
Humana Health Insurance Reviews
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Humana Health Insurance Reviews
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Reviewed Aug. 1, 2016
I would like to state my experience with Humana Insurance Co. and I have one bit of advice for anyone trying to decide what company to purchase a supplemental insurance. RUN, DONT WALK!!! I have had a problem with Humana going back to October 2015! I called Humana in February 2015 to let them know I was moving to Mexico for an extended period of time. I told them Mexico did not honor American companies there. They told me "fine. We'll note it on your account." I also asked them if I needed to do anything else and they said no. Big mistake taking that advice.
In October, I received a notice that I owed $596.00 for the months from March through October. I have made no less than 30 phone calls all to no avail. I told them that I spoke to a gentleman in February and he said I did not need to do anything else in order to stop my coverage. NO ONE LISTENED!!! Some said, "Oh, we do not see any notes of you dropping your coverage." Or some said, "Yes, we see where you called at the end of February, but you did not send a letter to follow-up." I told them I was never told to send a letter.
I have spoken to supervisors and they were no help. I also went to the local office of Humana in North Raleigh several months ago. I spent 2 hours waiting to talk to someone. When I finally spoke to her, it took over an hour to relate what I have been going through. She said to call her in 2-3 weeks and she would try and help me. I have never spoken to her. I called several times and was always told to leave a message and someone would get back to me. No return phone call ever.
I had decided I needed expert help, as I finally realized what Humana was doing. I purchased a new plan in February 2016, thinking the past problem was resolved. I realized that they were taking my monthly payment and applying it to my past due balance. I contacted the NC Insurance Commission. They forwarded my complaint to Medicare. I called Humana last week and was told a resolution letter was in the mail. I incorrectly assumed they were going to offer me a solution, like maybe me paying half and then lowering the past due balance. What did I get? A letter telling me they had heard of my complaint and I owed $497. And a threat that they would take my account to a collections agent if I did not pay the past due amount. I will never pay that bill. This is 100% Humana's fault.
The latest problem with them is that when I called to purchase the coverage I specifically asked if the 3 doctors who I see were in network. They assured me they were. A few weeks ago I received a notice from Humana that I owed over $400 for doctor visits that were not covered under my policy. I called them and told them I had checked to see before purchasing this coverage and was assured they were all in the network. So I now owe over $400 for visits that were supposed to be covered. What do they say? "Oh, we are sorry for the mistake, but there's nothing we can do."
I have spent countless hours on the phone and I always get the same response, "Oh we are so sorry you are going through such a bad time", but bottom line they would not budge, even though this is entirely their fault. I am considering a lawsuit and would like to know if anyone else is interested in starting action against this aggressive, clueless, biased company. It is unthinkable that at 73 years of age, I have to deal with their incompetence and have spent so much time and effort to get this resolved. All for nothing.
Reviewed July 30, 2016
I am enrolled in Humana Gold Plus (Medicare Advantage)...but not for long. They were fine when I just needed meds (They arrive in the mail at no charge to me, free for me but Humana charges the medicare about 4X the Wal-Mart Price). HOWEVER, I broke my ankle in 2 places and had to have surgery. Most of the bills are arriving in my mailbox because Humana refuses to pay. They simply mark everything as "not medically necessary." If you want to spend many frustrating days on the phone, and additional days writing letters to Humana's Grievance Dept, this is the plan to choose!
Reviewed July 28, 2016
Signed up to Humana Dental and found out through other customers and dentist that Humana coverage is industry and customer laughable. Stated coverage was often turned down or went unpaid. Talking to their customer services was like talking to a brick wall. When asked if I could cancel the policy as they did not cover anything was told I was in a one-year contract and would be required to make payments even though no benefits were received. I paid in for a full year and no benefits were received from this plan. It is a consumer rip-off and a scam. Don't waste your time or money with these fraudsters.
Reviewed July 25, 2016
My son is currently on Humana insurance. He has A.D.D and seizures. He has no clue on what is going on with the company. I handle all of my son's medical issues. Every time I call into Humana about my son's health coverage it always a problem for me. It has been clear several times that I have authorization to speak on my son behalf. Whomever decided to go with this company made a big mistake. There are a lot of doctors that do not take Humana and that's not good. This is the messiest insurance company I have ever endured.
Reviewed July 23, 2016
So, I needed a overnight sleep study. Went to their recommended and in network pulmonary specialist. The specialist scheduled a sleep study at a local sleep center that he is affiliated with. Humana refuses to pay. As a result of the sleep test I need a CPAP machine. Going through Humana's list of DME providers (only a few that do CPAP) and out of the 2 within 150 miles of me found one that offers the machine I want. I had called ** listed as Aprei in Bozeman Montana. A recording comes on giving a new # of **. This office told me.
We drove the 150 miles each way to get the machine. Guess what, Humana denied as being out of network. Very mad and as I get extra help with prescriptions, I was able to change. I switched from Humana PPO to the Humana Gold Choice. Next month's around, they deny the monthly charge of the CPAP they deny as I have not met my $1000 deductible.
We had asked several questions at Humana before switching. One of the questions was about the deductible. I had met my annual deductible with Humana on the PPO. Now they treat the mid year switch (my right to do) as I am a new customer and did not switch the annual deductible to the PFFS Told Choice. I pay a fortune for insurance to make sure I am covered. Running the numbers this year, I would have been far better of with the standard 20% share on regular Medicare. Medicare would not have held back any deductible on DME either. I feel like I just had a prostrate exam by a very mean doctor. I have switched carriers. I'm done!
Reviewed July 22, 2016
Terrible!!! I have called 3 times. First time operator could not answer my question. Second time, the operator was to send a booklet explaining benefit coverage. I did not receive the booklet. Third time, I was put on hold numerous times while the operator looked up my request. She evidently had problems and asked if I wanted the booklet resent. I had answered that question twice. Then she put me on hold to enter the request, then transfer me to dental coverage because she did could not help. I was on hold so long, I just hung up!!! I need to call a 4th time now. I have been diagnosed with possible cancer and will need to take at least one more test. I already owe for one test ($327) that Humana may or may not cover. I am NOT PLEASED WITH HUMANA.
Reviewed July 22, 2016
Wow, where to begin... When I needed heal the coverage due to being pregnant I decided to go with Humana not knowing that it was part of Obamacare. It was just something I could afford. So, I selected a PCP. I called that PCP office and I got an operator of which I assumed was transferring me to the correct place. I set up an appointment and started going to my visits. I called when I got close to my delivery to ensure that the UNIVERSITY of UTAH was in network which they stated was. After coming home with my newborn I received a bill which was for the exact amount out of network charges that I owed. I called Humana and requested an appeal and a retro authorization. They helped very little and I had to get a charity reduction from the hospital themselves even though Humana messed up.
I spent hours in the phone instead of with my newborn to fix their mistake. Thanks for putting a very small authorization on so I didn't have to pay the close to $20,000. Humana. Almost a year later they change their policy to not accept credit cards. Okay fine. I switched to my credit card which expired in June. I called Humana saying that I noticed the amount had not left my account. They said it takes up to 10 days even though it says processed on their side. Apparently they terminated my insurance for non payment and having an infant. I called back to get it reinstated and they promised a call back which I never received. LONG story short they are not reinstating it. THANKS Humana. For nothing but time, lost of money and frustration.
Reviewed July 21, 2016
HUMANA IS THE WORST INSURANCE COMPANY I HAVE EVER DEALT WITH. When signing up the representative are very nice and convincing. Once enrolled, the trouble begins. The doctors, Dentist and Eye Care listed on their website -- states accepting new patients. However, when you call the provider they are either not accepting new patients or has moved and telephone not in service. I was told by my eye care provider that they accept HUMANA. However Humana rejected my claim stating that the doctor was out of network but they could give me up to $100 discount by fill out an out of network claim form for the eye exam.
NEVER have I spent so much time trying to get a provider, and/or correct bills, etc. Medications are denied even when the doctor states that the medication is necessary. If you have HUMANA please don't get sick. I am on a fixed income and disabled. This company has caused my stress level to go up through the roof. WHAT IS EVEN MORE DISTURBING IS one day after joining I call Humana and asked to be released because I could not find a provider with my area to service me. I was told that I would have to wait for the enrollment period (which is in October) in order to be released. NEVER USE THIS COMPANY OR YOU WILL BE ____++++
Reviewed July 21, 2016
I am POA and Guardian of one of their insured. It is beyond comprehension to me that I have provided Humana out of Lexington, KY, with copy of the POA and was denied access to the account, then provided them with the Humana account number and was told by them that that number was non-existent, but they continued to cash checks written by me on their insured both from my personal bank account, and her personal bank account!!! When I was finally contacted by "Lois" from their billing department about the faxes that I had sent in and the contacts that I had made to them by U.S. Mail and phone calls, I was told to have OMNICARE issue a letterhead to them and they would review it.
I waited for nearly two weeks to hear from OMNICARE out of San Antonio who put me on a 3-way phone conversation stating that Omnicare was being paid for their services (HOORAY!!!!) which was a worry off of my mind, but still the refusal of Humana to answer a question that had nothing, nada to do with Privacy Issues (HIPPA) when I simply wanted to know if Humana was not paying for her medications, why should I continue to pay them the premiums? While waiting to hear from Omnicare as to HUMANA'S instructions to have OMNICARE send them a letter on OMNICARE'S letterhead as to how OMNICARE fit into the situation, I receive a notification that Humana was dropping coverage on the prescriptions due to being "out of area".
Well, my mother's situation is "in limbo" right now due to transferring guardianship from one state to another, so I can't help it. That is a legal issue that I have no control over. Now, I received an "OVERDUE" notification from Humana stating that she is now three months behind in payments, and I just sent in payment for the previous two months while following HUMANA'S instructions to wait until hearing from OMNICARE. Absolutely the most incompetent agency I have dealt with yet.
Reviewed July 18, 2016
Was talked into Humana "great company" top tier company etc, NEVER have I spent so much time trying to fix bills, medications that "aren't formulary", try not to be ill due to not being able to get said medications. Used the eyeglass "benefit". What a joke, talk about disposable eyewear! Unless you wanted to pay an especially overinflated price at the only glasses place in town. I didn't even receive a case for my glasses! Not an oversight, I asked for one. I was told they start at $5.00. Are you kidding??? I used the benefit because I'm on a fixed income, not because I wanted to use that particular business, I've never had such garbage glasses.
Other issues have been centered around other billing issues as addressed in previous posts of others. Why you cannot talk to the same rep. baffles me. You have to repeat your issue over & over till you get so disgusted you finally hang up, with a much higher blood pressure and heart rate! Hum... UM possible to keep you sick & confused? Maybe so. RUN, don't walk away from Humana. YOU will end up sicker and your family stuck with mountains of unpaid bills! I don't know how they operate and not get in serious legal trouble.I received a denial notice the other day from a procedure a year ago, AND it was dated June 1! This is the middle of July 2016! I changed to UHC/AARP community plan in my area and have had NO issues with anything! AMAZING! No insurance company is perfect but Humana talks out of both sides of their mouths. RUNAWAY! Unfortunately there are on negative stars in review so they got a 1 star, but it's a double negative!
Reviewed July 15, 2016
Humana reject me as client after a surgery. I been paying 300$ each month. Due that I'm new in USA I didn't know about the quality of this insurance company. I suffer a vertebral compression in a domestic accident. While I was in intensive care at Mount Sinai, Miami waiting for surgery, the Chase bank "I don't know why" sent me a new debit card... Something that I didn't realize due that I didn't ask for a new card and I was in big pain after being 11 days in intensive care and a surgery. I didn't lost it or anything so they change my debit card number. The point is that they say that they couldn't charge me so I'm out of the insurance... but I didn't know about the debit card change...
Reviewed July 14, 2016
Can't hear person, sounds like under water - long wait time and would not provide access to records even though power of attorney was on record. Demanded verbal auth from 96yr old mother with dementia.
Reviewed July 13, 2016
I asked my doctor for a prescription for ** as I have gone back to school. I tried stimulants years ago and didn't like the way they made me feel in addition to the high risk side effects. Humana would not authorize coverage even after an appeal because I must have tried not one, but two stimulants within the past 12 months. I don't understand why I would have to try something that made me feel bad again. Also, it does not make sense that a non-addictive alternative would not be covered when our society is laden with drug addiction problems. Humana is encouraging patients to become addicted to stimulants.
Reviewed July 12, 2016
They should be taken over by the state and then prosecute every executive and employee who propagates their fraud! I am a day away from a stroke dealing with them. In the middle of cancer treatment and a sick child these ** cancel our insurance with no notice. We had bank fraud and notified them. "Don't worry" they said "You have 90 days before we will cancel your policy. Just get it resolved." I called three times trying to make payment and it was refused. Then they cancel for non-payment. They don't even deserve one star! Hate these **! When I die from lack of care my family will put you out of business so no one else dies on your watch! Piece of crap company!
Reviewed July 5, 2016
First I was told I was never cover by them. Was put on hold for 20 minutes and they came by on "Oh yeah, we see you were covered by us." So ask why all my bills are being denied. "We will look into this" and then told, "We don't understand why the bills are being denied" - so on this call 2 hours and got no answer. This is third time I called and still don't understand. Humana is the worst insurance I have ever had... DO NOT PURCHASE HUMANA HEALTH INSURANCE.
Reviewed July 2, 2016
Humana canceled my policy without even giving me a chance to pay for it. I am 5 months pregnant and I have a 4 years old child that was on the plan with me. I had automatic payments set up for Humana for last few years so I never been late on my payment. On June 1st Humana try to charge my acct but it got payment denied. My account changed doe to fraud and I had no idea I haven't received new card from the bank yet. So instead of contacting me and letting me know that payment did not go through Humana canceled my policy and do not want to reinstate me back. I had my bank sending them fax stating that my acct was changed and offered to explain them over the phone the situation that happen.
Humana do not want to accept anything from me personally (I do have all the evidence that I was not aware of changes and all the bank prints from my bank). Manager is very rude. I am 5 months pregnant and uninsured, hospital want me to pay for delivery at 32 weeks in (9 weeks). I do not have that kind of money, that's why I had insurance all my life. I do not know what to do at this point. Market Place not helping me at all. Humana doing the same. It is a nightmare that affect my health. I haven't slept through the night since June 13. It is my part time job to call Humana, Bank and Market place and it is never ending circle. I am and my 4 years old baby uninsured and no one want to take me because I am pregnant so it is preexisting condition. Even Humana do not want to take me as private insurance.
Reviewed July 1, 2016
Terrible company with the worst customer service. Coverage is awful. Customer service is horrendous. Phone connections are very bad. Cannot understand them. Sound like they're underwater. Can't ever get the same customer service person and every time you call, you end up in a different state. Your records are not complete, so the next customer service person has no records of your previous calls. If you need to make a call, plan on 6-8 hours. If you have a question, then you get transferred to another person who doesn't know, so then you get transferred to another person who doesn't know. Can't wait to drop this company during open enrollment in October!!!
Reviewed June 29, 2016
This is the worst insurance co I deal with - I'm a medical biller and their address is in Kentucky but the call centers in the Philippines cannot resolve any issues and pass you like a hot potato from one rep to another hoping that you'll give up in exhaustion. They deny everything medically necessary and force doctors to run the gauntlet for doing surgery! We are going to drop this because we can't do business with their non service, non communication and flat out incompetent handling of medical claims. One Humana agent even called our office asking for a patients' home phone number - hello, who are you? Ever heard of HIPAA? Lazy, bumbling, murderous - stay away from Humana!!!
Reviewed June 29, 2016
Got a letter in April stating I did not pay my May premium of $18.40. Checked with my bank, and a check for this amount was sent, and cashed. Called a clueless customer service rep who was unsure of what I should do, and informed me that the billing office in Pittsburgh had no direct line, so that I might contact them. She thought it a good idea when I suggested that I mail a copy of the check which I downloaded as well as a letter of explanation. I did this and, eventually, got a call saying that everything was fine. Then I got a letter saying, I owed for the May premium and, if I did not pay by August 31, the company would contact Medicare, saying they were dropping me. This began a cycle of calls, and a variety of unsatisfactory explanations of what was wrong.
Please note, you can never contact the some customer service rep a second time as they have no extension. Despite everything being recorded, the information is subject to myriad interpretations, depending on the acumen and energy of the person you get on the phone. Eventually, I requested on speaking with supervisors. One who was barely articulate said she was a supervisor, and had been with the company a total of one year.
So, round and round we go, all for $18.40. Someone eventually got back to me, saying it was not good enough for me sending documentation. The check must come directly from the bank. My last contact was with a nice woman who said my account was, in fact, up to date, and I only owed the July payment. I told her I mailed that on June 17 which they have a record of. She said that payment covered June, because June covered May which meant they still insist I owe for May. I can handle a little chaos, and appreciate drifting into the land of the absurd, but lord, after a while, it gets old. I finally called Medicare, gave them the story, and they are issuing a complaint on my behalf, and will investigate.
Advice: do not go near this company. I am 67 years old, hold two degrees, and done business with the good, bad as well as the ugly. This company is the single worse I have engaged not only with billing, but also produce distribution. Two examples: my doctor said I needed two types of medication for acid reflux. One of Humana's pharm techs said I didn't, and won't fill the order until my doctor insisted. Let's see, pharm tech vs doctor's opinion?
Another, I request capsules of a product because at the given tier level it will cost me zero out of pocket. The company sends me a letter saying the cost will be $300. I ask why, they say that's what the pills cost. I say "so what, I ordered the capsules." A misunderstanding, a lie, trying to get over, who knows? I got the capsules, and it cost me zero. October 15 will be a big day for me. That's when I dump Humana. Advice, in case you read this and for some out of left field reason still go with them, do not let them talk you into automatic payment. Now I'll do the stars. Regret, there's no place for, none.
Reviewed June 28, 2016
The worst people ever. Can't get anything done. This a...fax this, fax that and then to say they didn't get it or you got the wrong fax number. It's like I don't want to help you at all and they don't have had the same problem for 4 months now. I do not receive Medicare part A or part B but they say I do and they say they need this than you, that I give him all the information and they won't fix it. They refused so I'm paying for health insurance and cannot use it and nobody seems to care to give me help. I've tried everything. I've called Humana, I've called the health market and nobody. It's just all I get is the runaround.
So they can just find me because I can guarantee you I am not going to make the next payment on the insurance. Why should I pay a high price for insurance if I can't get coverage when I needed one to what I'm going to do it if they decide to find me at the end of the year. They're going to have a lawsuit on their hands because they failed to do their part. I've already talked to attorney and I suggested to be out soon as a problems with these people need to do the same thing.
Reviewed June 27, 2016
Humana illegally drafted my account and did not provide me with insurance!!! And they have the nerve to deny this!!! I have had to do all the leg work to prove this multiple times. I've spent days on the phone. Sent multiple faxes. Several three-ways with bank managers and my local insurance agent. Humana has been given permission to speak with my bank manager, insurance rep., etc. They have no excuse to not return my money... But they have came up with every excuse possible. I've even contacted the insurance commissioner. This company is very crooked. I have been jerked around every which way. Do not trust this company. They do not care about their customers at all. Yes, they illegally took money from me and did not provide me insurance. I couldn't believe it either. I will be lucky to get it back... Hopefully the insurance commissioner will!!!
Reviewed June 23, 2016
I have four emails asking to cancel an automated payment on the 1st of January, since I had already paid my coverage premium on December 28th. They never replied to my emails. Instead they tried to collect the same amount twice for the month of January. I emptied my account so that they could not collect but I paid $34 as a returned check penalty because they still tried to collect and did not reply to my emails or to cancel the payment. They have denied returning the $34.
Reviewed June 22, 2016
My boyfriend has submitted payments to Humana since January 2016. The checks in the amount of $423.31 have been cashed by Humana every month however they informed him he does not have coverage due to non premium payment. He received 2 different ID cards and every time he calls, he is not in their system using the ID Numbers printed on the card. We tried to get a refund but they did not have record of the payments made even though they cleared the bank.
They told us to fax copies of the cleared checks and bank statements and they still do not have record of the fax. We were forced to go to another Health Care Provider since they dropped him from Humana. Every time we call we are on hold for one to two hours and nothing is resolved. We keep getting told they have no record of payments made yet they were cashed each month. Humana is stealing money from clients. Humana lies to all their clients who ask for refunds by saying you are not in the system. The Better Business Bureau should look into Humana's fraudulent practices. Humana to me is like Bernie Madoff! They are thieves without remorse.
Reviewed June 16, 2016
I have had excruciating knee pain, swelling for over a year. I have been to 4 orthopedic doctors and none can figure out the problem --- there seems to be 3 issues and the solution is either a full replacement, a partial replacement or a repair of a botched meniscus surgery by a doctor in another state. Two recommended approaches have been declined. The first one for injections was sent to the wrong department by Humana staff and declined. Turned out it was a covered treatment but not in the department they sent it to for approval.
I spent 8 hours and my doctor spent 12 hours trying to get their mistake fixed. Finally, I wrote the office of the CEO and after several days, they said they would cover it. The next was a knee scope to determine which of the 3 surgeries would fix the problem. They had the information for 3.5 weeks and the night before 7AM scope surgery, they declined it with no information as to why. My doctor spent all day trying to get someone on the phone who could explain why it was declined because I do need one of these 3 surgeries desperately due to the pain and limited mobility.
I am self-employed and had to clear two days worth of work to accommodate the surgery and have my husband, also self-employed, schedule 4 hours to drive me there and back. I pay a lot of money for healthcare and expect better. I am contacting the office of the CEO. You can do this on their website under the investors relations tab.
Reviewed June 16, 2016
Humana has been purchased by Aetna. Since that time, the services have steadily declined. Delayed payments to physicians, increased confusion regarding doctor participation in the plan and other problems have occurred. My sister visited a doctor today who had a contract with Humana. She no longer takes this insurance because she has received no payment since Jan., 2016. I have been insured by Aetna in the past. Now, since they own Humana the same problems are rearing their nasty heads. I live in a rural county. There are only 3 options for health insurance. One is for low incomes. My income does not allow me to choose this one. Another limits me to physicians in this state. I travel to another state for services due to poor choices in my community. The other is Humana. If things don't change, I will be stuck. Maybe I'll have to return to Medicare and try to find a supplement. (In the past no supplements were available in my county.)
Reviewed June 15, 2016
I called a Humana agent, who transferred me to Medicare's Limited Income NET Program. One hour talking to both agents and hold period. LI NET told me I should be speaking to Humana's Pharmacy Dept.; transferred me to an agent who told me he was having technical difficulties and the line went dead after 90 minutes total time including hold, transfer and misleading information. Called again, this Humana agent was rude and again transferred me to LI NET. The whole process repeated itself. I was told my coverage was ending in 15 days and being assumed by Wellcare. I called Medicare, who explained the confusion to me, but refused to give me my Medicare Number. I called Wellcare and in minutes the agent walked me through all the steps to apply for prior approval for certain medications plus gave me my Medicare number.
The four hours wasted on the phone was enough to make me puke. That was four hours for only fifteen days of coverage. I wouldn't go near Humana. Each agent refused to accept responsibility and passed the buck to the next agent. Wellcare picked up on the first ring without torturing me by subjecting me to an obnoxious automated system with one option leading to another. "Sorry, I can't give you a live person till you answer this question." You answer it and get hit over the head with another one. The Wellcare agent was courteous, patient and assisted me thoroughly. My first experience with Medicare and Humana was like winning the booby prize for turning 62 years old.
Reviewed June 14, 2016
I am not Medicare eligible so I am buying Humana HMOx from the Michigan Marketplace under The Affordable Care Act. Humana HMOx will deny claims and decide a doctor is suddenly out-of-network without warning or reason. They also seem to play games with your payments to avoid paying claims. I began seeing Dr. ** in July 2015. Prior to making an appointment with Dr. ** I was informed by Humana that Dr. ** was in-network with Humana HMOx/Select RX Network. Dr. ** also stated that he was in-network with Humana HMOx. I continued to see Dr. ** on a regular basis for the remainder of 2015 and his services were covered by Humana without incident.
In January 2016 Humana paid all claims submitted by Dr. ** until January 27, 2016. According to conversations I had with Humana beginning in May, I found out that it had been decided by Humana that Dr. ** was suddenly out-of-network in January 2016. Dr. ** informed me that he’d been informed that Humana determined that he was out-of-network in May 2016.
In early May 2016 I contacted Humana, and after several calls by myself and Dr. ** to Humana, the issue was “escalated to a supervisor” on or about May 6, 2016. I was also informed on or about May 9, 2016 in a conversation with a customer representative, that I would have to get a “retro referral” from my primary physician as there was no referral on file. I obtained and forwarded the “retro referral” from my primary physician as instructed. On or about May 26, 2016, I received a voicemail message from “Linda”, stating that the claims had processed correctly and no further action was possible at this time. I was also advised to have Dr. ** apply to be included in Humana HMOx, which he did, and was denied. What was the purpose?
I strongly object to the way Humana has decided on this issue. To have been told that this doctor was in-network and to have Humana suddenly decide otherwise is obviously unfair and suspicious. And this is not the first time I’ve had this problem with Humana. In May 2015 I had knee replacement surgery. I noticed that the automatic withdrawal had not been deducted from my checking account that month.
As I had many issues related to my upcoming surgery to handle, I simply kept an eye on my account for the withdrawal expecting the withdrawal would show up any day. Days after my surgery I realized that I had better send Humana a manual payment for the month of May and June, which I did. It took me a couple of weeks of recovery before I could contact Humana, at which time I was informed that my automatic withdrawals had been discontinued for some unknown reason.
The Humana representative I talked with admitted that a mistake had been made by Humana and as I had shown good faith and due diligence by making the payments manually, I was reinstated and my medical claims were then paid by Humana. Imagine having to worry about your medical insurance at a time like that! I get the feeling that Humana likes to change their mind when faced with certain types of claims. I know that Humana does not care about me as an individual but I’d think that Humana would care about their reputation among customers as well as providers.
Reviewed June 14, 2016
I have been with Humana for 2 yrs now under the affordable care act, yes ObamaCare. Yesterday I got a letter saying I had been terminated since March 2016 due to payments being late. My due date is the first but I can't pay till the 14th or 15th. It's been that way for about 18 months. I'm a caregiver and my payments are always late, for one reason or another. They never sent me a letter telling me that I was at risk of losing my insurance. Till yesterday, after it was terminated.
I was terminated in March but they have accepted 3 months payments after termination, and to top that off my Dr's office sent me a handful of bills today worth over 500.00 that Humana didn't pay, even though they took my premiums till this month. I called Humana and was told that nothing but an appeal could be done. I can't even get my premiums refunded, even though I was not covered. Last year I was treated fairly. I got a book, explaining rights and my obligations, and a card showing benefits. This year I got nothing but robbed.
Reviewed June 13, 2016
I called Humana Health Insurance today and it was definitely Humana. And right before I choose benefits, a spastic creep broke into the line and demanded my bank card number. I told him I didn't want to give it to him but he insisted I must give him my bank card number. I gave it to him despite a bad feeling. After that I spoke to Humana who knew nothing about this man asking for a bank card number. I called Wells Fargo and had to cancel the bank card despite having auto pay on it and tomorrow despite being ILL, I have to go to Wells Fargo and figure out what to do and get a new bank card. The morons who can't even speak English at Humana never discussed this with me and kept hanging up on me. As soon as I can switch to another company, I will.
Reviewed June 3, 2016
I needed a prescription override because I will be out of the USA for a month. I cannot refill my prescription because the next refill isn't until June 11. The pharmacy attempted to get the prescription override but Humana would not do it. Humana said that I had to call. I have made four telephone calls to Humana. The first call to 800-865-8715, I sat on hold for 6 minutes to get to a so-called customer service specialist. When she came on, I explained that I needed a prescription override, the reason why including my dates of travel, and the drug. She put me on hold for "a moment." After six minutes on hold, I was disconnected.
The second call to 800-865-8715, I again had to sit on hold for about six minutes. When the male took the call, I again explained that I needed a prescription override. He told me that he could not do that; he said I needed to call 800-281-6918. I called 800-281-6918 for the third attempt. The voice prompts at the beginning were the same as those for the first phone number. I was again put on hold. After about 6 minutes, my call was disconnected. For the fourth call, I again dialed 800-281-6918. After another wait, a male answered the call. I explained to him that this was the fourth time I had attempted to get a prescription override and I requested to speak to a supervisor. He refused to give me to a supervisor and hung up on me.
I then went on to the Humana website which states: "File a formal complaint, as outlined in the plan's grievance procedure, and expect a response to that complaint within a reasonable period of time." However, there is no link to a formal complaint form, and the contact information only repeats the same circular loop to the so-called customer service center. In short, Humana's practices are to ensure that no insured has the ability to contact a person with the knowledge, ability, or interest in solving something as simple as a obtaining a prescription override. When the time comes in December 2016 to select a new drug plan, I will reject Humana as my carrier.
Reviewed June 1, 2016
I went to the same radiologist for my yearly mammogram for 10 years. I went this year and the billing person told me to check with Humana because they have been having problems. I called from the office and verified my coverage. A week later an invoice came and it showed they paid the bill. Six weeks later I got a reversal letter and a bill for 1,500 dollars. They said they no longer had my doctor in their Network. I was told to file appeal. I did and a month later they said denied because I didn't file in a timely manner.
Next month booked with my regular doctor. Later got a bill that he was out of network. I had checked because of my earlier experience. They said he was in network and sent a corrected bill. Then they send another bill saying out of network. I called again and they said they used his billing company address. They are out of network and they can use that address. I'm just done. I've had them 13 years and 2015 and 2016 changed everything. I'll make a complaint with the Medicare hotline tomorrow. This is robbery.
Reviewed May 24, 2016
Horrible! I received a bill from Humana confirming they would cover $50 of $200 bill for an urgent care visit. I confirmed with both the hospital and Humana that my insurance would cover a portion of this visit before going. After paying the portion my Humana bill confirmed was my responsibility the hospital continued to send me bills for the $50 Humana guaranteed they would cover. When I contacted Humana to confirm why they had not paid their part they could not give me any reason for their failure and only told me I could send a written letter in to request confirmation. I chose to file a complaint with their representative who told me I would receive a response within 30 days. Over 3 months later and I have yet to hear a peep from them.
Reviewed May 18, 2016
Over a year ago, I opted to open a dental policy with Humana. After realizing that it only covered general cleaning, I chose to cancel when my husband needed extensive work. On April 13, 2016, I called their customer service dept and cancelled the policy. They informed me that I would receive my refund (for May's payment that had already been processed for the 15th) on May 1st. After fighting with them to close my policy, I was placed on hold and then hung up on.
After the May 1st, I checked my acct daily to see if the refund had hit my account. Well, on May 16th, I opened my bank app to see that not only had I NOT received my refund, but they had processed ANOTHER payment. Being on disability and only getting paid a limited income monthly, the transaction caused an insufficient fee. I called THAT DAY, only to get hung up on AGAIN.
When I called back, they were conveniently closed for the day. So again, I called back. On Tuesday, I spoke with a young lady who specifically told me that BOTH payments would be refunded, as well as the NSF fee (with proof). I was told that there were notes on the policy for cancellation, but the policy still showed active. Well, today, I checked my account and ONE SINGLE refund had hit my account. There should have been two. So again, very angrily, I called back this morning. (Wednesday) - I expressed to them that if it only takes 24 hrs to get my refund, why did I only get one. The customer service rep informed me it was because that payment had come out of my acct first.
The second reimbursement would take 10 days. THIS IS ABSOLUTELY NOT ACCEPTABLE! When I was finally able to get a manager on the phone, I was told I had to show proof that the second payment had come out, along with the NSF charge and THEN I would get the second reimbursement after 10 days. WHAT?! You people can't see that a payment has been made? You took it out of my account in 2 days, yet it's going to take you two week (work days) to replace it?!
I AM OVER THIS COMPANY! Their policy, their procedure and their customer service could use a makeover. There is no excuse for how my situation has been handled. Their customer service reps need additional training. The first two reps that I spoke with were so unprofessional. They spoke 'down' to me, as well as the first reps supervisor took over the conversation. Zero respect. The third and fourth reps were much kinder, yet had no control over the situation. When asked to speak to a manager, I got a supervisor (NOT the same) and still was told I had to PROVE to them that they took money out of my account. ARE YOU KIDDING ME? THIS IS INSANE! NEVER AGAIN WILL I DO ANY BUSINESS WITH HUMANA!
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.
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.
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.
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.
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!
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.
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.
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.
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.
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.
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.
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.
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.

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.
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.
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.
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.
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.
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.
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.
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".
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.
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.
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.
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.
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.
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.
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.
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?
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.
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?
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.
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.
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.
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?
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.
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.
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!!!
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.
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.
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.
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?
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.
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.
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.
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.
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.
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.
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.
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.
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.
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!!
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.
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.
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.
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.
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.
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.
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.
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.
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!
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...
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.
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.
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.
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.
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 **.
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.
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.
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!
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?
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.
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.
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.
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.

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.
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.
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!!
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."
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.
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.
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.
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.
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.
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.
Reviewed Dec. 6, 2015
Extremely poor prescription drug coverage. System errors like order entry, stock, communication, unauthorized cancellation of orders, piecemeal order fulfillment.
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.
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!!!
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.
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!!!
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.
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.
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!
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.
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.
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.
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.
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!!
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.

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.
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!!!
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.
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.
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.
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.
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.
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!
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.
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.
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?
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.
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!!!
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.
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!!!
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.
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.
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!
Humana Health Insurance Company Information
- Company Name:
- Humana
- Website:
- www.humana.com