm starting to get really pissed off by now. I jump through more hoops, and they again tell me that reinstatements will be calling me back to discuss. So, about a week later, I get a call from them saying that my reinstatement has been approved and that my policy will be active - now I just need to make the January payment. So, I do that, and repay the two payments that I was refunded again - and lo and behold - my policy is reinstated! But wait! Nope, that's not right. It's not reinstated - it's a BRAND NEW POLICY with an effective date of 1/1. Then, the final slap right across the face - I receive a refund for the two payments. My policy shows cancelled as of Nov. 1, and nothing during those two months - which included an expensive sleep study - is being covered.

    So now I have over $4000 in medical bills that should have been covered. I followed Humana's rules and by their own admission, my policy should not have been cancelled. But they refuse to make the situation right. I am beyond livid, and if it wasn't too late to change now, I would go with another company. Making my $468 monthly premium is a huge slap in the face after what I've been through with Humana - NOT RECOMMENDED.

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    Customer ServicePunctuality & Speed

    Reviewed Feb. 6, 2016

    I am the primary caregiver, as well as healthcare advocate for my 76 year old uncle. I finds it extremely reprehensible that Humana has seriously increased the premiums of our aging community and there hasn't been anything of value added to the policy, that dictates the increase. I am also concerned that Humana provider directory is out of date, as it pertains to providers being no longer in business, with disconnected phone numbers. This is the problem that I experienced today (2/5/16). I tried contacting 1-800- Medicare, but the hold time is ridiculous. Something has got to change with our healthcare system, when it's becoming a trend for health insurance companies to fleece our aging population.

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    Customer ServiceCoverage

    Reviewed Feb. 5, 2016

    Humana C550 Dental Plan. The absolute worst dental insurance I have ever had. Paid less than 10% of a 2000.00 dental bill. Customer service is horrible. You will be transferred to at least 4 different people before someone will even remotely recognize your account. A huge waste of money. They won't pay out anywhere near what you paid in premiums. SKIP this insurance!!

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    Verified purchase
    Customer ServicePunctuality & SpeedStaff

    Reviewed Feb. 4, 2016

    I called 2 days ahead to make sure they got all the information ready for my daughter to be pick up and taken to a dentist appointment. I had my husband pulled her out early from school because they promise to pick her up between 1-1:30 pm. I had to called them finally at 2 pm to find out that they were running behind. They never apologized and they were asking me if she can go later to the dentist, which I found very stupid for a business to be so unprofessional to tell me that. They gave no reason as of why the driver never showed up and all they were asking to reschedule for later. Like you can call the dentist and ask to be seen "later". Now my daughter couldn't go to the dentist and the next appointment they have is in 2 weeks. Very poor customer service over the phone. This girl was really lost and didn't know how to handle the situation. Logistics transportation from Humana.

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    Customer ServiceStaff

    Reviewed Feb. 3, 2016

    After numerous phone calls to various departments concerning an MRI request from our doc because my wife is in terrible pain - back - Humana makes you wait for 15-30 mins to get a person of whom we normally cannot understand. Then they tell you that the doctor has to make the inquiry as to why this is not being authorized: They give you a different authorization number each time you call them. The doc and office confirm they have made several requests each time giving them the proper info requested. Humana claims they have never responded. We have tracked this down to Humana - they are not responding to the doc. 5 times an MRI has been scheduled only to have Humana cancel it within an hour before scheduled time. This is what we get for our government giving them thousands of dollars to be our insur. co. Who's wrong - Gov - Humana - WHO? HELP us out. We live in the USA - not some 3rd-world country.

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    Customer ServiceSales & MarketingStaff

    Reviewed Feb. 1, 2016

    I have yet to call Humana's representatives and get an answer without them having to go check with someone else before being given an answer. First of all you will probably have to make several calls before you reach someone who speaks clearly enough to understand. And if you call three different times with the same question you will receive three different answers. They will not even answer any general questions with making you jump through hoops. They are totally different than what their sales representative picture them to be. I wish I would have changed to a better company this enrollment period. Now I will have to wait until next enrollment.

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    Customer ServiceContract & TermsPriceStaff

    Reviewed Feb. 1, 2016

    In January, had allergic reaction and needed to visit Urgent Care for treatment. My Humana contract states that the co-pay for UC is $35,00, however, the EOB stated that my co-pay was $50,00. After navigating their entirely unresponsive and complicated automated front end phone system, and being on hold for 35 minutes, Humana first stated that they had paid the bill according to the way the clinic billed the visit, and I needed to call the clinic. Called the clinic and was told they had billed it as a UC visit, and that it was Humana's error. 2nd call to Humana, same front end problems, 45 minute wait. Asked to speak to the rep I had first spoken to, they are unable to do that, but was assured that they would be able to help.

    Asked the new rep to read the notes on the file, hoping to avoid a 15-minute repeat of the information, no can do, only note says called re claim, referred to clinic. So, gave him same information, told him I was requesting a review of this claim, and he told me that he could do that for me. After being put on hold, came back and told me again, that the claim had been paid correctly, and that the clinic was wrong. I asked him how the clinic should have billed it, and he told me that it was illegal for an insurance company to tell a clinic how to bill a claim. 2nd call to clinic, different rep, same story, referred back to Humana. 3rd call to Humana, was finally (after same wait, different rep again,) transferred to a supervisor. Very condescendingly, informed me that because the Urgent Care "physician" that cared for me was a "specialist" the claim was billed correctly.

    I tried pointing out that the specialist I saw was a physician's assistant, and therefore did not meet their definition of a specialist according to their contract. She came back with the fact that specialist is not defined in their contract. She is partially correct in that, since the definition does not appear in the definitions section of the policy, but is defined elsewhere in the contract as "a specialist is a DOCTOR (my emphasis) who provides health care services for a SPECIFIC DISEASE or PART OF THE BODY, i.e. oncologist, cardiologist. I pointed that out to her, and she stated that it didn't matter, because THEIR contract with the PA listed him as a specialist. Last call to the clinic manager, not billing, whole story all over again, said would look into it. Eventually she called back to tell me that they were going to credit my account for the difference. But Humana still shows the original cost.

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    Customer ServiceCoverage

    Reviewed Jan. 29, 2016

    I was member and my wife also with Humana. My membership expired on 12/31 and Humana send direct refill for my wife on 01/2016. I discovered that they used my visa number on file and charged me for the medication. I called them, "why you send my wife those medications since first we no longer have active policy with Humana." Second I called pharmacy over four months ago to stop direct refill for me and my wife. Humana received the medication back on 01/26 and since then they did not refund the money or give me a document that they received the medication back. They have the worst communication in the world. They put me on hold for over 25 minutes every time I call and each one transferred to has to explain to him the same story. I do not recommend anybody to get Humana insurance.

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    Customer ServiceCoverageStaff

    Reviewed Jan. 28, 2016

    I moved last May. Called Humana to have them change my address. I have had no contact from Humana until January when I went to the doctor and he wrote my medication, went to the pharmacy and they tell me I have to pay 360.00 deductible and I could not get my medication until this deductible was paid. In the meantime, I check my bank balance and find out that Humana has doubled my premium. So I call Humana they say they have had no contact from me since October when my policy came back to their office.

    Now I called them in May, told them my new address and did not change my address. They sent the paperwork to my old address, it is returned to them. They do not call me nor do they email me to find out what is wrong. And then Humana tells me that I was getting extra help from the state to help me pay my deductible and help me pay for my medications. And I tell them I have applied for extra help but they refused to help me with my medications until the extra help kicks in.

    I talked to about 5 different people that day. Finally, a guy in the pharmacy dept changed my address. I looked up how they were suppose to handle this until the extra help gets started and it said they were to make sure I had my medication that I needed until the extra help kicked back in. And until this week I have not gotten any mail from Humana and today I get a letter stating that they had not paid a lab bill for 1408.00 and this is the first I have known about this. I have been taking medication that you have to wean off of because you will have terrible detox. The lady at Humana said it was so dangerous for me to go to the hospital and they would put me in the hospital to help me come off this medication.

    I am elderly. I am also on oxygen 24/7 so this has caused me a great deal of problems and stress that I did not need. My advice for anyone, think long and hard before using Humana. They want your money, they did not miss one payment. They debited it out of my checking account and they doubled my premium in January. They are not there to help medicare patients, they just want our money. They are not there to help us. I have never been treated as poorly in my life and they will never be able to treat me like that ever again. I have been in heavy detox because they would not work with me and I have never been as sick in my life.

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    Reviewed Jan. 21, 2016

    This is the worst dental insurance I have ever had. Submitted a claim only to be told 3 months later it was submitted as an pre-authorization form. They kept telling me it was a claim in process. HUMANA DENTAL IS THE WORST. My claim was received by HUMANA on Nov. 6, 2015.

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    Customer ServicePriceStaff

    Reviewed Jan. 20, 2016

    My payroll company signed me up for this insurance company and I was told I was getting a great plan. I was actually told this was a Platinum plan, but in reality it was a plan worth nothing. NO Doctors are in network and every provider tells me they don't take it because it is ObamaCare. It isn't ObamaCare or on the "marketplace." I paid $1,260 for this plan. Then I just looked at my credit card statement for this month and realize I was charged $1,600 for the same plan. The company now tells me the plan increased in the New Year. By 20%?!?!? And when I go on the site and type in my info to get the same plan it says it is only $857. So I was overcharged as it was, but now they raise the price without even informing me only 4 months after I got the plan.

    I called Humana and they are absolutely horrible people. I spoke with two supervisors, one was named Laura (employee # **) and the other was Jody (employee # **). Neither offered any help and their computer systems were down as they always are so they claimed they couldn't even look into my account. Strange though that they both said paperwork informing me of an increase was sent out, but yet they couldn't look up anything else about my account. I hope this company goes out of business. DON'T USE THEM UNDER ANY CIRCUMSTANCES.

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    Customer ServiceStaff

    Reviewed Jan. 20, 2016

    I needed extra insurance for medicare coverage so, I checked and decided on Humana. The person who set everything was very helpful. This is the reason I joined. When I called to ask a question the first thing is the dreaded automated voice. Then when a person answered the only thing she would say is "I CAN'T ANSWER ANY QUESTIONS." No hello or even a reason for her statement. I did get her to finally listen after her only rant, and she was correct, if I asked “May I speak to a supervisor”, no luck, “May I call back”, no luck. When I got a return call it was a recorded one telling me to go online. I wanted to speak to a human not a recording. Once I joined I can't get a person to speak to me so, HUMANA doesn't stand for HUMAN. Think about that before you join the AUTOMATED WORLD of this company!

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    Customer ServiceCoverage

    Reviewed Jan. 20, 2016

    On January 3 I placed my order for 4 prescriptions that I take on a daily basis on the website for Humana Pharmacy. I stated that it takes 7 - 10 business days to process order and ship. On January 11, 2016 I called to verify order for the prescriptions and was told that they had not received the orders from the doctor. I immediately called my Doctor and was informed that the prescriptions were electronically sent on January 7, 2016 to the Humana Pharmacy. I waited until Friday January 15 to once again check on the prescriptions and was once again told that they were still waiting on the Doctors approval. I asked the Pharmacist to do a conference call with my Doctor which they did complete. On the conference call was myself, my doctor and the Humana Pharmacist.

    The Pharmacist acknowledged receipt of all four prescriptions and said that due to all the problems I encountered they would immediately process the prescriptions and I would have them within 3 -5 business days. On January 19, 2016 I once again called to verify the prescriptions and the delivery and was once again told that they were waiting for the doctor to approve the medications. I spoke to a Michael who said he was the head pharmacist at Humana Mail in Center in Arizona. To all Medicare clients please look elsewhere for your Insurance. I will be terminating my coverage immediately. It was crucial that I received these medications due to leaving on a two-week cruise on January 23, 2016...

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    Coverage

    Reviewed Jan. 18, 2016

    My brother had a leg amputated and Humana DENIED his transfer to an acute rehab. HUMANA says "He doesn't need the help to learn to walk again." HUMANA's pencil-pushing morons think some basic help is all he needs to walk again. After paying his premiums for years, these morons refuse to cover the basics!!! HUMANA sucks.

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    Staff

    Reviewed Jan. 15, 2016

    I had a claim processed and paid. The provider never received payment. Humana reprocessed the claim and denied the claim because I lacked authorization. I was being serviced at an in network hospital during an emergency room visit. To add insult to injury, there is not a single Supervisor or representative that can provide an explanation.

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    Customer ServiceStaff

    Reviewed Jan. 13, 2016

    Flamboyant supervisor by the name of Kenny gave out wrong information and when I called another representative placed the call on hold and then hung up.

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    Customer ServiceCoverageStaff

    Reviewed Jan. 12, 2016

    First, I have NEVER written a complaint ever. But, I am taking the time to do so now because I am blown away by the horrific customer service experience I just had. My issue: I signed up for coverage and paid my first month's premium at the beginning of December. It is now the middle of January and I have not received my insurance card or ANY paperwork showing proof of coverage. Now, I have a Dr. appt coming up and I need my Member ID # to give them. I first tried to create my account at the website so that I could access my card there but logging in requires your Member ID #, ok. So, when I called the customer service line to get my member ID #, a recording while I was on hold advised that you could use your SS# as your member ID # to log in. So I hung up and tried that. No go. So I called again and after about 30 minutes of waiting again the hold music stopped indicating that someone had answered the phone, but no one said hello.

    I could clearly hear that the line was open so I said, "Hello, Hello, Hello." After about the 10th hello, a person finally said, "Thank you for calling Humana." I AM NOT KIDDING... I think he was asleep and I woke him up. After going through the security questions for the 3RD TIME. I advised him that I just needed my member ID number. He sounded confused and stated that he could not help me with that and that I would have to contact the Medicare dept. Huh? This was the first that I had heard of anything to do with Medicare. But whatever... This person is clearly no help... So he gave me the number of the transfer in case we were disconnected, which of course we were.

    When I called the number he gave me... and finally got through to a live person, it turned out to be the Sales Department! At this point, I am starting to curse (for which I apologize) but the Sales agent finally connected me to the correct department, which after being on hold for another 1/2 hour provided me with my member ID #. Total time on the phone this morning = 3 hours... Just to get my member ID #. Unbelievable! Note: If anyone else is still waiting for their card and lives in Florida, they screwed that up, too.

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    Customer ServiceCoverageStaff

    Reviewed Jan. 12, 2016

    The representative who enrolled us into our Health and Dental plan created absolute hell out of what should have been a smooth transaction. We were billed in full for coverage we did not receive (dental). We only know this because my wife scheduled a dental appointment only to find out that we only have the free dental coverage for children 18 yrs and younger.

    We have been on the phone for 2 weeks now trying to sort this out. We haven't received our benefits summary package, ID cards, NOTHING. When we call we get transferred from department to department getting absolutely nowhere. What's also strange is you can ask the representative their name in certain departments such as the enrollment verification department and they WILL NOT give you their name. I asked one rep 7 times for their name and all they did was give me the name of the department. It's blowing my mind. I have never dealt with a worse company of incompetent **.

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    Customer ServiceCoverage

    Reviewed Jan. 8, 2016

    Had doctor appointment on the 28th of Dec. The receptionist call me Dec. 23rd to verify if I had insurance since it appear that my Humana insurance was canceled. I told them that I will call Humana and let them know. I did call the insurance and it was true it was canceled, because according to them they were preparing for the new year and so my account was closed, but that they will put me back in the system, but it would take from 24 to 48 hrs. Therefore I couldn't make it to my appt. because of the holidays and weekend, unless of course I paid for the office visit. Today, Jan. 8th, I still don't have an insurance ID although I paid for the month.

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    Customer ServiceCoverageStaff

    Reviewed Jan. 8, 2016

    I spent the entire day speaking to customer service reps to see why my prescription had not been filled. Informed that the doctor's prescription 12/22/15 forgot to include instruction for the drug inhaler I had been using in the past. Humana uses only a fax (not electronic communication) and sent to doctor on 12/28. His office closed for holidays and come back now January, and he sent it back. They denied since it is a new year and I had canceled them for this year but I had a conversation with them 12/31 about what would happen and was told as long as prescription started in the coverage year 2015 it would be honored. Now told, "Buy it out of pocket." This is so unfair to the consumer. They should really be investigated for their procedures.

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    Customer ServiceCoverage

    Reviewed Jan. 7, 2016

    I work for a healthcare agency in the billing department. Not only does it appear Humana is unfair to the customers but also to the providers who are serving their patients! I had a patient who was on our service for 6 months. Each month I had to obtain an authorization which I did. The first month paid fine. The second, third, fourth and fifth month were paid incorrectly with a notice stating that authorization was not obtained in a timely manner. I called Humana approx. 8 times trying to resolve the issues, getting denial after denial. FINALLY they paid these months correctly. Today, I received the final claim (for August) which was reprocessed with the correct authorization information. They are trying to say patient owes for deductible and co-insurance!

    I called AGAIN. Thankfully with the reference number from back in MAY when I obtained patients benefits which was then told it would be covered @ 100% and they told me that patient had to pay the FAMILY deductible out of pocket... I gave the rep my ref# from the previous call. She checked with benefits and then decided that this was a single plan only, so there was no family!!! So far, they have tried to not pay due to no authorization which was incorrect then trying to make a SINGLE person plan pay for FAMILY plan benefits! They just don't want to pay!!! Also, thankfully we are small enough agency that I can take the time and make sure that insurances aren't stating on their EOB's to the provider incorrect patient responsibility... I feel bad for patients that get these bills generated by larger facilities who may use automated billing and then it becomes the patient's burden to deal with this terrible company!

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    Reviewed Jan. 6, 2016

    My husband and I signed up for Humana National POS with an Effective date of 12/1/2015. When we compared plans with other insurance companies, this one seemed best for us at 600.49/month. To our surprise on January 1, 2016 they drafted our account for a much higher rate of 744.80. How is this legal? We choose a plan at 600.49 a month and then get a rate hike? Anyone else had this issue?

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    Coverage

    Reviewed Jan. 6, 2016

    Humana has got to be the worst insurance I've had. All of my medication was covered There. Their mail order service was told to not send any refills until I placed my order, and they sent it anyway. Now I'm struggling to find the money to pay the bill. I've had way too many problems with this insurance. Why do they even exist when all they do is deny all your claims.

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    Customer ServiceStaff

    Reviewed Jan. 5, 2016

    I work in a very busy neurology clinic and called in for a sleep study pre authorization. We are a small office with small staff and our phones are very busy. When I called and gave about 15 minutes of information they stated they had to transfer me to Health South who came on the line about 5-10 mins later. I gave the information over again and answered repetitive questions that were unreasonable. I finally spoke to a nurse who was helpful and patient was auth after a 50 min call.

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    Customer ServiceSales & MarketingReliability

    Reviewed Jan. 4, 2016

    I finally took the plunge, and found a silver plan for my insurance. I need to speak to someone about adding my live-in partner to my plan and what our options are. We're not only live-in partners, but also run a business together. I can't log in. I can't reach anyone. I can't call. I CAN'T EVEN EMAIL. I've tried multiple times for over a month. Also, their automated system calls me multiple times a day, and I'm literally running my business in the busy holiday season. This is such a scam, and has caused so much stress. My login information doesn't work - and thank goodness now, because looking up all these reviews I've decided it's in my best interested to steer clear of Humana. I'm so busy and so stressed out, and was by far the worst experience I've ever had trying to contact ANYONE in a company. And not just pay, but ask questions about the plan and adding loved ones. Mind blown. SCAMMY.

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    Price

    Reviewed Jan. 4, 2016

    I became a Humana medicare customer as of January 1st. I have a prescription that was not on their formulary. But, according to their own 2016 prescription guide, page 6 and their "Evidence of Coverage Manual" page 118 and 119, I was suppose to obtain at least a 30 day supply of the medication. This was to give me time to get my medicine pre approved or find another medication that was comparable to my existing medication, that was on their formulary. I was denied, even filed an appeal. My Doctor provided them with everything that was needed in order to get pre approved, and I was still denied. They now have approved a drug that is much less expensive, that I have no idea if it will work, little on whether I am going to be able to get it before my current medication runs out. I do not understand why they would take the time to put policies in their handbooks that they have no intention of honoring.

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    Customer ServiceStaff

    Reviewed Jan. 4, 2016

    I called Humana customer service to change my primary care physician. They were extremely incapable. Some customer service representatives have a very thick accent, so they are very difficult to understand. They even don't have any idea what they are doing. Humana insurance needs to focus on creating a better customer service.

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    Customer ServiceCoveragePriceStaff

    Reviewed Jan. 1, 2016

    Humana sent us a notification that our current plan was no longer being offered in our area. The coverage was scheduled to discontinue at the end of 2015. I began shopping for other plans with a Humana representative over the phone. The gentleman seemed friendly and competent. The latter became evidently absent. He had me choose between two plans in my area. According to him, both plans were the same price and covered our doctor and my son's pediatrician. When our ID cards showed up in the mail they had doctors' names on them that we had never heard of. When I called Humana regarding this the lady on the phone informed me that our doctors are in fact not covered. The OTHER plan would have us covered under our doctors for $60 less a month. The gentleman lied to me.

    I asked that representative to cancel the plan that he had put in place for us and that I would buy the second plan on the health insurance marketplace. She confirmed that she had discontinued the new plan and that we would be all clear of it. WRONG. The premium drafted out of my account for the more expensive plan, without my permission by the way. On top of everything else they drafted the payment on a holiday, a Friday. I can't contact anyone until Monday. My account is short the premium money for the wrong plan and the due date for the new plan is today. Also, today is the day that I actually received the email that my first payment is due on the same day.

    This company is a complete joke. I haven't even touched on the fact that when you call them you have to be transferred at least once after being on hold for a minimum of thirty minutes because that first person can't help you with your specific plan. It's irrelevant that you called the number on the back of your card. They still can't help you. Now you get to hold again for the person that actually can. The trouble is, as you now know, neither of these individuals is actually competent enough to help you. They'll tell you that your request is being handled, but it's not. Save yourself the time and trouble. Go buy insurance from a company that deserves your hard-earned money. They aren't worth 1% of the outrageous premiums that they take from their customers.

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    Customer ServiceCoveragePunctuality & SpeedStaff

    Reviewed Jan. 1, 2016

    In November, I decided to change my Medicare Advantage account from Health Alliance to Humana starting 1/1/15 to save a few dollars. The day before Christmas I was diagnosed with cancer and needed to have a series of procedures starting as quickly as possible. The only area hospital that had time available was not in the Humana network but was in the Health Alliance network so I made the decision on Monday, December 28, to cancel from Humana so that my Advantage plan would go back to Health Alliance. There was a bad winter storm in our area that day and knowing that the New Year holiday was coming I wanted to get this started quickly so instead of going to the local office I called the Humana toll free number.

    After 59 minutes of being passed around from one agent to another who barely spoke English, an agent who supposedly was in Cary NC verified that she had started my disenrollment and that it would take 24 to 48 hrs to get to Medicare so that Health Alliance would be able to verify my coverage with the hospital. The next day I called again and after being passed around to numerous agents and an hour on the phone, an the agent said that I had been disenrolled and to check back tomorrow. Again I checked the next day and after over 2 hours and finally getting the local Humana office involved I was connected to an "special" agent who admitted that the Humana agent on Monday had made an error and sent the disenrollment to the wrong department (was this intentional?). They stated that the disenrollment had been started Wednesday morning and that it was marked "Critical" and sent to Humana's disenrollment department.

    Meanwhile, the hospital was saying that without coverage I would be responsible for the bill or could not have the procedure done (life threatening possibility). I checked again with the local Humana office the next day, Thursday, but all they could tell in the Humana system was that I was disenrolled but that Medicare may not show this update until the following Monday or later. I will say that the local office agent was the only one in all of my dealings with Humana who showed empathy and went out of her way to try to fix this mess.

    Consequently because of Humana's error they have added extreme stress to me and my wife at a time when we have enough stress from my illness. Now we are faced with the possibility of not remedying a serious illness quickly vs the possibility of seeing the majority of our life savings gone all because of Humana's incompetence. I will advise everyone I know for the rest of my life to stay away from any and all Humana plans. The savings are NOT WORTH IT!!

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    Sales & Marketing

    Reviewed Dec. 31, 2015

    It's been a year now since Humana scammed me out of $600+ right after Christmas at a time when I could not afford it. I logged on tonight to see if they had improved but apparently not. The first complaint I read was about the man whose mother died and they are refusing to pay the ER bill. I got a letter from them today asking me to come back and I had to laugh. Since January 1st of this year the first words out of my mouth every morning and the last words out of my mouth every night are "I curse Humana and everyone who works for them."

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    CoveragePunctuality & Speed

    Reviewed Dec. 29, 2015

    My mother was taken to hospital emergency room after falling and lying in her room for days. She spent days in the hospital then had to leave the hospital because of Humana would not cover. She died a few days later. Now Humana will not pay the emergency room charges. It was a Humana Hospital.

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    Customer ServiceCoverageStaff

    Reviewed Dec. 28, 2015

    Lost my insurance due to discontinuance of retiree benefits, it was a Medicare Supplement with Rx. I was led to believe that the Humana ADVANTAGE GOLD was an enhanced version of the Supplement or at least a SECONDARY policy to Medicare. Be aware -- this insurance REPLACES Medicare -- and Humana pays MEDICARE for the privilege. Meanwhile, I had to pay Medicare premiums but Medicare could not pay ANY benefits. Even with the PPO plan, Humana does only what is an advantage to THEM - like deny claims at will (Medicare always covered) and setting high co-pays so that the patient ends up paying MORE than Humana does. They DENIED lab test charges for tests that have been necessary for my conditions. Humana argues that they have the right to decline - if they think the test is unnecessary -- IN SPITE of the Doctors' opinions and orders.

    I think they must have a dart board that chimpanzees toss darts to decide what Humana will or will not pay. They harassed me with phone calls and correspondence in the form of a SURVEYS - regarding personal and medical info so Humana can "provide more or better services to members". I contacted the brokerage to cancel the Advantage Plan and applied for an Medicare SUPPLEMENT (which was accepted). A month before the deadline for renewing or changing arrived, Humana sent me a new card for 2016 for the Advantage Plan - along with their several hundred page handbook. They must have assumed it might slide by me.

    According to some complaints on this Consumer site - the same thing has happened to them and Humana did not cancel the plan and kept collecting auto-premiums. I kept the Humana Rx plan because I really had no problem and they are one of the few mail order Pharmacies. But it became an individual Rx policy with a high deductible which means I will have to pay full price for meds until deductible is met. And I have now discovered - from complaints and other sources - that drug prices and co-pays are higher than the Rx with the Advantage Plan and that they sometimes stop carrying the meds that people need so we will have to get them somewhere else that is NOT covered by the plan.

    This insurance company plays Russian Roulette with our health. This past year has been the worst year in my many years in regards to insurance coverage - and I have not had anything MAJOR. I feel bad for all of you who lost more benefits and coverage than I did. Please take heed to all these complaints and do THOROUGH research before getting a Humana Advantage Plan (or any other plans). However, since the Health Care laws and limits changed starting last year, there are fewer reputable insurance companies for individuals to choose from. Even employee plans are not as good as they used to be. Very sad for U.S. citizens who work (or have worked) hard for years but cannot get reasonable health coverage for their families. Not to mention the fact that doctors and other health professions are not accepting new and/or Medicare patients, not accepting plan contracted fees, or leave the health care field altogether.

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    Coverage

    Reviewed Dec. 19, 2015

    The Dental insurance I purchased would not cover any procedures. They had excuses for all and every situations down to denying coverage for my son's teeth cleaning because pediatric dentistry is a specialty. I had an emergency dental procedure and it was not covered because it was an emergency.

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    Customer ServiceCoverage

    Reviewed Dec. 14, 2015

    There is no option to cancel my HumanaOne health insurance online in my Humana account. There is no way to cancel the automatic withdrawals from my bank account online either. I called and was passed around by no less than EIGHT (8) people in different departments claiming they are not the ones who can cancel my policy (AND the 2016 policy they put me in automatically). This is an unacceptable PREDATORY practice and should be grounds for shutting down this insurer in every state immediately. I still don't have any written confirmation of the cancellation I requested - they mail that out ten (10) days AFTER the policy termination date. This is after I've been paying these ** leeches $916 a month for a policy with a $7,500 deductible.

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    Reviewed Dec. 11, 2015

    There was a problem between my doctor's office and my ins. Humana, so Humana stopped my one medication, which has made me deathly sick. How can they play with people's lives like that? I could end up in the hospital because of it. My doctor told them, if they stop this med. how sick I will become. Health care is supposed to help you, not make your health worse.

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    Customer ServiceCoverageStaff

    Reviewed Dec. 8, 2015

    I have my prescription drug coverage through my employer with Humana. They are among the worst companies that I have ever dealt with. Their customer service is very poor. In fact, I have to ask to speak to a supervisor every time that I call since their front line customer service reps provide such poor service. They changed my coverage with little warning. Their entire motivation is to make a profit and they don't care about the health of the patient. If you are looking for a quality company for prescription drug coverage, look elsewhere. These people should not be in the healthcare industry. The fast food business would be a better fit.

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    Customer ServiceCoverage

    Reviewed Dec. 6, 2015

    Extremely poor prescription drug coverage. System errors like order entry, stock, communication, unauthorized cancellation of orders, piecemeal order fulfillment.

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    Customer ServiceStaff

    Reviewed Dec. 4, 2015

    Firstly, this very rich American enterprise can't seem to find a few dollars to keep its doctor-search up-to-date, so you have to scroll through a lot of outdated information, duplicates and triplicates, to find that what seems like a good list of specialists actually amounts to less than a handful. But the really bad part is that my premium is more than quadrupling for 2016, and the biggest thing I had done this year was a small dermatological procedure. Customer Service tried to tell me how health-care costs have risen; data shows that costs have, in fact, risen, but the increase is much smaller than in prior years. I can only hope their bad behavior creates more support for Bernie Sanders and hastens our move to a single-payer system.

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    Customer ServiceStaff

    Reviewed Dec. 3, 2015

    I do not recommend anyone signing up with Humana Gold Choice!!! Called Humana for a pre-authorization for a patient with heart problems and was given the run around with several different #s to find that the 1st # I called was the right one in the 1st place. Was talked down to and treated very rude! Had an MA get in on the call to assist me in medical questions and she was treated very disrespectfully too. Rep said "Ma'am, just please answer yes or no". Spent over 2 hours trying to take care of our patient and after all this she was denied! Who denies a patient with heart conditions??? DO NOT SIGN UP FOR THESE CROOKS!!!

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    Reviewed Dec. 2, 2015

    My policy for 2015 is supposed to expire on Dec 31, 2015. Humana decided to renew my policy on Dec 1st, 2015 (a month ahead) and charged me new premium which is 25% more than what I was paying. How can they decide to renew the policy anytime they want. I never heard any company doing like this. Upon contacting customer service at 877-299-4598, rep. told me that "in order to provide you same plan in 2016 Humana has decided to renew your policy on Dec 1st, 2015." No one is there to listen to your voice. This is ridiculous.

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    Verified purchase
    PriceOnline & App

    Reviewed Dec. 1, 2015

    Since Sept 2015 I have been unable to obtain my Mail Oder (90 day) Rx on my PPO account with Humana Pharmacy. I have made telephone inquiries 3-4 times being informed that it was being processed. The Humana website is impossible to navigate and refuses to accept my registration nor provide the status of this mail order Rx. A promise of being informed of shipping to my email address in November has not yet been received and to date, no postal mail of the Rx has been received. I was forced to obtain an emergency Rx at a local pharmacy at a higher cost for 30 days. My coverage with Humana is via the retiree Healthcare program for teachers in North Carolina. I consider Humana Rx Healthcare system a very poor system for retirees! This system need FIXING!!!

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    Coverage

    Reviewed Nov. 30, 2015

    My family has a Humana HMO dental plan through my husband's employer. Using one of the providers in our area, my children 7 and 8 years had to see a general dentist due to Humana only covering pediatric dentistry through age 6. Now the problem is that the general dentists don't do any work on children and refer to the pedo.

    I have tried to switch to other offices but am told the same thing - they need to see a pediatric dentist (not covered) because the adult dentists won't work on their little mouths. So I am paying for insurance that cannot be used for them. How are 7 and 8 year old children not covered for pediatric dentistry? They do not have adult dentition at that age, their mouths are not the same size as adults and can't fit adult X-ray sensors and instrumentation. There is no insurance regulation to protect my children from this situation. I have even contacted the insurance company to explain that the charges from one specific office are less through the pedo than the adult fees but they still don't cover it.

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    Customer ServiceCoverageStaff

    Reviewed Nov. 25, 2015

    When my husband went on Medicare Oct 2014 I called Marketplace to have him removed from the policy. They removed him from the application, but not the policy. I have been calling both Humana and MP to have this addressed. It has now been 8 escalations, 2 appeals, 3 cancelled policies and 13 mos later it still isn't resolved. The agents at Marketplace see the problem, but Humana's billing sucks. I've paid every penny... including 5 mos with my husband on the policy, because it took that long to get him removed after he turned 65. And they say I was cancelled due to non-payments. I went to the Dr once all year and Humana says I wasn't insured. I paid and I can prove it!!! I'm ready to sue this company for undue stress and aggravation. REALLY!!! This is bad!! I have no prob with the insurance... But the stress and aggravation is over the top. They NEVER call back like they promise.

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    Customer Service

    Reviewed Nov. 24, 2015

    I had had my left hip replaced on June 1, 2015, 3 weeks later I had a fracture, I was upstairs and had no access to information to call Humana. I called my local clinic and was advised to call 911, which I did, an ambulance was sent. They immediately sedated me with Fentanyl, as I was in shock and severe pain. I was taken to the emergency room, sedated again, and was rushed off to surgery. Humana denied my claim because I did not call beforehand for permission. You do not have to call for permission according to Humana staff in a life threatening emergency, which it was. They also denied my emergency room visit. I appealed and was still denied. This is ludicrous, what a joke this company is!

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    Customer ServiceStaff

    Reviewed Nov. 19, 2015

    I cannot stress enough to other readers to not buy through Humana. I am amazed they are still in business given their horrible customer service and complete disregard for their paying customers. I cannot wait to switch providers at the end of the year. To make a very long and frustrating story short, 8 months ago, they confused me and another woman with my same name who lived across the country from me in another state. I was being sent her private, confidential medical information and she was being sent mine. Unfortunately, this woman suffers from a chronic illness and is regularly hospitalized. I was getting her explanation of benefits from Humana multiple times per week over the course of those 8 months.

    I have logged over 12 hours on the phone with Humana and through emails with them, and not a single representative I talked to could or would help me find a solution. I was told over and over again that I would get a call back from that representative within 72 hours. No one ever called back. I had to take it upon myself to get this problem resolved even though, to put it in the words of one of their representatives, "This is a huge mistake on Humana's part." I have been battling with them to try to get the issue resolved and it wasn't until someone in the Colorado Department of Insurance took up my cause that they finally did anything about it.

    During this time, my claims were denied. I lost time and sleep (costly since I own a business and get paid through hourly work for my customers), and wasn't able to go to the doctor. Not to mention the stress caused by having your personal health care information shared with a stranger and the fear that your identity was being stolen. I know my case is probably extremely rare and I sincerely hope no one else has to encounter this problem with Humana, but I just wanted people to be aware, if their customer service was so bad with an issue as large a HIPAA violation and mixedup identities, imagine how they will treat you.

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    Reviewed Nov. 19, 2015

    2 years ago, I was laid off from a company and they erroneously offered COBRA through Humana Dental. I filled out the form and sent the check. Humana cashed the check and then notified me that FL does not offer Cobra for dental. This was in September of 2013. It is now November 2015 and I still have not received my refund. They have given every excuse possible as to why the refund still has not been sent. It is amazing the amount of trouble you have to go through to get your $40.00 back.

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    Coverage

    Reviewed Nov. 16, 2015

    BUYER BEWARE, Just found out that Humana, who I paid supplemental dental insurance to for years, just screwed me out of $500.00. I will NEVER be a customer or client of Humana again. I also will be submitting to FEHB (Federal Employees Health Benefits) and a recommendation to drop them from consideration, regarding supplemental dental benefits.

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    Sales & MarketingOnline & AppStaff

    Reviewed Nov. 16, 2015

    Contacted Humana after researching their plans for my healthcare needs (I did see a lot of negative reviews but contacted them anyway). I am below 65 but am on Medicare which their website says they cover and shows plans available for my state. The "licensed sales agent" said that they did not offer any plans for anyone below 65. I think that either their website is wrong which is a scam or their agent is not very good at his job. Will never contact them again.

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    Verified purchase
    Customer ServiceCoverageStaff

    Reviewed Nov. 13, 2015

    The savings in monthly premiums over comparable Advantage Plans are far outweighed by Humana's rejection of essential services by Humana's claim department. My Wife three months ago experienced a life threatening hemorrhagic stroke and her life hung in the balance and was saved by a neurovascular surgeon who gave her life saving surgery and removed the clot and saved her life. He was the only qualified surgeon within miles and he performed the surgery within 12 minutes. Now we find out that he was not a preferred provider and his services were NOT covered.

    Humana has rejected the only available doctor for the above services performed and as well as rehab required to assist my Wife in her recovery at an accredited facility. You can ignore what they tell you about coverages like length of stays at facilities (such as 100 days of coverage) as they cut off my Wife's rehab well in advance of the prescribed treatment plan she required. They are absolutely untrustworthy and a nightmare to deal with. Do not buy advantage plans from Humana. Their positive customer rating is a direct result of prior screening of customer calls and then only interviewing the customers who are happy with the OUTCOMES OF CUSTOMER SUPPORT CALLS!!

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    Customer Service

    Reviewed Nov. 13, 2015

    Humana denied my claim. I appealed the decision, they responded in writing, agreed with me & noted the claim would be paid. They reversed their decision, I was not notified. My account was sent to collection. They are now lying about the appeal, denying relevant calls, will not return calls or send me relevant documents that I'm entitled to per Medicare. I will continue to fight these bogus, uncaring liars.

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    Reviewed Nov. 12, 2015

    What a joke! Humana is refusing to pay any of my claims to a doctor I've been seeing for years because my wife added me to her Blue Cross Blue Shield. I understand, (I guess) Humana pays secondary but my doctor doesn't take Blue Cross Blue Shield, ComPsych. The Part D isn't paying either, now I'm screwed!! I will be out of pocket a couple thousand, when should my secondary pick up? I'm done with Humana. Cancelling before open enrollment ends.

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    Reviewed Nov. 12, 2015

    I had back surgery about a year ago & while out of town, I accidentally fell. I went to my local ER and when they billed Humana they write my ER visit up as non-emergency so Humana didn't pay my claim. When I called Humana & explained the situation they paid my claim... Right away... No questions asked! BEST MEDICAL INSURANCE COMPANY I HAVE EVER DEALT WITH!!!

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    Price

    Reviewed Nov. 11, 2015

    This makes no earthly sense. The plan allows for 12 visits per plan year to a chiropractor. However, chiropractors must get prior authorization or else they will spend the better part of 6 months trying to get paid by submitting and re-submitting copious amounts of clinical notes and reasons for the visits. Chiropractic care is much cheaper than seeing a physician. If the plan allows for 12 visits, then why all this hoop jumping? Shame on you Humana. This does not affect me personally as I only owe my co-pay, however, my chiropractor never had any issues with getting paid when I was on Anthem (God I miss Anthem) and is just another way Humana tries to get out of its obligations.

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    Customer ServiceCoverage

    Reviewed Nov. 11, 2015

    I have been with Humana now for 1 yr. The first 4 months I had no problems with them. On the 5 month they started dropping my doctors and refused to pay them. By the 6 month they no longer were covering my meds - $900 a month that I can't afford so I needless to say off all meds which is not good. I found a new orthopedics that still accepts this crappy insurance. However, they requested a MRI and CT that still has not been approved. Thank god December, I will have better insurance. Stay away from Humana. They will screw you over every chance they get. Oh, did I also mention 20 calls a day from them? Not exaggerating either.

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    Customer ServiceCoveragePriceStaff

    Reviewed Nov. 9, 2015

    Due to having a rare type of cancer I have been on Soc Sec for a few years now. In my state, Humana is the approved prescription provider through Medicare. For the last two years, I have been ordering medications through the mail-order service as it can be cheaper and provides 3 months supply. However most of the medications I need get denial after denial for not being on the list of approved medications because Humana caters to those of the typical Medicare-recipient age and not 34-yr-olds like myself. That is bad enough, but I have gotten used to still going to my local pharmacy for the other 6-7 meds I need. Three weeks ago I called Humana back to get a refill on something, ordered it, and waited patiently for the week+ it takes to get it. Once that time was up I called back and was told it was still in process.

    Days later, a new person informed me I had been CANCELLED AS A MEMBER unbeknownst to me due to an employee's major oversight and would need to resign everything. My coverage wouldn't start until Jan 1 of next year (which is over 2 months from now) and the orders I had in the system were deleted. Fast forward 4 days, 10 hours on the phone with 25 different Humana representatives later, it STILL has not been resolved. I cannot go to my local pharmacy even because my policy is still not active despite promises by multiple supervisors. My only option is to pay FULL price for it at my CVS.

    I have now been out of the very critical medication for over a week, so if I end up in the hospital, the absolute morons at Humana will be paying for my medical bills. Not a single person cares that my cancer medication is unavailable to me due to their fault. This is the WORST company I have ever dealt with and it's very sad that sick people like me have to spend all their time on the phone hoping for resolutions that never come no matter how high up the company we get transferred. Humana DOES NOT CARE ABOUT ITS MEMBERS.

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    Customer ServiceCoverageStaff

    Reviewed Nov. 8, 2015

    Humana canceled my MCR advantage HMO. My cancer center told me it was HUMANA who cut ties. Then Humana made me, a MULTIPLE CANCER patient call other SPECIALISTS & told me I would NOT be covered by their insurance! I even called HUMANA prior to sign-ups & they told me they will CONTINUE to take the plan I was going to sign up for... After 2 full months and missed cancer treatment visits, I contacted their Clinical Intake Team. They gave me 6...WOW visits to ONLY 1 of my cancer doctors with MAJOR stipulations. HUMANA has major Financial problems that is why they let AETNA buy them out. Please DON'T get any Humana plan. RUN don't walk away from these very uncompassionate HUMANA employees. If they did this to a cancer patient, they will do it to ALL of you regardless of your illness. I pray God gives you the wisdom to go shop elsewhere for a Medicare Advantage Plan! God Bless & Best Wishes.

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    Customer Service

    Reviewed Nov. 6, 2015

    To my friends and family please share this. I would like the truth to get out about the Humana insurance group policy and politics. I just want to tell you how much my family appreciates you refusing to give my mother in law her chemo. My daughter works for United Healthcare and knows you can make exceptions. The KU Cancer Center reached out with two appeals that were refused and you also refused our pleas. Even after you knew our hometown cancer centers had sent her home on hospice and this was her last chance. You made me realize that senior citizens are inconvenient to you and you have no empathy or heart.

    I promise I will, until my dying day, post on every social networking site and website and take this to local news channels because the public should know about your pompous director that wouldn't grant this dying plea to someone's daughter, sister, mother, grandmother, aunt, and great grandmother. I hope you're proud of your company and thoroughly enjoyed my review. Instead of wishing you harm I will pray for you, and ask God to never burden anyone you love with breast cancer or any other form of cancer. Hope your CEO reads this and shows us this was all just a big misunderstanding, but four levels of your customer service have made it blatantly clear they won't help. God bless.

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    Contract & TermsCoverageStaff

    Reviewed Nov. 6, 2015

    We have had Humana for the past year. I have dealt with many (10 plus) reps who don't know what they are doing. We moved and were first told we got a discount on our premium. Then a month later we were told we were being dropped because we moved. They extended our coverage because of their mistake. Just today I contacted them and was told we are being cancelled tomorrow. The "home office" decided not to honor their representatives agreement with us even after they took payment for coverage this month. I have one day to get new coverage! UGHHH!

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    Customer ServiceCoverage

    Reviewed Nov. 2, 2015

    For the second time in two months, I have tried to contact Humana Insurance, Lexington, KY. I am EXTREMELY DISSATISFIED with my useless insurance plan! I have tried by telephone on 12 occasions and several attempts online to cancel. I cannot get a live human being (if there are any there) on the phone nor will the site let me get in using the user name and password I set up with them. I called my credit card company, told them to no longer allow Humana to charge me automatically and filed a complaint because they already had charged me on 11/1/15 in spite of the fact it should not be billed before 11/3/15.

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    Customer Service

    Reviewed Oct. 31, 2015

    Had hip surgery Sep. 11th 2015, and naturally had to get approval from Humana, got it set the date and had the surgery. Three weeks after surgery, my doctor's office called and told me Humana is denying all charges because they saw this as experimental surgery. REALLY - I just felt like crying. I can't understand why they gave a confirmation number to have the surgery and then not pay the bills. I was given the name and number of someone in Houston that helps fight slimy insurance companies when these things happen. I haven't even told my husband what is going on. I'm hoping to get this fixed on my own, but I feel like I have been hit by a mac truck.

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    Customer ServiceStaff

    Reviewed Oct. 31, 2015

    Am currently enrolled in a prescription Drug Plan D for 2016. Received a letter from Humana's Plan D enrolling me in theirs. They also sent me an enrollment card to carry. I called Humana, gave them the ID number they sent me, and was told no such ID number was on file. Operating like this cannot possibly be good business practice - extremely confusing to seniors. Shouldn't someone stop them?

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    Customer ServicePriceStaff

    Reviewed Oct. 30, 2015

    Humana call center employees are obviously overwhelmed with the system changes Humana has implemented. They cannot tell me why my payments aren't processing when they are supposed to, they can't process my payments and now they're charging us 3 payments at once!!! In what universe is it ok to charge someone 1600$ at one time because of their system errors?! One of the reason I used auto draft for all my accounts is to maintain a budget. If the money isn't there I can't spend it! Maybe that's irresponsible but that's how many people use auto drafts so if Humana can't manage it -- just have us send checks like we did in the dark ages.

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    Customer Service

    Reviewed Oct. 29, 2015

    I switch jobs recently, they offer medical insurance. I was previously on my wife's insurance with her employer. I was going to stay on my wife's plan, but her company would charge her a $150 surcharge if I am offered insurance with my employer and choose to stay on her family plan. So I changed to Humana. So of course my previous doctor is not in-network with Humana. After 5 hours of looking for a in-network doctor I found a new doctor's office and doctor, went for my first appointment, expected to be paid in full after co-pay. I get a claim letter indicating out of network from Humana. They tell me it is out of network! I am so pissed.

    Come to find out the doctor in the practice I found on the in-network list was not available, so I took the next available doctor in the practice. Come to find out, the doctor was not listed on the Humana list because the practice credentialing department has not updated their doctors list with Humana. After speaking with the customer service morons at Humana, they tell me even though they the practice is listed, the doctor must be listed also. They refuse to make any exceptions or to fix the problem. I must have called them 12 times to no avail. What a mistake to go with Humana. I will pay the surcharge and go back the Blue Cross and Blue Shield. PS I did send a letter to the Grievances and Appeals at Humana, not expecting them fix the problem. They suck, and by the way, thank all this to Obama Care!!!

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    Customer ServicePriceStaffProcess

    Reviewed Oct. 28, 2015

    First, I'm not a paid reviewer to praise or diss a company or service. I'm writing this review because it will soon be time for Medicare's open enrollment in November and I want people to know the kind of service they can expect. I currently have the Humana Gold Plus (HMO) with prescription drug coverage. When I enrolled in this program last year, drug prices were set in their formulary and I expected the prices to be good while in the plan. This wasn't the case at all. Humana immediately increased the prices of their drugs as soon as the plan became effective on Jan. 1, 2015 or bumped the ones I needed to a higher tier. Drugs that I came to rely on were suddenly more expensive with no reason for it.

    When I called Humana customer service, the person at the other end was worthless and I never got an answer even after trying again. My wife also enrolled in this program and the drug costs she incurred were considerably more than what she expected. She has a chronic illness and because of the ridiculously high costs of her prescriptions she couldn't even manage the copays. Of course this resulted in our reaching the dreaded gap much sooner than expected. We rely on our Social Security to make ends meet and this was a financial hardship. Humana also billed me for services I never had or even heard of. I noticed that in their monthly statement they tried to bill me without even showing the physician providing that particular service. I did contact them and they removed the service but no explanation followed.

    If you choose this plan, be sure you read your statement thoroughly. Humana hires contractors for their customer service and the ones I've dealt with either don't know the answer or have to look it up. Needless to say, this doesn't instill any confidence because you don't know whether the information is accurate. In most cases it isn't. I've never experienced a "perfect" health care provider but Humana is by far the worst. I will not sign up with them again and will find someone else.

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    Customer ServiceStaff

    Reviewed Oct. 25, 2015

    Humana is the worst insurance company I have ever dealt with in my 52 years of living!! They are my secondary insurance that my husband paid into for the family as a PPO. My HMO was much better. Out of 9 prescriptions out of pocket I had to pay they did not pay one of them or even a percentage. Now getting my attorney to look into this. I called them 14 times and got such a run around it was ridiculous. Now I'm done and will be sung them at this point: They are the worst EVER!!!

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    Customer Service

    Reviewed Oct. 24, 2015

    I have tried to get my Advair inhaler Tier 3 Drug changed to a Tier 2 which would lower the co-pay from $184.00 to ?. I pay over $900.00 co-pay from July to December (the doughnut hole). I ask for the best program and cannot believe I even have to pay extra co-pay. I still have not heard from Humana. I called Humana Oct 19, 2015. I was transferred around and had 2 hang ups and had to call back. Never got an answer. I also went online to my Humana website and no answer there either. On top of this they have me paying two accounts, one for my medical and one for my drugs. They mixed up the accounts twice and caused my medical policy to cancel. I have an appt with a new company Monday. I am done with Humana 1/1/2016.

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    Staff

    Reviewed Oct. 22, 2015

    Humana is the worst, most disorganized and unprofessional insurance company in the USA. I'm a physician and a claim from a patient's surgery from March 2015 was subjected to a benefits review. And it was deemed unnecessary and the patient had a huge cancer! They argue that since the patient had an initial exam the subsequent surgery was not needed. Hello, the initial exam was to determine what was wrong with the patient and then the decision/schedule for surgery was for 1 week later after the initial tests... In sum, they're liars and they're trying to recoup the money for work I did, threatening to send me to collections. ** them. If they do they can take the money and I will never see a Humana patient again. People, do not buy Humana and realize they're bilking you and doctors as well.

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    Customer ServiceOnline & AppStaff

    Reviewed Oct. 21, 2015

    Humana provides very poor customer service. I have to call them to correct almost every claim submitted. When selecting a doctor shown to be "in network", Humana then tells me he is really not "in network", and will be removed. Then I'm told he is "in network", but the billing was sent with the wrong professional service code and is really "in network", then they tell me he is again showing to be "in network", but is not "in network". Still showing on their website after all these months as an "in network" provider! I give up! Since it is open enrollment, I will be choosing another medical provider for 2015. Don't waste your premium dollars on Humana!

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    Reviewed Oct. 21, 2015

    I belong to an advantage plan from Humana. My Primary Care Doctor Just up and quits the clinic I go to - no notice. I am notified two weeks later. Call to get another Primary Care Doctor, cannot see a doctor until the new request goes into effect. In three weeks. I am told I can see any Doctor at my cost, not theirs. Or go to the emergency room. That is the way seniors are treated by Humana.

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    Customer Service

    Reviewed Oct. 20, 2015

    All I want to do is notify Humana of my new address. 6 or 7 calls over three hours of holding, transfers, dropped calls later and this is still not done. This is true third world customer service at ripoff prices.

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    Price

    Reviewed Oct. 19, 2015

    I pay thousands and thousands of medical bills every year with Humana! I just changed today to start new year WITHOUT Humana, and with new plan I will never see a hospital or doctor bill! I'll only pay $100 a month more to have new plan. Much cheaper than the $10,000 I'm paying this year! Ridiculous plan!

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    CoverageStaff

    Reviewed Oct. 18, 2015

    Humana is a joke! I'm a spinal cord patient for 6 years. Blue Cross paid over 300k when I broke my neck. My individual plan was cancelled when Obama care rolled out - POTUS said were really the individual plan that doesn't count. I signed up for Humana - $525 a month. $75 MORE - I suffer from chronic nerve pain somewhat mobile. In Jan I started on a new drug with less side effects. My Dr. pre-authorization - I filled it - it wasn't covered $568! I received a letter stating I needed step therapy and try Oxi or morphine, both dangerous and ineffective drugs for nerve damage!

    The letter was signed by medical director - I Google the Dr qualifications which were rated 1 - 2. More denials signed by different "medical directors". 1 was a rheumatologist. I called his office for an appointment. The secretary stated I'm a spinal cord patient, he doesn't treat this condition. So how can Humana use him to deny my medicine? I've been given the runaround. Reported everyone to FTC and attorney general for fraud and deceptive trade practices. I'm still stuck with the bill.

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    Customer ServiceStaff

    Reviewed Oct. 17, 2015

    I have been trying to see a doctor for past few months but most of the care providers listed at Humana database does not respond or when I get the appointment, I do not get to see the doctors for reasons such long period of waiting, forgotten at the doctor's office to be called or the doctor is on vacation. But we as patient do not know until we get there so we end up with a nurse???

    Humana also does provide the information upfront related to the specialist included on the my or the need to see a primary doctor prior to see specific doctors such as Dermatologist??? I was told that my primary doctors could set the appointment but once I called to complain they said that it was not necessary??? So a terrible service and like to have my monthly payment credit for lack of services by Humana as the gateway to the doctors SO AS THE DOCTORS CO-PAYMENT CREDITED... List: (Community Health of South Florida (Went there twice and never able to see the doctor) paid $20,00 co-payment University of Miami Health System - Dermatologist Tel: ** - ( Forgotten inside of the Doctors office without clothe extremely cold) I left and register my complaint with Humana) paid $35,00 co-payment never saw the doctor???

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    Customer ServiceCoverageStaff

    Reviewed Oct. 17, 2015

    I called Marketplace in 2014, before Obama's healthcare deadline for all residents to get insurance. I chose a plan with Humana as my insurance company. In my first plan, I only paid $1.50. After that, in 2015, talked to a rep and decided on a plan I would only have to pay $23.50 as monthly premium. I only made one payment. After that first payment, it has turned into a nightmare for me. When I would call Humana to pay, I had to call Marketplace and do a conference call with them, with Humana rep and a Marketplace rep, due to that they had different information. I've had to do this every month up until now, every time I call. I suffer from Lymphedema, high blood pressure, high cholesterol and pre-diabetic. I cannot afford to have this kind of disputes because I need insurance. They terminated my insurance because of lack of payment. I only paid the amount I agreed upon.

    What one representative told me in one of my calls was that the first agreement I had made was never put in software, so Humana enrolled me automatically in another insurance plan. When I would call Humana, they would tell me they had to go by their last enrollment. I bought another insurance, but that insurance did not cover specialists, compression pump machine, so I had to go back to Humana. Once I went back, they added up what I owed. I am low income, a widow and disabled. I would have never agreed in paying $113.00 a month because I am on a budget and cannot afford to pay that amount. I am a senior and I do not work. I only receive 2 pensions.

    Now the bill has gone up to 413.00, which I definitely cannot pay even less. So my insurance has been denied again until I pay the $413.00. I call customer service and there is not one person that could do anything for me. Nobody seems to be able to help me. I want that amount waived and nobody seems to be able to do anything for me. It has been a vicious cycle and this has caused me to have major anxiety, since I also have to buy medication in a monthly basis, so I can survive and cannot afford to have my insurance terminated. There is nobody in the marketplace or Humana that could do anything for me or help me in any way.

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    Customer ServiceStaff

    Reviewed Oct. 12, 2015

    I went to my pharmacy that I have used for years to get a prescription for Crestor. On 9/6 I had gotten the very same prescription filled and paid $45.00 out of pocket. One month later 10/9 when I picked up the prescription it cost me $122.13 out of pocket. I did not understand so I called Humana, but I don't think the rep knew why either.

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    Customer ServiceStaff

    Reviewed Oct. 12, 2015

    I have told Humana customer service at least 5 times, I don't want to participate in mail order drugs... I have ask to be put on the do not call list, and I still get calls. Is this constant calling trying to force seniors into something they don't want? I think so.

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    Customer ServiceCoverage

    Reviewed Oct. 9, 2015

    I recently got insurance with Humana and the experience has been HORRIBLE! I need to get a prescription filled. I have been taking it for 10 years. It is not a narcotic. I called my primary care physician. Today is 10-9-15 and was told I could not get an appointment until the end of November. I explained that I need to get a prescription filled and they will not fill it until they can see me in Late November. I called Humana and was referred to an Urgent care facility.

    I went to the Urgent Care place and was told I need to get the prescription filled by my primary care physician only! I told them I am running out of my medicine and they said "we will not fill it. You must see your primary care physician." I called Humana again and they said "you can change your primary care physician, but it will not update until November 1" - when I will be long out of my medicine. Humana provides me with no option to get my prescription filled. If you want to pay for NOTHING opt for Humana!!! They are happy to let me rot and die.

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    Customer ServiceContract & TermsPrice

    Reviewed Oct. 7, 2015

    We are a provider for Humana Plans with the exception of Humana HMO. We filled out the paperwork back in January 2015. We have a large volume of Patients that have changed to the Humana HMO due to the high cost of other Medicare Advantage programs. On June 10th we received confirmation that our contract had been approved and we could start filing claims. This went well for two weeks - not sure if it was even two weeks. After two weeks all our claims were denying stating we were out of network. I contacted Humana stating the problem. They said they would look into it. There has been several emails telling me that I have to be patient they are working on the problem. That started in July. Here we are in October and then still have no answers so I will contact Insurance Commissioner next. Consumers need to be aware if it's cheaper you get what you pay for!!!

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    Customer ServiceSales & Marketing

    Reviewed Oct. 6, 2015

    The plan is satisfactory but the service is horrible. I have never called and waited less than 17 minutes and almost always have to be transferred. Their communication is awful. We ordered regular meds and when not received we had to call them to see why. Even though I had given them my cell number they said they were not able to reach us because they had used the wrong number. They seem to be able to send me multiple ads to my email but could not reach me through that? We have to send in the same forms multiple times. We will be changing at open enrollment.

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    Reviewed Oct. 3, 2015

    I had to have emergency surgery. Now they are cancelling my insurance. After reading all the bad reviews I see this is going to be a long fight.

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    Coverage

    Reviewed Oct. 2, 2015

    I'm writing on behalf of my mother who has been suffering for the last 6 months with her teeth, mouth and blood infections!!!! Her teeth started breaking off at the bone. She has been to several dentist who has recommend an oral surgeons. She has had several appts. with them and along with her family physician for infections, thrush and also a blood infection in which she had to be hospitalized. All have told her she needs major surgery to get the rest of her teeth out of the bone. I'm not talking about just one - this is all of her teeth.

    She can no longer eat any solid food. It is also affecting her organs and her blood pressure. Humana has denied her coverage under major medical and has refused to pay any doctor visit and her hospital stay due to the blood infection from her teeth. This just makes me sick - the way insurance and government treats our elder. They have paid all their life while working and receive nothing when they retire but Grief, Pain and Suffering. I would never recommend this insurance to any other person. I can only hope that a class action lawsuit would come against Humana Medicare.

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    Customer ServiceCoverage

    Reviewed Oct. 1, 2015

    I selected Humana through ObamaCare. I suppose they're an okay company as long as your healthy and visit your primary only for annual physicals. I developed Osteoarthritis in both knees. It's apparent Humana operates on agreed discounts with very little monetary contribution payments to providers. I've been trying to get viscosupplementation injections to my knees and keep getting denied because their paid off doctors who review the claims state I don't need it. Meanwhile, cortisone shots are good for about a week (they only pay 25.00 for a $100.00 shot). I take tylenol #3 and etodolac like M&M's and getting no relief. God only knows what this is doing to my liver, kidneys and possibility of stroke or heart attack. Purchased a recliner lift chair to help with getting up, most times I sleep in it because the knee pain wakes me up in bed.

    I've asked my Orthopedic Surgeon what's next and will Humana cover total knee replacement in both knees? Still waiting for an answer but not holding my breath. I'm sure Humana's paid off medical doctors will deny it without offering any viable alternative. It's ironic that their first doctor denial was from a pediatrician, 2nd from a ER doctor and third was from a Internist that's not even listed in Health Grades or shows a practice. They also consulted with an Orthopedic Surgeon but declined to release his name probably to protect him from malpractice. So the opinion of Humana is they only approve procedures where their agreed discounts and patient participation will cover it. I'll let you know if Humana approves the knee replacement along with physical therapy or my post op programs.

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    Customer ServiceStaff

    Reviewed Sept. 19, 2015

    I spoke to (7) CSR's regarding the reason for the denial of my claims. All with different answers... Finally, I spoke to the Board of Directors who contacted the resolution department. My provider filed an appeal and this was denied because the treatments weren't considered a "Medical Necessity"! My doctor provided in depth medical evidence which they disregarded... This problem has been going on since d 5/29/15. I will never go back to Humana again. I have never seen so much incompetence and poor customer service. Anything that they can do to get out of paying the claim they will. That being said I am changing to another insurance company in January of 2016 when I am able to change. Take it from my experience with these people, do not choose them as your insurance company! I gave them the lowest rating. They have caused me not to get the treatment I deserve!! AWFUL...

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    Customer Service

    Reviewed Sept. 16, 2015

    Humana Pharmacy sucks. Twice, my prescription for INSULIN was cancelled without explanation. No courtesy call to tell me. Just left me waiting. Paying a little more at retail is better than having medication unceremoniously cancelled.

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    Customer ServiceStaff

    Reviewed Sept. 10, 2015

    I went to my local pharmacy two days to refill my insulin prescription. The pharmacist said that Humana was refusing to refill the prescription stating that I was taking too much medication. I tried six times to get through to the pharmacy. The girl who answered the telephone (who the customer service rep had told me was a pharmacist) was helpful but when I asked questions about the insulin, she could not tell me specifics.

    I knew then that she was not a pharmacist and asked her to connect me to a pharmacist. She sent me to a woman who said she was authorized to make overrides to denials of medications. She told me she could not give me an override on the amount of insulin I was requesting because the pharmacist had said I was on too much medicine. I asked to speak to that pharmacist and she told me I could not because she was the only one who could make overrides. And guess what? She wasn't a doctor or a pharmacist either. She became belligerent when I asked her how she could make overrides if she was not familiar with my case and was not qualified to answer questions about drug amounts. How can a mean employee on the low end of the food chain trump my doctor's prescription?

    He knows how much I need based on my blood sugars. She said I had offended her and continued to be loud and said she was gonna disconnect the call. I demanded to speak to her supervisor. She put me on hold to connect to the supervisor, and after another long hold, she hung up on me. I was on the phone for over 2.5 hours trying to resolve this issue, was shuttled to six others who then transferred me to this evil woman. And I still can't get my insulin. How is that for excellent customer care?

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    Customer ServiceStaff

    Reviewed Sept. 10, 2015

    I applied for credentialing on December 23, 2014. The 120 day process has passed. It is 09/10/15 and they have never called me back after 10 phone calls, 5 emails, 2 escalations and 2 supervisors. I cannot see Humana patients until they get off their **. This is ridiculous. Every other company I have dealt with credentialed me within three months, some a matter of weeks. I have insurance, license, tax ID, NPI, business license, bank information. This is gross negligence. I can't run my business with this lack of follow up. If your doctor doesn't take Humana, this is why.

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    Customer ServiceCoveragePriceStaff

    Reviewed Sept. 9, 2015

    Last year my health coverage was dropped by Humana. I complained to the state, after Humana didn't want to do anything about my coverage on a mammogram that wasn't paid out as a result of them dropping me. I sent all my information to the state complaint board. They sided with me. I finally heard back from Humana… months and months later, stating that I can now be reinstated but at that point (of no coverage) it would have cost me $1,600. Months later, I found the "dental" part of Humana still be charged to my account! So, evidently you have to call them separately to discontinue that aspect of the insurance.

    So, I called to cancel. End of story, right? WRONG!! It was being auto drafted to an account I rarely look at. Upon looking at my account a few weeks back, I see… Guess what?! So, in total I've been charged over $350 for a service I not only cancelled but never used. I called to discuss this with them, and guess what? There was NO notation of my prior phone call to cancel the dental insurance! Now I see why there are sooooo many complaints about this company. It doesn't take much digging to find a lot of dirt on this crappy company. Employee and Reference # for Humana Complaint: Employee # **; Reference # **, re: Shauna ** & Cancellation.

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    Customer Service

    Reviewed Sept. 8, 2015

    My mother had a major heart attack and stroke due to the ineptness of her primary care physician Dr. Sudha **. She spent 4 months in the hospital and assisted living facility. She was abruptly released and given just a week to find another doctor and cardiologist and 24-hour care since she is now paralyzed. I have spent countless hours on the phone with numerous service representatives and supervisors over the course of a month trying to get this done. I have now been told that they have finally switched her doctor - but it won't be effective for another month! She needs to see a cardiologist and I can't take her anywhere but back to the doctor that nearly killed her. I have no recourse as the people who apparently make the approvals don't take phone calls!

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    Customer ServicePrice

    Reviewed Sept. 8, 2015

    Humana stock answer to requests for payment is "not deemed necessary." I am a nurse with 40 years experience. I know the blood work ordered by the physician is absolutely necessary. So far, a very minor surgery has cost me close to $400.00. I was not informed ahead of time that my out-of-pocket expenses would cost this much. I would not have had the surgery at this time if I had been informed of the out-of-pocket expenses. I am sure I am going to receive more bills in the future. Customer service is a misnomer. Customer disservice is more accurate. I am thinking a class action is in order.

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    Customer ServiceCoveragePunctuality & SpeedStaff

    Reviewed Sept. 8, 2015

    As soon as I was eligible for Medicare I was bombarded with nice people calling to sign me up with Humana. They made it all sound perfect although call took about 2 hours in total just to sign me up. 2 months later I moved and they told me how good Humana was in Florida where I now live. They gave me the name of a rheumatologist whose name I needed before I moved as I need to see someone monthly. After going to him I was denied coverage as I was told they were out of network. I called (put on a total of 3 hours of hold time, going thru 6 different people) that doc was not in network although they referred me to him in first place and doctor says he is network.

    They said they would review and denied payment a second time. Aside from that they also denied lab work from Quest because they said person from Quest office completely submission form incorrectly. They also told me I would have a caseworker and I have yet to be assigned one. I could go on but I am soooooo angry I can't invest another moment on this company. Looking for another one tomorrow. NOTHING THEY PROMISED CAME TO FRUITION! Lastly, it is nearly impossible to call and reach someone!!! One recorded message after the next. Can someone from CF call me back at **... please.

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    Customer ServiceStaff

    Reviewed Sept. 4, 2015

    I have had the same team of Oncologist, Hematologist and Radiologist for almost two years since I was diagnosed with breast and uterine cancer. I see my Hematologist, Oncologist for medication monitoring and examination. I received a letter denying recent service stating "it was deemed not to be medically necessary." Of course I immediately contacted Humana at their toll-free # to ask for an appeal. Six customer service personnel and 2 days later I get someone of "authority" who basically starts to read the exact letter I have in my possession. I stop the person and they get an attitude. They advise me to write a letter of appeal... back at square one. Up until this point in time I had no real complaints, but this came totally out of the blue... now what?!

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    Customer Service

    Reviewed Sept. 4, 2015

    I moved last January from Georgia to Louisiana. That time I called Humana and told them that I wanted to end all of my business with them, because I wanted to shop for new insurance. I'm still getting charged and it is September. Every month my account was drafted three times. In January I was able to get to stop the premium, however I was still getting charged two smaller payments. After being on the phone with them about 6 times and talking with over 30 people I'm still getting charged the smaller payments. I just want them to stop taking money out of my bank account.

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    CoverageStaff

    Reviewed Sept. 3, 2015

    I was on the phone for 20 minutes this morning to see if a potential admission would be covered. Admit would have Medicare primary. Why would you need procedure codes for a medicare supplemental policy? Then he asked if we were a preferred provider, I said I was unsure and he took forever to say he needed to look this up. He never did tell me if we were preferred or not. When he finally said the benefits were finally available to view, I do not believe he gave me the correct information. He was hard to hear and his accent was not easily understood. I do not believe he was trained to understand what I was asking for.

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    Customer ServiceCoverage

    Reviewed Aug. 27, 2015

    I went to pharmacy & gave insurance info. They then told me I wasn't covered or in system So I had to pay full cost. Next morning I called help line & she fixed problem as I was online. Within a couple mins pharmacy called w/ news of refund & all is good.

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    Customer ServiceStaff

    Reviewed Aug. 20, 2015

    I filed a Grievance and Appeal for approval of this procedure that is affecting my business and personal life. I am a 73 year old adult male and work as a Real Estate Agent. The appeal is "pending" and I am hopeful that they will approve it. Their customer service response is the worst I have ever experienced. They do have some good reps but I believe that many are not properly trained and/or have guidelines that are set up to discourage the customer. I have spent as much as a hour or more on various occasions and have been disconnected several times. It is also hard to find out who is "in network" and who is not.

    I am a licensed Health Insurance Agent and have been for over 30 years and I have Never dealt with a company as bad as Humana. We moved to Virginia the end of last year and our Insurance Co we had for 5 years in Florida (never had a problem with them), so we went with Humana (Big Mistake) and we will certainly change for next year. If you look at the reviews for Humana on the Internet you will find most all ratings are 1 star (out of 5). I will be happy to go into more detail if needed. This company is all about (profit). Why are they approved by Medicare and the State of Virginia?

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    Reviewed Aug. 8, 2015

    My personal care DR wrote an an order for a CT SCAN. I went to an approved provider whom stated they received preapproval. I had the CT done. Humana then refused to pay for it saying I didn't get a referral from my PCP. If the PCP wrote the order who is the referral to. I went to my PCP went to an approved imaging company who got preapproval and Humana refused payment. This plan has too many rules and is too complicated for an older person.

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    CoverageStaff

    Reviewed Aug. 6, 2015

    My mother was enrolled in the HMO plan thinking she was enrolled in Rx coverage only. Now that she is in the system, she cannot get to see a DR (Geriatric Psychiatrist) she needs according to her regular dr. We have been battling with Humana for 3 months to go out of network because NONE of the drs on their provider list are taking patients or even deal with outpatients. The last doctor they told us was contracted with them as a Geriatric PSYCHIATRIST is actually a Psychologist and cannot help with the concern.

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    Reviewed Aug. 4, 2015

    They preapprove and then decline. Their pharmacy is the worst I've experienced. I've spent more than my yearly out-of-pocket, yet they say they "researched" my issue and their numbers are correct. They don't even have my medical receipts, but they declared it "researched." Never again.

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    Customer ServiceCoverage

    Reviewed Aug. 4, 2015

    Sign up for coverage then they had an error on the application. Started a new application and supposedly deleted the first. I was getting charged for two insurance policies. They never closed the first. They said they would delete the first again. I told them I was going to the orthopedist. I didn't want my coverage cancelled and they said it won't be cancelled. You still have the 2 application with coverage. I went to the doctor and got a call from them that I have no coverage. Although I have been paying on the insurance.

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    Staff

    Reviewed Aug. 2, 2015

    None of the great hospitals in Chicago have any doctors that will accept Humana Gold PFFS. Nor will any doctors at the merely 'good' hospitals. I actually did find one hospital 15 miles away that has docs that will take Humana. I am not a doctor however, I have symptoms of a disease that will kill me if not treated immediately. So I have been trying to get diagnosed since MARCH. And the soonest this GI doc can see me (for a 5 minute talk to order a test) is mid SEPTEMBER. Humana takes your Medicare and decides who and how much to pay. Do not go near this company. A notice of my obituary and invitation to a memorial service will be available on Facebook.

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    Customer ServiceStaff

    Reviewed Aug. 1, 2015

    Humana will deny all claims. Even if they are pre-approved. Sounds like the movie, well they are. And then it starts. Calling and talking to a rep. again and again and again. Check the reviews before you sign up with them. Then choose another company.

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    Customer ServiceCoverageStaff

    Reviewed July 31, 2015

    Have been with Humana for several years. All seemed fair, until this past December when I had to update. The man I talked to assured me I would save money (I think he must be a car salesman). Well after all was finished I thought, "Good, now I will save money." Well first thing I find out is that I just signed up for a policy that's got a $300.00 deductible. My older plan was $100.00. Well, I got screwed??? Car salesman?? OK I will get through because by this time I almost had paid $ 300.00. Well, I reached the $300.00 deductible. Now I can start saving money. To my surprise I must keep on paying. That low-life car salesman got me again. I have now paid more than $450.00 and there's no end in sight. I called, talked to Humana but they have so many reasons why they are able to steal my money and not give coverage. I will assure you ASAP I will find another insurance company. Hope they don`t employ car salesman.

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    Reviewed July 29, 2015

    I selected Humana from the marketplace - mistake number 1. I needed coverage that had doctor visit copays and prescription copays. I am diabetic. Humana declined two of my preferred prescriptions outright. The third preference had a copay which was higher than the premium I pay each month. Being retired and working part time I cannot afford the medication. Humana declined payment on routine blood work prescribed by the doctor to monitor my HA1C. No reason given. When my wife was transported to the nearest hospital for an emergency, we were informed that the hospital was not one of their preferred providers, therefore they would not pay the charges. The hospital in question is 4 miles from where we live and the preferred hospital is 17 miles away. After much debate, they decided to only pay a scaled amount of the charges leaving us the remainder. None of this was applied to the deductible that I could tell.

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    Customer ServiceCoveragePunctuality & SpeedStaff

    Reviewed July 29, 2015

    This particular odyssey involve no less than 12 Human "customer service" reps. Moving from Nebraska to Mississippi in 9/2014 I had need to insure coverage elsewhere, as modern health insurance policies are imminently more restrictive service-wise as well as geographically. I had the first "customer service" rep Meagan confirm to me THREE times that I will have NO lapse in coverage. Of course that ended up not being true as confirmed 3 months later by 2 separate "customer service" SUPERVISORS in 1/2015. They also told me that I would have coverage in Florida. This TOO was not true and they ended up informing me that I actually had NO coverage in Florida and that again I was told wrong, C'MON!! During that time I had a claim in Miss. which the provider AND Humana stated I had no coverage for, so 5 months later I unexpectedly get the bill, so I was forced to pay the claim myself.

    See if this sounds familiar; "We're sorry Mr. West you had so much difficulty with previous representatives but I will help you." Same ** cookie cutter statement the next 9 or so gave me too. NOW in 7/2015 I'm told that I actually did have coverage and that the 5 or 6 reps who told me I had no coverage were all wrong. We're talking supervisors here giving me apologies and assurances. So now having been told by Humana that I had coverage, that I didn't, and finally that I did, but having already paid the bill, a supervisor told me that it is up to ME to get my money back. I have to contact the provider, I have to show proof, I have to possibly drive 4 hours to AGAIN fix Humana's narcissistic incompetence. NOW they've sent me another bill for Further insult to injury despite the fact that Humana has confused, misrepresented and denied responsibility at every opportunity.

    Unlike every other insurance company in the world, Health, Auto, Life, etc., where customer out-of-pocket or overpayments are rectified in one simple electronic or company bookkeeping maneuver, Humana has NO process for settling overpayments by the customer. They ** sure have an accurate system for taking customer money and they hound and send copious amounts of documents to ensure they get THEIR money. But you are screwed if you ever have to recoup moneys lost due to the prevailing stupidity, incompetence, greed and customer disservice one gets from Humana.

    They took my Federal funds to pay for the plan, billed me, told me I had coverage when I didn't, THEN because they, as the supervisor said, "Have no 'process' for rectifying their multiple mistakes". Greed coupled with stupidity, incompetence, apathy and unending confusion DESPITE it being all on computers and the year 2015; welcome to Humana.

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    Punctuality & Speed

    Reviewed July 29, 2015

    My father fell & we found him 13 hrs later. ER puts him in as observation then the next day he is changed to admitted in-patient. 3 midnights served (like they need) and he needs inpatient rehab and wound care. Denied access to inpatient rehab and may have to go to skilled nursing for sub-par therapy. BUT, they are trying to deny his whole hospital stay. RUN as fast as you can from this company. They are only interested in saving themselves money not your health care. Can't wait until I can pull my parents out of this!

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    Customer ServiceCoverageStaff

    Reviewed July 25, 2015

    We have Humana insurance because one of our employers dropped our BlueCross plan and switched us to Humana in order to avoid a premium hike. From day one of the Humana insurance kicking in, we've had nothing but problems. The very first medical appointment payment was not applied to our deductible because the provider was "out-of-network," yet Humana sent us there in the first place! There are almost no medical providers in Humana's network in our area and those that are, are poorly rated. We had an emergency, 911 sent an ambulance, the ambulance took the family member to the nearest hospital, and Humana denied most of the payment because the ambulance and hospital were both "out-of-network." That isn't even legal!

    I had a medical crisis a few months ago while living in another state and Humana had no medical providers at all in their network in my state. I waited two months to get into a specialist because I needed a waiver from Humana accepting a specialist as "in-network." I finally got one for the only specialists' clinic in the state that specializes in my condition, but it was for only one visit and nothing else. The specialist and an insurance agent assigned to work on these matters finally managed to get a waiver for this physician for one year and I had necessary testing in his clinic. He said I needed immediate surgical intervention to prevent damage to my heart at best or death at worst.

    The insurance agent person got the authorizations and verified that the specialist had them. The specialist's office staff said they got the authorization for the physician to do the surgery at his usual hospital, the biggest in the city and state but out of Humana's network. I'd made it clear I would not bankrupt my spouse over medical expenses so I would do nothing without authorizations from Humana. Because I was told all authorizations were in and verified, I went ahead with the procedure.

    Well, now we are receiving "overdue payment" notices from the hospital, the specialist, and all the behind the scenes people patients don't know about until we receive their bills, totaling $72,000.00. Of course, we've also already paid our co-payments and co-insurance payments. The $72,000.00 is on top of those payments. Humana has paid between $3,000.00 and $4,000.00 and denied everything else as "out-of-network." Also, because they didn't come close to meeting the Usual and Customary standard for the state I was living in when I had the surgery, almost none of what Humana says we owe is being applied to our deductibles!!

    We did everything we were supposed to do before we sought medical care, and we did everything Humana told us to do to straighten out the problems, but it's made no difference at all. The bills just keep growing higher, and today the specialist's clinic called me and told me that not only is Humana refusing to accept as in-network the hospital it authorized, but now Humana is claiming I never had authorization for the surgical procedure at all! Humana is claiming they never authorized anything but the initial office visit to the specialist!

    Regarding prescriptions, every single time we go to renew an Rx, for drugs we've taken for years with no problems from an insurance company, Humana denies them and forces our doctors to spend inordinate amounts of time giving Humana far too much of our private information that shouldn't be necessary to establish medical need. Our providers are fed up and my spouse's doctor told him this week that his office will not do it for Humana anymore. My spouse is just out of luck. Now he has to figure out what to do about not having the medication that has given him a normal life and preserved a major organ for the last 20+ years! Humana even denied my cheap, synthetic thyroid hormone medication I've taken for ten years and need for the rest of my life!

    Now I'm in a different state, with no primary care physician yet, and I don't know who to go because the choices are so poor, and when I need to renew another prescription, Humana hasn't already hassled me over yet, I won't have a doctor to ask to jump through Humana's hoops. After reading the reviews of so many people damaged by Humana, I figure the next thing will be Humana trying to force me to use its pharmacy. At this rate, we won't be able to afford to keep the job that is providing this joke of an insurance plan. It will have gobbled up a year's salary half way through our first year on it! Humana should be fined by the federal government and by all states with laws it is violating, and removed from any and all federal and state government contracts.

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    Reviewed July 23, 2015

    I wrote Humana requesting a new primary care doctor. This is my first year on Medicare and I went with Humana Gold Plus. I did not know that much about the doctors in the area. I did not particularly like the doctor I selected and requested to be changed to Dr. ** in New Port Richey, FL. I am just being ignored by the local office and corporate Humana. This should not be a big deal in the first year. I have been with Humana for many years but my previous doctor is not on the Gold Plus Plan. If necessary, I will switch to a PPO plan in January but right now I want to be changed.

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    CoverageOnline & AppStaff

    Reviewed July 23, 2015

    I have been trying since March to find an eye Dr who will accept the Humana medical insurance to get an eye exam. This is the absolute worst insurance company I have ever dealt with. They have sent me 3 different lists of providers that they say will accept their medical insurance for an eye exam. Each time they apologized for the prior person giving me the wrong list and assured me the one they were sending was valid. In every case they have not worked and none of the providers I contacted will accept their insurance. They even sent me detailed instructions on how to do my own search on their website and I am getting the same results -0.

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    Verified purchase
    Customer ServiceCoverageStaff

    Reviewed July 22, 2015

    I recently changed from Blue Cross to Humana National POS. First I was somehow given the wrong coverage. They didn't know exactly what the customer service provider did wrong so they agreed to change it to the correct coverage. Then I was billed twice one for the account they first gave me that I canceled and one for the new account. I called and the customer rep told me that when I canceled I was supposed to tell them to cancel my billing too. That was just mind blowing.

    Now they removed my auto payment even though it worked last month and I'm dealing with them on that and they said "yes after the first initial payment you have to set it up again". Again I'm thinking what the heck is that? The customer service people don't know anything. They are always putting me on hold to ask a manager simple questions. It has been one of the worst decisions I've made this year. I can’t believe that I can't change to a new insurance till next year. So mad and frustrated.

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    Contract & TermsStaff

    Reviewed July 16, 2015

    In the beginning of the year the company Humana insurance did not let the agents know some policies did not offer tier II drug as no co-pay. So I had a deductible. I have not been able to meet all of it. So I wanted to order the meds free only to be put on hold endless hours. Between myself and our agent we have spent over 15 hours to get this settled. I have been told they would ship the medicine only to find out none was sent because of the hidden deductible clause. I have never been so angry with any company before. I also have been going through cancer testing and the tolerance level does not deserve to go through 3 or more hours today being switched from person to person only to find out I cannot get the medicine until my deductible is completely paid. Why bother everyone to get the tier II drugs switched when I still have to pay. Please reprimand this company especially when Medicare pays them with a contract.

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    Customer ServiceCoveragePrice

    Reviewed July 13, 2015

    I received a prescription from my doctor. Humana required prior authorization. This has been going on for two weeks. Every time I call, they never have documentation a call was ever made. "4" authorization calls and two weeks. Without the insurance, one medication cost $400.00. I pay $800.00 a month for coverage. Humana is the worst insurance I have ever had... DO NOT PURCHASE HUMANA HEALTH INSURANCE.

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    Price

    Reviewed July 12, 2015

    I was double billed in July for Medicare supplemental AB insurance. The Humana operator said it was due to a computer glitch. Humana has not refunded my money to me yet. I tend to think this was not an error. Until they return my money to me, it is in their bank account gathering interest. If it was a computer glitch, then seniors nationwide are being overbilled in July.

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    Punctuality & Speed

    Reviewed July 11, 2015

    Double billed for the month of July - 1015. They quickly credited my account, but this type of clerical error is unacceptable.

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    Customer ServicePrice

    Reviewed July 9, 2015

    Humana just did unauthorized charge on my account for $378.00. When I call them, the only thing they could told me that is system error and they are working on it. System error but they cannot put my money back in to account right now. I called my bank. They will do investigation, which will take 10 business days. I do not know what is going on with Humana. If somebody who is working for them, decided to steal my money and I will not notice this charge or what is going on but $378.00 that is a lot of money for me to be charge without my permission. I never had this problem in my life and I could not think that that big of a company will do something like that. That is a shame.

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    Reviewed July 3, 2015

    None of my drug stores that I am eligible to use have no idea what a DMR form is. I was given explicit instructions from a Humana employee.. "Have name and ID number." Something is wrong with this picture!! Why are none of the pharmacy familiar or know how to get this form? I was left under the impression the pharmacy would have the form!!

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    Coverage

    Reviewed July 3, 2015

    Some time during his life he applied for their $100.000.00 life insurance through work. When he was 76 years old they took 100.00 out of his paycheck every pay period up on his death at the age of 77 1/2. They informed My Mother-in-law. They she was ineligible to receive the full amount due to his age. I believe this is unethical, and they should be made to pay for a service they sold my Father-in-law. They should have no right refusing to pay when they sold him the policy in the first place.

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    Customer Service

    Reviewed July 1, 2015

    When I finally got through to someone they could not accurately answer my questions. They said they would review with another person and call me back. They never called. I am usually on hold for more than 30 minutes only to be transferred to someone else. I had requested a Formulary Exception and wanted an explanation as to their charges. They could not explain. Very dissatisfied and will never renew with them.

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    Coverage

    Reviewed July 1, 2015

    I have had Humana Part D pharmacy coverage since January 2014. They have collected my premiums every month. They are denying claims because (1) the premiums haven't been paid and (2) I have coverage with Anthem. Both of their assertions are false. Both assertions are easily proven false because payments are documented and Anthem attests that I'm not one of their insureds. This is not good enough for Humana. They tell me they've fixed it but when I go to make a claim they tell me all over again that the premiums haven't been paid and that I have other coverage. I reported them to CMS (Medicare). CMS says that I may have to pay for my own drugs until I can find new Part D coverage. Somehow that's not a reasonable resolution. If they are to continue to take my money but not provide coverage, then, they are committing fraud and should have their license revoked.

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    Customer ServiceStaff

    Reviewed June 30, 2015

    After dealing with their inept employees, broken phone systems, I finally was able to apply for Medicare supplemental insurance. I am 66 and in wonderful health. However, I do have a condition called barrett's esophagus. I visit my doctor once a year for routine annual tests and to ensure the barrett's esophagus is tested ok. I am healthy but they turned me down for the high deductible supplemental insurance plan because of the barrett's esophagus. Thanks to Obamacare also for not helping the senior citizens of this country and damn Humana for taking advantage of the seniors.

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    Customer Service

    Reviewed June 30, 2015

    In December 2014, I lost my Humana Insurance card. Since then I have called Humana and requested a new card five times. Each time I call they tell me they mailed it and will mail me a card (Humana has my home address, I receive claims and summaries). I have talked to ** and a few others. I have some new doctors I must see in the near future. Please help me or advise me on what to do. ** PPO Group Name: ERS OF TEXAS.

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    Verified purchase
    Customer ServiceStaff

    Reviewed June 24, 2015

    I filed a request for reimbursement for medication that I had paid for out of pocket. Within a few days I received a denial letter telling me I failed to name the drug for which I was seeking reimbursement and that what I submitted was illegible. Actually, I not only named the drug a couple of times in my letter and the form, I included my doctor's name, address and phone number, pharmacy name, address and phone number, clear photocopies of the pharmacy bill, my receipt and a clear photocopy of the pharmacy's sticker on the drug container.

    After my first attempt at reimbursement was denied for no good reason, I then filed an appeal with Humana, which I sent registered mail. Not receiving a response, I phoned them 30 days after I had sent them the appeal and was given such a maddening, disgusting run-around that I wish I had it on tape to send to the media. It was very similar to what an attorney who posted a complaint against them on this site wrote.

    So far, I have spent over 40 hours trying to receive reimbursement of $128. I'm sorry I even tried because being sick and fairly old it's struggle to write lengthy letters, go to the post office to mail them registered, follow up by phone with people who either are -- or pretend to be -- utterly incompetent, etc. I have come to despise this company that a Walmart pharma rep steered me to when I went on Medicare and had to drop my former insurance provider. Anyone but Humana would have been preferable for Medicare Part D.

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    Reviewed June 24, 2015

    I can't believe how hard it is to get my medication from Humana. If they aren't playing doctor and telling me my meds interact after I've been taking these two med together for years - they refuse to fill one because they apparently know more than the doctor I've been seeing for 20 years. They also refuse to pay for certain things like the increase of my psych meds or the anti-inflammatory I've been prescribed for my arthritic knee - which my doctor also gave me because I take so many pills she wanted to give me a break and now it's the B-12 shot. I am so sick of these people and am sorry I believed the hype and switched to them. My old drug plan paid for everything no questions asked.

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    Coverage

    Reviewed June 23, 2015

    I had to have emergency surgery. I thought things would be ok because I have short-term disability insurance. From the beginning it has and continues to be a nightmare. I would advise anyone to avoid this insurance at all costs.

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    Customer Service

    Reviewed June 20, 2015

    If not, it's a contender. I am an attorney and have dealt with insurance companies and other bureaucrats for years. Never have I encountered in 30 years of practice as incompetent, inept and deliberately obfuscating organization as this one. Every single time you call them on anything, you will spend 15 or 20 minutes transversing voice mail messages that ask you for various and sundry info before you can get to a live person. That will only be the start of your frustration. Once you get off hold (30 minutes to 45 minutes typically), you will get the run around.. get passed back and forth to different people for answers and likely, finally give up. Unless you like to volunteer for nightmares, avoid like the plague.

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    Contract & TermsCoveragePriceStaff

    Reviewed June 20, 2015

    Humana has been a horrible insurance company for me and it appears many others. Humana has repeatedly denied coverage of medically necessary medications for me, and judging by the letters here has a pattern of putting obstacle after obstacle in the way of good medical care - for what? Corporate greed?

    Specifics for me: Main Denial: Repeated denial by Humana - Humana seeking any obscuring excuse they can to deny - Lidocaine Patches. I have Chronic Soft Tissue Knee (and other areas) Pain, recognized as Disabled by Social Security June 2014, with one added year retroactive. Lidocaine Patches were first prescribed for me April 2013 by Dartmouth Hitchcock Pain Management. Last year they were covered fine no problem by WellSense, my then insurer through Expanded Medicaid.

    Lidocaine patches, as my PCP and I have repeatedly expressed in our Appeals with Humana: 1. Keeps me from needing narcotic medications; except very small occasional dosages for Break Out Pain. W/O Lidocaine patches patient (me) requires a steady prescribing of narcotics to alleviate pain. Throughout America, Lidocaine patches are medically preferred by physicians, widespread usage e.g., for post-op pain, back pain, etc because they reduce or make unnecessary the use of narcotics. With physicians, hospitals and patients harassed and blocked often from narcotic prescribing and use (the Anti-Medication Backlash - flip side of the much more publicized national problem of people abusing narcotics.

    Lidocaine patches prevent torture - If Lidocaine patches aren't provided and doctors can't sufficiently prescribe narcotics then the patient (me and others) is tortured by pain. Lidocaine patches keep ice use reasonable - Without them (esp if harassed about narcotics), my ice use goes through the roof in attempt to keep down pain. This destroys mobility (have to stay close to a freezer) and damages skin to cold burn sores. Plus infuriates given the unnecessary... which compounds the pain.

    These well reasoned and experienced medically necessary reasons have been repeatedly expressed to Humana. They persist in denying, for any reason they can come up with. Currently they are legalistically using the fact that many medications have a narrower set of uses they are initially approved for then catch on for wider use. Humana has admitted their reasons for denying are not medical, {but to take advantage of legalistic fine print in order to deny coverage}.

    We, my PCP and I are about to go on to Level 3 of Appeals process. The first that has a supposedly independent review. I have also alerted Service Link and will alert Medicare and Medicaid to the horribleness of Humana. The person who does Prior Authorizations for my PCP has shared she also sees

    Humana as "An awful company." Humana has also denied coverage, though trumped up reasons, of the Lidocaine cream some doctors are prescribing as a partial if lower strength alternative to Lidocaine Patches. Humana claimed the cream was not covered by Part D. That's BS since I know is covered by United Health Care and many other carriers for Part D, having compared their plans.

    The amounts they were dealing with were also ridiculous, a supposed 10 day supply was actually a 1 1/2 day supply... Cost without coverage would come out to nearly the same very high $237 per month that Lidocaine Patches are. I was forced to have Humana as a short term carrier because they have the U.S. Govt contract for the LINET program. LINET is a great idea by the government, run though by a horrible company. LINET stands for Low Income Net. It's a short term, two month Part D contracted prescription program to help income-eligible people new to Medicare get coverage help during the couple months it will take for Social Security to catch up with the paperwork and for a longer term Part D carrier to be chosen. As a Disabled person, regardless of age, after 2 years on Disability one is automatically transferred to Medicare.

    LINET could have been a wonderful opportunity for Humana to show how compassionate and caring they are. Instead, for me and so many others they have shown the opposite. I urge you to avoid Humana like the plague. If you do catch plague, Humana is sure not to cover it. Myself and my PCP team will keep with our Appeals, and I with my alerts to Medicare and Medicaid, etc to do our part to show how nastily awful a company Humana is now. We hope - and with enough evidence that will happen - that Humana will be fired by Social Security, losing the LINET contract, for abusing patients.

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    Staff

    Reviewed June 18, 2015

    Well we apply for life ins. They sent us letter saying we was approve for voluntary life ins. On April 1 2012 they start take a one hundred dollars per pay day. We thought we had a 100,000.00 dollar policy. But when he die they only pay me basic of 36,000.00 not voluntary since they wrote and said we was approved for 100,000.00. We thought that what we had. He been die for a year and half. I tell everyone I know do not buy life ins. Put your money in a IRA. I hear voice of advised tell a lot. Do not buy LIFE INS. WHEN YOU DIE THEY WILL NOT PAY WHAT YOU PAY FOR.

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    Reviewed June 17, 2015

    Having surgery in the morning and turned my prescription 5 days ago and Humana has yet to ok the order. I am not sure they will do the surgery without the meds. A surgery I really need. Really sad that a service provider like Humana treats clients in this manner. I realize there is nothing I can do but vent. If they lose my business I am sure they will not have to close their doors. Thanks Humana.

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    Customer ServiceCoveragePunctuality & Speed

    Reviewed June 15, 2015

    They do not have many doctors who will sign contracts with them and when you appeal a claim they take forever. After 3 months, hours on the phone and representatives passing my problem around, they finally tell me Medicare is not the same as Humana Medicare, so I'm not covered? Five times they told me my case was still "pending" and I would have an answer within 48 to 72 hours by phone with a letter sent, as well. Never happened. Every time you call you have to go through all the questions and give the information all over again. Frustrating. I finally paid my eye doctor the $700 myself. Medicare always paid for my visits in the past, but now that I have HUMANA, I have to pay myself. I will not renew.

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    Coverage

    Reviewed June 12, 2015

    They seem to be outright liars. I was not covered for anything from cleaning to fillings to a root canal. This does not match up with what they claim to cover. They should be blocked from Healthcare.gov as they are a menace to society. Avoid.

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    Staff

    Reviewed June 10, 2015

    I tried to change dr because of poor care and could not! There are only 2 doctors on the list I could choose from. One doctor said she was NEVER on the list to accept Humana and the other doctor said they had not been paid since Dec 2014. Therefore the doctor was not accepting anyone who had Humana. So now I am stuck with this bad doctor and a worse insurance company. I pray to God that I do not become ill.

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    Staff

    Reviewed June 9, 2015

    The first priority was money. Never ask what plan I had in mind. Talk with the speed of a Crackhead. Never considered my needs. It was all about the money. Shame on you people.

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    Coverage

    Reviewed June 8, 2015

    How I wish I had read the reviews on Humana Dental before I signed up. I have nothing but bad things to say about them. They only paid a small amount on my cleaning and X-rays in November and now will pay nothing on my root canal, saying that it is not covered. Huh? What is covered? I am canceling with them immediately, although I have seen from these reviews that that can be very difficult. How do they stay in business?

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    Customer ServiceStaff

    Reviewed June 8, 2015

    I have been helping my mother-in-law with all of her medical bills after her husband was in the hospital for nine weeks and died. Humana paid most of the bills, but there were a few outstanding ones that amounted to several thousands of dollars. It turns out that they were denied because they were out of network. We appealed those and waited and waited and waited. After being on the phone with Humana for literally hours, I felt like I was getting nowhere. They gave me the phone number to their appeals department and it loops me back to the same number I just called. You can't get anything resolved because the representatives don't know what they are doing and their departments don't connect to each other.

    They won't let you call the same representative back and so you are explaining your situation over and over again! It's awful. Only once was I able to get a hold of a representative that took the situation one step further and talked to her manager. But that was only after I was in tears and at my wits end. They don't care! They should be working for you. It's the other way around. Horrible customer service. I will never get Humana as my insurance provider. I know this isn't just me. I've called a lot of doctor's offices and all the billing representatives agree with me when I explain how hard Humana is to work with.

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    Reviewed June 8, 2015

    We signed up for a Humana PPO that covered the year 2015 based on our doctors and hospitals being "in-network". This week, we received notice by mail that the hospitals we were using will no longer be "in-network" as of July 10. The new list of "in-network" hospitals are further away and not ones we wanted to use. Based on this new list, we would not have signed up for this plan! They are changing their plan in the middle of the year, but we cannot!!

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    Reviewed June 8, 2015

    Made my premium payment online and even though payment was deducted from my account I did not get credit for payment and Humana canceled my insurance! HUMANA IS SET UP TO BE SOCIALIST LIARS! CIVIL SUITS INDEED!

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    Staff

    Reviewed June 5, 2015

    They have all the prices on a booklet that you pay out of pocket. I did not get that for about 2 weeks. They are so hard to reach unless you are buying their plan. Well, I canceled and am only getting my 12.99 dollars back. They keep membership fee, over 30 dollars they pocket. Salesperson told me she has the same policy and dentures are covered. I asked free and she said yes proceeding to rambling lots of stuff. I asked her twice, she said yes. Then she said "you pay the office visit 15 dollars." ok. Do not trust these sales people. They won't tell the truth. They must have a quota to keep up with to make commission. Then you have to write a letter to Kentucky to grieve for your money back. Very smart because lots of people won't bother. BEWARE!!!

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    Customer ServiceCoverageStaff

    Reviewed May 29, 2015

    Steer CLEAR of this health insurance provider. Their customer service reps are terribly trained and not well informed about the details of their plans or how they work. I received so much inconsistent information in the first 6-9 months of having and paying the premium on this policy to even figure out what was covered and what co-pays were required. Ridiculous. As if that is not bad enough reason to stay away, their customer service department is disorganized, unprofessional and rude. I had one rep hang up the phone on me when he could not answer my question. I was repeatedly connected to diff depts to only have to start my info all over again. TERRIBLY UNPROFESSIONAL and CONFUSED, MISINFORMED employees.

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    Staff

    Reviewed May 19, 2015

    Problem: SI joint disfunction. Treatment: injection therapy and SI joint fusion. Qualified doctors in network: 0. Each day the problem needs to be explained to the representative of the day, then advanced to a supervisor who promises to look into the issue, follow up on it and get back to me and each day I go through the same routine. Now going on 2 months I was referred to 1 surgeon that took Humana HMOX but he refused to see me under Humana Health insurance.

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    Reviewed May 19, 2015

    I was referred to a couple of specialists. I did my due diligence and made sure they were part of the HMO. The doctors did tests while I was in the office at the appointments. I get the statement from Humana and they say it is an out of network provider and they won't pay. It says I owe over $6000. Next open season I'll go back to Kaiser. The premiums are much higher but at least I know exactly what I will have to pay. This has made my blood pressure rise, caused sleeplessness and just makes me sick. I'll never trust anything with this company again. I purposely chose an HMO so this wouldn't happen.

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    Verified purchase

    Reviewed May 16, 2015

    I just tried to fill a prescription and after filling this for three years with Humana paying a few paltry dollars on it and my secondary picking up the rest they refused to pay. Because they wouldn't pay my secondary refused to pay. It is Saturday and of course Humana keeps what used be called bankers hours so I threw $22 in the trash for 3 pills. I am so sorry I didn't ditch them earlier when I had the chance. They waited until May to screw me when they know I can't dump them until the end of the year.

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    Reviewed May 7, 2015

    Made my premium payment online and even though payment was deducted from my account I did not get credit for payment and Humana canceled my insurance!

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    Verified purchase
    Customer ServiceStaff

    Reviewed May 7, 2015

    I am complaining about Humana stand alone, not RightSource. I have been prescribed drug since 1982, and never had any issues with any Medicare D providers. When I changed plans in January of this year, I was told that "none of my drugs needed a "precert." After taking my first 90 day supply, I was told a precert was needed. Lie # 1 since on the Medicare website, and also Humana site this was never mentioned. This saga started on April 20, after many faxes and calls for

    what should have been a simple precertification, I was told by someone in the escalation department that the denial was a miscode of the drug in question? I assumed the miscode would be corrected and the precert would be approved. I have recently moved to NY and my physicians are NJ doctors. The drug in question cannot be filled in a NY store because the scripts were written in NJ.

    If I counted up the number of hours I spent waiting to talk and then being lied to like a naughty child. As an adult who needs a prescribed drug, Humana has no right to override my doctor's recommendation. They are simply pharmacists and clerks who are incompetent & lie. I have never in my life been so rudely and deliberately lied to over the course of three week. I intend to complain to Medicare, and see if there is something else that can be done to remove unscrupulous incompetent drug companies from dealing with Medicare patients. I have no direct contact with RightSource yet, but have applied to have my drugs transferred. This sounds like it will compound the problem.

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    Reviewed May 6, 2015

    Hi, let me start by saying this is a first for me as I am not the type of person who writes post when upset. My great grandmother has paid for Humana for years and yet when she had a stroke and was diagnosed with dementia, Humana has stated they will not continue to pay for her care. She has been in the hospital for less than a week but they will only continue paying if she is moved to a nursing home. They will only pay for the nursing home for 30 days, so please tell me how this is fair. You pay for years to make sure when bad things happen you are taking care of just to find out you are on your own. SHAME ON YOU HUMANA.

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    Staff

    Reviewed May 5, 2015

    Mother is 91 years old. Has fallen and nods off in bad places. Her doctor requested she be placed in ASSISTED CARE LIVING. Humana turned her down. The doctor contacted personally and they turned her down again. Any avenues to go? Need help.

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    Customer ServiceStaff

    Reviewed May 5, 2015

    Enrolled through open market plan in January 2015, insurance was supposed to start up 2-1-15. Never received a card... Set up tracing of my info through Humana and open market. Where did my info go? No one knows.... hummm So cancel dr appointments. Pay cancellation fees with drs... Humana and open market say keep waiting... 30 more days, be patient. I am and wait.. Wait and spend. A few more days on the phone wasting my time with both of them... check the mail and surprise!! Got my card from Humana 3-10-15.. Go to dr appointment yesterday... Very excited!! Get home to sign up for online benefits through Humana... But wait... can sign in... call number on the back of my card. And wait.... been canceled!! Paid three months of payments totaling up to 337.00..... WHAT IS WRONG WITH THESE PEOPLE!!! Now I'm waiting again for 48 hrs to get investigation through Humana as to why my policy was cancelled.

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    Customer ServiceStaff

    Reviewed May 4, 2015

    My mother has been with Humana since 2011. There has never been an issue until this year (2015), one month after open enrollment ended in January. When I took my mother’s prescriptions in for February, Humana denied the claims. After days of phones calls, they have assure me every month the problem was fixed. It is now May, and it still isn't fixed. If my mother had to deal with this, she wouldn't have any medications. There is no excuse for the lies, or the inept employees and supervisors they have. Here are the names of the people I have gone through. Not one of these people have followed through or fixed anything. I am at my wit's end.

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    Customer ServiceCoverageOnline & AppStaff

    Reviewed April 30, 2015

    Simply put this Humana is the worst insurance I have ever had. I moved to Minnesota and found that my AARP United Health Care, Medicare supplement was not accepted here unless it was an emergency. So I had to shop under the Minnesota system which was a nightmare in itself, but back on track here. I chose the Humana as it seemed on the surface to fit my needs, and a quick search of doctors on the Humana site showed a lot of covered doctors nearby. This was not the case!!! Once enrolled I started calling to set up an appointment, but found the doctors on the website were bogus. I called several of the numbers provided and most of the time the receptionist had never even heard of the doctor I was asking for, or the doctor had left.

    After many frustrating days of calling and searching I finally found a doctor at Fairview clinics. An appointment was set up and I was seen at the clinic. After going through my health history several referrals were made and a colonoscopy was scheduled at a Fairview facility. I should mention that by this time Humana had assigned me a health advisor to help me navigate my way. I asked if this was a covered procedure and was told it was covered fully. I felt comfortable because my previous insurance also covered it fully.

    The big day came and all was well until I got my bill. I was to pay $688.04 for my portion. WHAT? I called Humana and that's when the fun really started. My health advisor was unable to answer any of my questions and attempted to get me to claims which resulted in the call being dropped so I called back. My advisor was not available so I talked with someone else who did connect me with claims. So the first time I was told that it had been filed incorrectly showing Fairview was out of network, and that she would contact Fairview so they could submit it properly.

    Days went by and I received a letter from Humana saying they would not pay anything further on this claim. So I called again this time I was told that yes the colonoscopy was preventative and would be fully covered but then she saw that the doctor had removed several polyps so that changed things but on further review by her and someone she talked to, while putting me on hold, nope it was still covered just a different code and she would handle it. Now I get another bill from Fairview saying that Humana had paid their part but I still owed the $688. So once again I call Humana. This time I am told the colonoscopy is covered but the Polyp removal changed it to a surgery but my portion should only be $488.

    Now today 4/30/15 I get a letter from Humana saying the claim was processed as out of network based on a tax id number that was submitted, and I still owe the $688. I called Fairview and was told they are contracted with Humana so who knows. Humana certainly doesn't. What I know is I have several serious health issues that need to be addressed and it appears to me that I am going to have to wait till next year's enrollment to change to get some hopefully better coverage. I can't afford to be told I have coverage then get bills like this. Just hope the wait doesn't kill me...

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    Customer ServicePriceStaff

    Reviewed April 29, 2015

    I called Humana dental insurance to be taken off the mailing list and the sales associate claimed he was not in customer service and was extremely rude to me when I asked to be removed from the mailing list, and had to transfer me to the corporate office to tell me why I was on the mailing list. Here, the lady was even more rude and refused to listen to me about their pricing for my specific area. If this is how they treat potential future customers, I will shop around. I do not recommend this company at all.

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    Customer ServiceCoverageStaff

    Reviewed April 29, 2015

    My company switched us to Humana medical insurance as of the first of the year. My wife has a heart condition which requires medication. We have tried two generic versions of this drug and both have failed. The last failure resulted in a ride in the ambulance to the ER, it was so bad. Her doctor has stated that she must take the name brand because of the failures of the two generics. Each time there has been a change in policy; coverage for this drug is initially denied by the insurance company but subsequently allowed after a review of her medical history and discussions with her doctor. This has been the pattern with four major health insurance companies.

    Humana has chosen to ignore the doctor and medical history and is taking the position that my wife must first try "their generic" before they will approve the name brand. They further said that the doctor will have to write the prescription for "their generic". The doctor's response was that he is NOT going to write a prescription for a drug that he knows would place my wife at risk.

    But if Humana wanted to write the prescription, they could and their malpractice insurance could be responsible. Humana's response is that they are not a doctor and cannot write a prescription so I need to find another doctor to write the prescription for the drug they say she must take. I understand that health insurance companies are in business to make a profit for their shareholders, but other health insurance companies seem to do that as a part of providing service to their clients. Humana has taken the approach that they are going to make a profit by simply denying service.

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    Customer ServiceContract & TermsCoverage

    Reviewed April 28, 2015

    I got Humana in January 1, 2015. I agreed to the plan and paid my premium. In March I found my premium and deductible were increased. I called to inquire and they said it was an error and would correct it within 30 days. It was corrected within 3 weeks. My deductible was reduced to what I had in my summary of benefits and coverage that I had received from Humana in January. One week later my premium remained the same but my deductible was again increased. I called again. I was told that they were still within the 30 day time frame and I should wait until then. 2 days (4/26/15) after that conversation, I went back into my Humana site and saw that it was corrected. My deductible was back to what was stated in my plan.

    Well I checked again on 4/28/15 and AGAIN my deductible was increased. I have to call again and get the same run around. This is like a ping pong. Deductible up and down, up and down and no one seems to know why. I guess they are hoping I do not check so they can get away with it. If they are not going to honor their contract, then they should stop playing games and communicate what the problem is. I have a policy from them and I pay on time every month. I am thinking what they are doing has to be illegal. I am keeping my end of the commitment and they are playing games changing premiums and deductibles every other week. I though Humana was reputable but I am thinking I made a BIG mistake.

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    Verified purchase
    CoverageSales & Marketing

    Reviewed April 28, 2015

    I have been disabled and on medicare for twenty years. Last year, during the rush to buy Gap insurance, Humana was running an ad that was nothing less than misleading. They knew what I was looking for, but according to Medicare they are allowed to call this a Medicare policy but it is not. My deductible is 7K, that will bankrupt me. They got me by presenting the policy as something it is not, it is not a gap policy, it is not a Medicare policy at all. This policy is sold because the copay is non existent so you think you are getting a good deal.

    Sadly in the stress of being disabled, the pressure of having to make a decision; I made the wrong one. They hide behind what the policy really is by putting the info in small print in the benefits booklet. One of my illnesses is brain fog, so it is hard for me to make decisions. We are unprotected and they are making a fortune on the sickest of us. Am so glad I am a college grad with a year of law school. A couple years ago I knew to stay away from Humana but with all the insurance changes, I panicked, so much for education. Please, if you bought the Humana Gold PPFS plan with a 7k deductible, speak up. We need to get them stopped, they need a class action suit!

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