
Humana Health Insurance Reviews
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Humana Health Insurance Reviews
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Reviewed April 24, 2015
My Mom is 73. She has Alzheimer's, heart issues, syncope, a fall risk, dystonia (has altered her skeletal structure, and made her off balance). She has been living alone, with family visiting frequently, handling her finances, groceries...everything. She started passing out and having seizure like activity, so I took her to the hospital. All the Doctors said that she should not be living alone anymore. So the plan was to put her in rehab after she was stabilized, and when she got stronger, move her to long term care.
She went in on a Wed. Humana was supposed to approve her to go into rehab on Friday. They did not provide a confirmation number, so she was stuck there through the weekend. On Monday, they came back and DENIED paying for rehab!!! The doctor did a peer to peer recommendation directly with Humana, and they still DENIED her, so I called in an appeal. Finally, after SEVEN days in the hospital, they approved her rehab stay.
But there's more! They then denied paying for her extended hospital stay, even though it was their fault! Humana will not allow a patient to go home between a hospital stay and rehab, or they will DENY the claim. They must be transferred directly from the hospital to rehab. Many days of stress and more to come. HUMANA SUCKS... and will be taking action against them. Don't fall for their "deals" on medications, because when it counts, they will fail you.
Reviewed April 22, 2015
I became a hapless Humana customer 1/1/2015. First I received daily calls to complete a health assessment online. I did so. But the calls kept coming with daily letters. I had to complete 2 additional assessments before it stopped. Then they denied a claim for an office visit because they had the wrong PCP doctor. I gave them the correct name, which is unfortunately the same name of a PCP in the county. They will not pay the claim because in order to do so they would need to backdate the effective date of the PCP, which should be 1/1/2015. After 94 minutes and speaking to 7 representatives they said the computer won't let them change things. Had to cancel my office visit and it will take another 3-4 weeks to get in because they corrected the mistake but the computer won't authorize it until 5/1/2015!
Reviewed April 20, 2015
I signed up in February of 2015. It by far was the worst policy ever. Not only was my deductible $6000, but I was also required to pay 100% at doctor's visits - meaning, it was worthless. Even though my health and dental were acquired on the same day, somehow they put them in two different states. I told them to cancel my health and keep my dental. They told me they could do both, I call the day before my procedure to check, and of course they cancelled both. They are the worst!!!
Reviewed April 15, 2015
Due to recent decay, my wife needs a replacement crown on a tooth that has been previously crowned. Humana seems to think they know more than the Dentist, and has denied coverage for it. We only have Humana because it is the company that has the contract with her employer. Humana is one of the WORST insurance companies we have ever had to deal with. I long for the day the employer dumps this sorry excuse for an insurance company! I wouldn't recommend Humana for ANYTHING! BEWARE!! HUMANA IS TERRIBLE!!
Reviewed April 15, 2015
I bought Humana Gold Plus insurance at the end of 2011 when I turned 65 to supplement my Medicare. The agent who sold it to me spoke highly of this insurance, promising that I would be able to use both HMO and POS (point of service/out of network). This sounded very convenient to me. I had no problem in 2012 in terms of using Point of Service. But problems started 2013 and 2014 when Humana denied my Point Of Service claims from Scripps hospital. I have been struggling with Humana for almost a year, and I am getting nowhere. I have a big folder of documents that verify what I went through with Humana. I talked to many different Humana agents/supervisors regarding my claims; each one said something differently. Scripps Clinic kept sending me bills after bills, telling me that Humana denied the claims. For months, I did not get any denial letters from Humana regarding those claims.
After spending hours on the phone with Humana agents for several months, I finally got denial letters. I eventually appealed for several Point of Service claims, hoping someone would listen to me. On December 12, 2014, I got a letter from Humana Grievance Department, acknowledging that there was an "error in processing," and that they "agreed" with me. They indicated in their letter that those POS claims would be reprocessed. Well, I finally could sleep and relax, hoping that someone at Humana listened to me and resolved the issue. Well, unfortunately, that was too good to be true. I am now getting statements from Scripps Clinic for those same claims again. Those statements tell me that Humana denies those claims and I am responsible for them. So I am back in square one and don't know what to do.
I am a senior citizen with limited income and can't afford to pay for those claims. When I call Scripps and tell them that I had already appealed and I should not be responsible to pay full amounts, they tell me to call my insurance and talk to them. I feel so helpless. Humana has started sending us Smart Summary since year 2015, but that makes absolute no sense to me at all. If I had stayed on Medicare only without buying Humana to supplement that, I would have been in a better shape. At least, Medicare would have paid for 80% of my claims. This is not fair. I am sure Humana gets money from Medicare, but they are not paying for my Point Of Service claims.
In August 2014, I stopped using my Point of Service and relied only on my HMO so that I did not have to go through this nightmare. I switched to Anthem Blue Cross in January 2015 because I was disgusted with Humana insurance. I am paying three times as much premium with Anthem Blue Cross, but I have had no problem with any claims. I am just angry with myself for not doing more research and comparison three years ago when I first went on Medicare. I do hope other people learn from my experience and don't become fooled by agents who just want to sell insurance. Please do your homework before buying insurance.
Reviewed April 14, 2015
Delayed authorizations, I ran out of medication because of delays in their system.
Reviewed April 9, 2015
I work for a physician's office. Humana has become a nightmare to deal with on every level. Claims are denied for reasons such as "the service was never rendered" (this was for surgery to remove a MELANOMA skin cancer). They request additional information on a regular basis, which is fine. Insurance companies are entitled to do their due diligence, HOWEVER, when everything they ask for is submitted, multiple times, and the claims are still denied stating the notes don't support the charges (even though everything is THERE and correct), this is flat out BREACH OF CONTRACT.
This has been going on for a year now. When you call the provider service reps to follow up on unpaid claims, you get a brand new person every time and they read you the SAME scripted answers. There is absolutely NO next level of resolution. We finally took the unresolved cases to the provider relations rep. She resolved the 3 cases we gave to her, but promptly informed me that I would need to send appeals to the appeals address in the future. Guess what? I had done that multiple times and was being stone-walled by the time I broke down and contacted her. We are still seeing patients with Humana for the time being, but it will end if they can't get their act together. I feel so badly for the members; they are entitled to be taken care of when they pay their premiums!
Reviewed April 8, 2015
I had three awful doctors with Humana. One was overtly sexually inappropriate. The second was rude and sarcastic. The third was rude and sarcastic. Both one and three refused to refer me to specialists, making the things I'm dealing with now much harder to manage than they should have been. There's lots more. They were awful.
Reviewed April 7, 2015
I enrolled in Rx plan. I was told it would be cheaper for me. That is not the case. I have had to DISCONTINUE meds. Also the first Primary Dr. they signed me up to an ABORTION CLINIC. I was reassigned to a WALK-IN CLINIC. That's all day at the clinic, NO APPOINTMENTS allowed. I have SEVERE GLAUCOMA. I informed the rep. I am having to pay OUT OF POCKET for my eye dr. His establishment (Harbor View Eye Institute) is the best in Western Washington. My eyes are not something to play with. I am SCARED for my EYES, till October when I can cancel. They say what they have to in order to get your business. I am on SSD with limited income. This program is not low income-friendly. SCARED FOR MY HEALTH!!!
Reviewed April 3, 2015
I turned 65 in Nov. 2014. I went with Humana for a Medicare supplement. What a mistake. I have never been so angry with a company. My Doctor prescribed me some medicine that he said I needed for a certain condition. Humana denied the claim. After 10 days and at least 8 phone calls to them, they told me that it was denied because they didn't think that I needed the medicine. Wait a minute, when did they become my primary Dr?
I reviewed my booklet that Humana sent to me about the medicine that they would cover under my plan and it was right there in black and white. It was generic under tier 3 with a $45.00 co-pay. This has been a nightmare. If they will not cover the medicine, then why list it in your booklet that they will? I am now stuck with this plan, "thanks to Obama," until the next open enrollment. I will get a new health care provider then. If you are thinking about using Humana, don't. I Repeat, don't consider them. Save some time and aggravation and get someone you can trust.
Reviewed April 2, 2015
We needed insurance for my 3 children and decided to go with the Marketplace insurance because it was cheaper than going through the employer. We reviewed the offerings and after calling Humana with very specific questions; "Does this plan include the pediatrician group we have going to for the past 7 years and does this plan include my oldest son's medication, Daytrana, a medication that he has been on for 2 years to help him cope with ADHD and a few other neurological abnormalities?" The Humana rep said that there wouldn't be any problems and that pediatrician group was in the system and that the medication would be approved.
We started paying our premiums so coverage would begin. In February, a few days after open enrollment ended, after we had already been to the Dr's(twice), we were notified by the pediatrician that the plan (Humana HMO) wasn't accepted and we had an outstanding balance that we needed to pay. GREAT!!! Get insurance and still get stuck paying cash because the insurance is WORTHLESS!!!
Today I get a letter from Humana saying that they will not cover the medication we specifically asked about; the reason is because they consider the medicine therapeutic and need medical records to justify authorizing it. Nevermind we paid out of pocket because they wouldn't cover it in Jan, Feb, or March. Oh and the medical records are at the pediatrician's office that we now owe money to so haven't called and asked for them yet.
Reviewed April 2, 2015
For 1 year I have been trying to get my mom to the eye doctor. Humana tells me that my PCP has to write a referral and when I go to the doctor they tell me no. Per Humana they cannot so I call Humana back and they put me on hold while they call the Doctor then they come me back and say "I'm sorry let me put you on with one of our teams that can help you". Then the refer me to someone I make the appointment and still she cannot get glasses. They also referred me to an eye center that is not even covered under her plan. It been a year and still my mom can't see very well has fallen many time gets stuck outside at times when her vertigo comes on and if I'm not home she is outside till I get home. I'm blue in the face trying to get help. The doctor they referred us to was Greaaaat!!!! However the visits are not covered. Wonder how much that will cost me now.
We will be changing her insurance company after my experience today. I was on the phone with them for over 1 hour maybe 2 and while I was trying to explain my problem to the so called expert team. She hung up on me I was trying to explain and all she did was keep interrupting me like she was in a hurry to go to lunch. Not happy with CS department at all. All I have wanted since the start was for my mom to be able to get new glasses and see a specialist about her cataracts.
Reviewed March 28, 2015
In December 2015 I was enrolled into the wrong Humana Medicare plan. I clearly stated my expectations as wanting my existing medical team of five years to continue providing my medical care and coordination through Henry Ford Health Systems (Detroit). I am a 66 year old man recovering/suffering from heart surgery and a major stroke. I gave the Humana sales agent my primary doctor's name, **. I was told that though his name did not show up in the database that he and the Henry Ford doctors would be available under the plan as in network care givers. In January 2015 my Humana health insurance was rejected by both my primary doctor and Henry Ford.
It is now three months later and I don't have any medical services available to me under this Humana plan. They have been utterly feckless in helping me stay alive and preventing the deterioration of my health and lifestyle. I received a phone call from Humana attempting to put on the record, recorded words in my mouth implying I wanted to terminate my contract with Humana. No, I told them, I am not that smart. I only want my originally stated expectations met and to be made whole for cost, damages and failure to deliver services. The call ended there 03/27/2015. I need help.
Reviewed March 24, 2015
Humana tried for eight months to force me to pay beginning on Jan. 1 that the actual effective date was Jan. 23. They kept refusing to pro-rate the plan and charge me for actual time covered. This year they are saying that a prescription written by my local PCP in February does not count toward my $500 deductible. I paid over $450 for the prescription in February. In March, they say for the same prescription, I am responsible to pay over $870 and the first $500 will go to my deductible and the remaining $380 will be applied to my out-of-pocket. My combined out-of-pocket, and say agree, is $1500. Before the March prescription, over $1300 has been applied to the $1500 total, yet they insist I pay the $870.
Reviewed March 24, 2015
We chose a health plan with the knowledge that a pregnancy was in the plan. Humana had 17 Ob Doctors and offices listed. Not one of the doctors or offices listed on their website or given over the phone carry Humana PPO insurance. One Dr. listed moved to Fargo North Dakota in October of 2011. Four of the listings were his office which is now closed. One doctor retired over 6 months ago. Two of the listings were for her office. Three were Gynecology only. Two only take uninsured patients. Four office closed. Two offices have no OB doctors anymore. Is this a coincident or FALSE ADVERTISING. Our options from Humana are to drive over an hour for appointments.
The second problem is that when it is time to deliver the hospital accepts Humana PPO but since there is no doctor in network and no in network doctor will drive over an hour to get to the hospital to deliver an out of network doctor would have to be used. Our in network deductible is $3,000. Our out of Network deductible is $10,000. HUMANA IS SET UP TO PROFIT. We would have never chosen Humana if they would have correctly reported the doctors in network. I can see maybe a couple of the list but the whole list is void and null.
We have called the customer service line over twenty times. Previous conversation were not recorded they would start down the list of doctors only to be told by us that no OB doctors remain In the Prescott area that accepts Humana PPO. A grievance was filed and Humana cancelled the first grievance without our knowledge because their customer service rep saw the 17 doctors and office listed. We had to start the grievance process all over again and it was denied because we can drive over an hour for the appointments. But what about the delivery? Humana Arizona has the lowest ratings for their Plan in AZ from Consumer Reports. I wish I would have checked this before I purchased the plan.
Reviewed March 21, 2015
My tooth broke a few months ago, and I went to look for my insurance card, then remembered I never got one. I tried to login to the website, but apparently I'm not even a registered member, yet they can still charge me every month. Need your member ID to register on the website, but without a card, I don't know my member ID. Tried calling and I got all the way through the menus after entering my social security number and everything, then its says they are closed and to call back during business hours. Which means I have to take time off work just to call these ** . Moda health on the other hand has been good so far, haven't submitted any claims yet, but at least their website works and I got my insurance cards promptly.
Reviewed March 19, 2015
After the insanity of finally getting coverage, I found out last fall that my policy would no longer apply because I don't qualify for Obamacare. Our household makes "too much" money. Fine. As of January I added our daughter to my new policy and was told that now my doctor would have to change because he was no longer in network. Why one has to do with the other, I have no idea. They give me a doctor I have no experience with. I find out that this particular physician has a myriad of serious complaints against him, including misdiagnosing two patients who almost lost their lives. I call Humana to change doctors and am told that I can no longer make any changes because open enrollment has closed until November.
I ask if I can switch to a PPO from this HMOx and again, am told I cannot. I was forced to go to a clinic in our local grocery store for an infection, a visit that cost me $115 because - you guessed it! - even they don't accept the Humana HMOx. I fill my script there in the pharmacy as always, and today I get a call saying I wasn't allowed to do that and they aren't going to honor it. I have to go to Wal-Mart now. This is something I was NEVER informed of, through mail or voice correspondence. Now my daughter's doctor tells me that because Humana didn't put her name on my insurance card, Humana won't honor her last vaccination claim.
So let me get this straight...the agency that CREATED my policy with my daughter added won't honor the doctor THEY gave her. All because they failed to send me a card with her name on it. I realize Obamacare has changed laws, but Humana has been an absolute nightmare to work with. The DAY open enrollment starts again, I am dropping them for good. $10,000 a year with my deductible and NOTHING to show for it.
Reviewed March 19, 2015
I needed to have a crown on one of my molars. When I found out that Humana was only paying for $200.00 out of the $1200.00 charge, I called them to find out why. They basically told me that it was my dentist's fault for treating with such an "expensive" crown. They expected him to treat with a very low quality crown and that is what they would pay for. But after all they need to pay their CEO 8 million a year, so paying legitimate claims is not a priority.
Reviewed March 18, 2015
By default, we have to have Humana insurance until we find another job. Humana's provider directory is out of date, 5 of my local hospitals don't even accept Humana, we had a prescription filled that wasn't covered even though 2 years ago it was covered, our plan year lapse's each year due to data entry input errors, customer service is terrible and we've had to experience being billed for seeing a doctor that isn't covered under the plan even though the practice they work for is covered. So many headaches trying to maneuver through this health plan when it should be simple. We pay quite a bit each month for mediocre insurance. As soon as we can get out, we will NEVER have Humana Health Insurance again.
Reviewed March 13, 2015
Humana health Ins. increased my health plan drastically without my knowledge to the sum of over a $1000.00 a month. I was not aware this was going to happen nor would I have agreed to it. I have sent the information they told me to send, twice but they keep me that have not received it or their systems are down and they have had a lot of call-ins. This change has caused me financial hardship and duress. Continuation in this plan would cause me financial ruin and more likely homelessness, only because the employees at Humana are not doing their jobs and they victimized me by deception of an unfair method.
Reviewed March 8, 2015
In February of 2013 I went to the ER with a kidney stone...left kidney -- had been to the urologist earlier the same day. Symptoms the same as 20 times before --pain in kidney area, nausea. After receiving the bill, Humana refused to pay the bill, $5600 -- said I had a upset stomach. Called several times. Went back to ER in September... same kidney, same problem. They paid all but $250 which is my co-pay. Called and talked over and over to no avail. Finally realized I had to send in a written grievances which I did and because it Was over the allotted time, they wouldn't even look at it. Over and over I fight to get Humana to pay a bill. Humana sent me a bill that was over a year old and denied a drug screen -- saying I had to pay the money -- it was over a year old.
Reviewed March 8, 2015
POOR CUSTOMER SERVICE - NOT MANY DOCTOR CHOICES. My first doctor dropped my plan after one yr. The next one Humana care referred me to had untrained help. And I was billed too much for office visit on first time visit. The doc I have now is arrogant and goes by OBAMACA rules.
Reviewed March 4, 2015
Humana made an error on my dad's coverage, cancelling it, saying he moved out of area. He did not. For close to a year, I am still dealing with it. Have spent over 50 hours and hundreds of transfers I believe since I complained to every agent and agency possible. They are inept. They now have a vendetta towards me since I've been tenacious in being my dad's advocate. They are in-Humana. They do not live up to any of the responsibility they claim in their advertising. They don't care, they lie, they hang up on you. You try and try to get to the point and they never get there. Got some resolution, but it never ends. I requested they reinstate taking his Part D out of his SS nine months later and I get a coupon book. Now I get a call saying call an agent and set up an easier way.
I refuse to call an agent and explain for the 80th time the same situation. I don't recommend them to anyone. The ironic part is his Part D only cost Humana 10.00 a month. $50.00 after they dropped him. He is 92 now and have caused nothing but anxiety, time, money and hundreds of hours. What do I get? A letter apologizing for the inconvenience and still it's not resolved. It does no good to go to the BBC, Insurance Commission, making complaints with the board of Humana, so don't waste your time with them.
Reviewed March 4, 2015
This insurance is a scam. I have so many problems with the customer service representatives and I could never be transferred to a supervisor. They always transfer the call back and forth and then hang up. It's been 42 minutes and I am still waiting to be connected to a human. I always called to verify my benefits before going to see my doctors but whenever the billing department at my doctor's office calls to get authorization, they are always told something different. So my services always get denied and I have been so frustrated. I can't believe how unprofessional these people are, and after reading all these complaints and their lawsuits, I am definitely cancelling my plan and write a letter to the BBB.
Reviewed March 2, 2015
This company is fraudulent! I am not getting a response! I thought PPO plans were designed so consumer could pick any dentist and cleanings would apply! Not so! Now I want to cancel and I am not getting a call back!
Reviewed Feb. 28, 2015
The customer service people lie about coverage or the coverage is changed after you buy the insurance. First problem was related to dental coverage where both I and the dentist were told what procedures were covered. Humana a later refused to pay. Second problem was related to mail order pharmacy. A supervisor told me they have tape recorded conversation with me telling the coverage which later they wouldn't honor. I bought the Humana advantage plan based on the coverage. The first year we liked the program, now we want to change.
Reviewed Feb. 28, 2015
My company provides us with health insurance from Humana. They also provide us with the "Humana Access" card. My card has an unused balance of $4,000.00 in it. I am supposed to be able to simply swipe this card (it is a Visa debit card) to cover the deductibles for medical treatments and office visits. My card does not work and I have to pay out of pocket. I have called Humana about this and their "Customer Service Reps" will always tell you that they have taken care of this. In the meantime I have had to go to my HR dept. They too have been unsuccessful and finally gave me the name of our Humana Account Representative, Linkon ** to work with. Typical of Humana after the situation is discussed they promise you all is fixed.
Then I get letters from collection agencies trying to collect money for charges. I go to the Drs. office and they swipe the card and it is rejected again. I pay out of pocket to get the debt collectors off my back. Last year I started taking names and reference #’s when I make my calls to Humana's help at 800-604-6228. I once spent @ an hour on the phone with a guy named Kevin. We only then discovered that there was a charge to my card for $467.20 on 02/17/2011, four years ago, that Humana paid and because of that, they are no longer paying anything on my card. Kevin and I did a conference call with the alleged card swiper. A lab, and they had NO RECORD of my ever being there or charges from them! Kevin assured me he would follow up and get everything fixed. That was Ref. # ** .
About a week goes by and my card is still not working. I call that 800# again and speak with Furaha and tell her the Ref. # and the situation. She calls Kevin and tells me he never followed up. If this is their practice, to make the promise just to get people off the phone, it had worked on me since 2011. Furaha spent at least an hour on the phone and gave me advice on how to contact Humana with a letter explaining this and their address. I sent the letter with all of the names, dates, and reference #'s I had. They sent me a letter saying that I had to pay back the $467.20 or I get the lab to pay them back! Also, the time period for appealing all my other expenses that I had to pay out of pocket that they were supposed to pay had ended. I think that is why they keep telling you it is fixed, so they can run out the clock. I have paid over $3,800.00 that was supposed to be paid by that debit card that is funded by my organization.
Reviewed Feb. 27, 2015
I have been trying to get my prescriptions filled through Humana providers Walmart and CVS for five months. This is medicine that is covered with my policy, yet I have been denied any help. I filled a grievance and after many attempts, hours and hours of being placed on hold, transferred from one to another time after time being left on hold, hung up on, lied to and cannot speak to anyone’s superior because they simply will place you on hold, leave you on hold and go home or hang up on you. I have never seen any corporation handle customers in the way that Humana has handled my calls .They are liars, they are Rude, they are unknowledgeable of their company’s directory, they refuse to allow you to get through to any kind of supervisor. They totally suck. I have lost my job due to the fact i can’t get up because i am in such pain without my medicine. Thanks Humana.
Reviewed Feb. 27, 2015
What a ripoff. I signed up with Humana in 2014, thanks to Obamacare. In 2015, it "automatically rolled over" and guess what? My premiums were tripled. Suddenly my bank account was slammed with triple the premium payment. When I renewed the plan and inquired about this, "Nothing they could do."
Reviewed Feb. 24, 2015
In fact, this company is bordering on no customer service. Make no mistake if you choose them, like I did, because they were the most affordable for the coverage. They are the most affordable because apparently, they employ very few people. So you are going to be paying a good deal of money every month and you may or may not be getting any coverage. If you don't have a job and can spend hours a day getting through to someone who can actually give you accurate information, maybe you'll have more success but honestly, I'm not even sure that person exists! I will probably lose my insurance in fact because I can't even find a way to PAY! That's how bad it is. No phone service before 8am and then it is a LONG wait; Chat hangs up on you before you even get connected and they don't give you an email address. Good luck but personally, if you have a choice, I'd go with a different company.
What Obama has done to this nation regarding healthcare will destroy it. Because people are now forced to buy insurance, cheap companies like Humana can collect money and then do nothing! What was always wrong was the insurance companies/medical establishment problems, not the PEOPLE but the people were the ones punished and held accountable. Makes no sense. People will be going bankrupt or worse yet, dying, because the accountability was not required where it was actually needed.
Reviewed Feb. 23, 2015
I been paying $1.40 per prescription. Then this year without any warning it flew off the charts. Unreal share of cost. Hurt bad. Needed medication. Now I am so broke. Thanks Humana. I thought you were great. Now you really suck.
Reviewed Feb. 22, 2015
Humana is the worst company in the world! They NEVER tell the truth, they fabricate, and even lie. They do not deliver on any product that they advertise. I have had a nightmare experience with them, trying to get my husband, WHO HAS a rare disease to Johns Hopkins where they have research doctors for this disease. All our local doctors spent hours upon hours pleading with Humana to let him go. Humana told the doctors it was approved (via a HUMANA DEATH PANEL headed up with a nurse, not a doctor), but it actually wasn't. Johns Hopkins never received approval because HUMANA needed to negotiate with them, on how much HUMANA would have to pay for a man who desperately needed the experts at Johns Hopkins.
We lost our appointment at Hopkins due to HUMANA NOT willing to cover my husband going to Johns Hopkins. I finally pulled out of Humana and went to Supplemental AARP's United Healthcare, which is working well and my husband finally went to Johns Hopkins, where he is getting good care. RightSourceRX, owned by Humana, is also a nightmare...really stupid customer care "specialists, as they are called," do not know anything. DO NOT EVER USE HUMANA, regardless of their "fancy" advertisements on TV. They are only interested in the FAT CATS making millions in salaries and bonuses. They are all despicable and should be investigated by the GOVERNMENT FOR FRAUD. I plan to get my story in more media sources and have numerous contacts to do so.
Reviewed Feb. 22, 2015
Humana = Nightmare. Rep never gives correct info. They referred me to a urgent care facility that did not take Humana. Did pre-op. then found out hospital/doctor is no longer under Humana. Rep gave me several doctors. None took Humana. I'm out.
Reviewed Feb. 21, 2015
My wife who is suffering from multiple sclerosis has been not allowed to refill her Betaseron for more than 15 days. The reason? Humana is reviewing her medication. How long it takes? Humana don't know. In meantime Humana did send her temporary medication. Today after been on the phone with Humana for 3 hours and been transferred from one employee to others, with no luck, at the end up talking to a manager there by the name of Deanna (conversation ref. #**), this manager informed me that I cannot file a complaint over the phone about my dissatisfaction of the customer service at Humana and the only way to file complaint about an employee of Humana is in writing to the grievance department.
And in meantime she advised me to take my wife to the ER to get her Betaseron shots or to go buy it from my pocket. (To whom doesn't know. Betaseron is not a medication that you can buy from a pharmacy). Here now February is almost over and we could not get a refill. We use to get the Betaseron from Biotec. but this month Biotec informed us that Humana did not allow them to refill it because they want the medication to come from Rightsource pharmacy only. The patients should stay without medication until Humana finish their review of the medication. This what you should expect when you sign up with Humana.
Reviewed Feb. 21, 2015
I called Humana customer service to changed my primary physician name...1st time they transfer the call to a customer service agent. When I said her that I need to change my pp, she said it really hard to hear me. I said ok I called you again. After that I tried to connect then called 50 times. They said their customer service is closed.. How come it's possible? I really really tried to deal with them... Worst customer service.
Reviewed Feb. 20, 2015
My coverage in Humana supplement plan "N" began 01/01/14. On 10/15/14 I received notice of rate increase. On 10/27/14 I secured coverage for 2015 with another company. Subsequently called and de-enrolled supplement for 12/31/14. (1) They cancelled my prescription policy. (2) I call, they corrected it and sent me a confirmation 11/19/14.
On 01/13/15, Humana drafted $131.48 from my bank. I called several times, was given a number of differing explanations, including that nothing could be done. Finally reached a person on 01/21/15 who said she could get me dis-enrolled and get my money back. Following faxing a copy of the new coverage, on 01/28/15 Humana refunded the money.
On 02/0/15 I received a letter telling me I had been denied coverage based on underwriting risk. The letter went on to state that I had given them permission to use my PHI to evaluate my application (I never made an application). On 02/29/15 I received a threatening phone call from Humana stating I had cashing a check that they had stopped payment on, that it was not my money, that I needed to return it, etc. I sent out letters to the Ethics board, the insurance commission, the Board of Directors of Humana, etc. Now, in a letter of 02/10/15, Humana says they are cancelling as of 12/31/14. Then, in a letter dated 02/11/15 (received the same day) they are again saying that Medicare supplement insurance that I have applied for has been declined. Again they state that I gave them permission in my application to forage through my PHI to make this determination.
In all my years, I have never dealt with a company as irresponsible. I work in health care and I can assure you that we take issues involving PHI much more seriously than Humana. I have notes of my phone conversations, copies of all communications, etc. I intend to continue to pursue this until Humana has been prosecuted for these HIPAA violations and forced to clean up the way they do business.
Reviewed Feb. 19, 2015
After signing up for Humana HMOx through Obamacare for which I pay $200 a month, every doctor that I called on their list of providers is no longer accepting this plan. The primary care that I originally selected dropped the plan so they assigned me to a doctor that literally has the worst reviews. It took them 2 weeks to change it to a doctor that I found with reasonable reviews who would accept the insurance. I found out when I get there that on the first visit you cannot do a physical. You have to speak with the doctor, let him/her get your history, basically pay the doctor a social visit and they say it's all because of the plan. They don't want to pay for unnecessary physicals. So she asks me what's wrong and I tell her the first of two complaints and I don't get to the second one when she rushes me out of the office. Basically I am sick to my stomach with this insurance and how they cause doctors to treat their patients.
Reviewed Feb. 18, 2015
I phoned Humana in March of 2014 to check out their dental insurance. I also have their medical plan. I was told about a plan that would cover extractions and dentures with a copay that would vary somewhat depending on whether or not I worked with one of their dentists. Seems they don't record those phone calls that are made prior to taking out the insurance, because they couldn't find any record of that phone call. I signed up for the plan effective April 1, 2014 and my monthly cost was $30.
I went to the dentist in December and fortunately my dentist was reluctant to start the work without confirming their coverage. The dentist's assistant called Humana to find out what was covered. She sent in an estimate for the work to be done and was told that Humana would cover $20 of a $2,000 + bill. All I can recommend is if you are considering taking Humana Dental, write down the names and dates of anyone you talk to and keep some good notes as to what they tell you. By this time I had already paid them $300 in premiums. I cancelled the policy with a letter telling them how I was misled by their employees and I expected them to make it right. I'm still waiting.
Reviewed Feb. 18, 2015
I had cataract surgery in August. I got my glasses a month after the surgery. I have been trying to get Humana to pay their share of the bill ever since. I contacted Humana & asked for the form to reimburse me, as I had already paid for my glasses, I received a form that was barely legible, it was a form to pay the optometrist. I filled out what I could read, made a copy of the bill for the glasses, copied my insurance cards, & wrote a cover letter. I got a letter back telling me I had used the wrong code. I emailed my again three times, nothing there, called the company again, they were going to send a new form that was weeks ago & have not received anything yet. I will not have Humana as my insurance company next year!!!
Reviewed Feb. 18, 2015
Our problems began 12/26/14 with initial enrollment in the plan. We gave the names of doctors that we wanted as our PCP and were told the doctors were on the panel. When our cards arrived in early January, a different provider (someone we did not know) was listed as the PCP. We called Humana and were told that we were assigned to that provider because our providers were not on the 2015 panel. The rep stated that "they were probably on the panel in 2014, but did not return their contract in 2015." "All we had to do was call the office and ask the doctors to return their contracts." We called the office and were told by the Office Mgr that they were never offered a contract and had not been on the HMO panel.
Because we needed specialist referrals for continuity of care situations that began in 2014, we decided to make an appointment with the assigned PCP, only to be told by her office that she was not accepting new patients. We called Humana to ask for assistance with the referrals. Their reps continued to state that we needed to get referrals from our PCP. We informed them that we knew that, but the PCP they assigned us was not accepting new patients. We were willing to change PCPs, but it wouldn't be effective until 3/1/15. We needed the referrals for February.
No one seemed to know what to do. They eagerly passed our call to another department that was no more helpful than the previous one. Our ordeal continued throughout the entire month of January 2015. There were a couple of instances when we thought reps were being helpful but when we followed their instructions, we found later that the information we were given was completely false. The final blow came when a Humana clinical rep told us to see a Nurse Practitioner in the assigned PCP's office to get the referrals we needed. We saw the NP but were told later that Humana declined to approve the referrals because the NP (that they told us to see) was not the PCP on the card!
Unfortunately, my wife did not find out about this until she was standing in the specialists's office and couldn't be seen. Then the NP's office billed us for specialist visits instead of PCP visits! We called about the claims and were told they would be resubmitted and reprocessed as PCP claims within 30 days. We will continue to monitor but based on prior experience, we don't have confidence that the claims will be reprocessed correctly. If not, we will have no choice but to pay them to avoid a negative credit report.
Both my wife and I missed critical follow up appointments because we couldn't get the referrals we needed. Trying to get help from Humana was stressful and unproductive - so much so that we couldn't continue to deal with it and were fortunate enough to be able to disenroll from the plan. We hope this information will prevent others from going through a similar ordeal.
Reviewed Feb. 18, 2015
In April 2014, I went in for a dental appt. with Dr. Christopher **. I explained what dental work I needed to have done, he examined me and informed what he could do for me and gave me an estimate of the cost. Because I am a Retiree, I needed to plan ahead for any major finance event in advance. So I got my finances together and then set up an appt. I went in for part 1 of my dental work, had the work completed and was satisfied with the results, so I made my portion of the payment which was $691.20 on 5/1/14. So as I was regrouping to get the funds for the second portion of my dental work done I was informed by Lori that she had submitted a claim to Humana Dental on last of May 2014 or the first part of June 2014 and she had not received a payment yet.
So I told her that I would reach Humana Dental and see what the problem was. I called and spoke with Ebony, not sure the timing in the names because I called and spoke with so many different customer service staff members. I was told that the Dental office needed to provide more information, she informed me what that info was, I then called Lori and she said that she would send whatever they needed.
I believed everything had been taken care of until about a month or so later I got another call from Lori at the Dental office informing me that she was still waiting to be paid. I then called Humana Dental again and spoke with Gloria and she said they needed more info from the Dental Office. I asked again what they needed and again I informed Lori. Lori said that she had submitted everything that they needed in order to be paid, but she would submit it again and she did not understand what the problem was. So again after that, I thought everything was taken care of, but it was not.
Another few weeks passed and I got another call from Lori, she still had not received a payment from Humana Dental. I called and asked to speak with a supervisor and I got someone named Katie, she informed me that the problem would be taken care of. I called Lori and told her who I had spoken to and she should be getting answer soon.
Again Lori called and had not gotten anything from Humana Dental. I called Humana Dental again, couple of months has passed now and I got Gloria again. Explained the situation to her and she informed me that the problem was still with the Dental Office and that they were not getting the appropriate paperwork. So I gave her Lori phone number and asked if she would call her and inform her what they needed for them to be paid. She said she would. Lori called me after she spoke with Gloria and she said she had sent them everything they had asked for again. We went back and forth with these phone calls several times, I called again and I spoke with Carolyn, Gloria, Joelle, Kevin, etc.
Very pissed off and frustrated at this point because I am getting calls from the Dental Office about nonpayment. I called and asked again to speak with a supervisor and I got Carolyn, who was very insensitive and rude. She informed me that Humana Dental would not be paying for my claim because I had reached my max. All the calls that I had made to Humana Dental Customer Service; no one there ever informed me that I had reached my max.
I believed they waited until I reached my maxed to come up with this answer. Since they could not give me a good answer why they had not paid my claim earlier? And if that was the case, I should have been informed about that much earlier. I just think that Humana Dental messed up and I reaching the max was their way out. I asked her that when the claim was initially submitted I was not at max and that it was Humana Dental fault that they took so long to pay the claim, not mine .I asked her to speak to a supervisor and she informed me that no one was available that she would have someone to call me back.
In the meanwhile, I went to my periodontist for my regular work. In early December, I finally got a call back from someone name Supervisor Tracy, she informed me of the same thing that Carolyn had said and I asked her the same questions. That if Humana Dental would have paid my claim when it was submitted earlier, I would not have to come up with $614.20 now. She informed me that she would check into it and call me back, she never did, she had Carolyn to call me back and tell me the same thing again that she had previously told me, never answering my question why it took so long to process my original claim on 5/1/14?.
According to Customer Service claim, I only had $1500.00 to work with and the way I see it is if you all paid this claim in a timely fashion, which was in June, I would have had more than enough to cover my dental work, but because you all caused an error in waiting until Oct 6, 2014 to pay the claim, you have put me in a financial hardship with the dental office and I don't believe that is fair when I pay my bill with Humana Dental to have good coverage, good customer service and immediate handling of complaints. My payments are never late to them. I do not have funds to pay them now and they are constantly calling and sending me notices because you all don't pay your claims in a timely matter.
I am very frustrated and unhappy with Humana Dental and you have caused me much stress, pain, and suffering over this matter. Humana Dental owes the dental office $614.20 and, if I can’t get this matter resolved, I will be filing more complaint. I will await your reply. I suggest your staff complete some customer service workshops on sensitivity to customer needs and keeping good customers. As of February 17, 2015, I have not heard anything from Humana Dental in reference to my complaint and as of the end of January 2015, I made an agreement with the dental office to pay the $558.20 to clear up my bill, which is what I feel Humana Dental owe me now. Thank you.
Reviewed Feb. 15, 2015
I received a bill from Humana for a first payment on a new policy. So I paid the bill online. Three days later they automatically debited the money from my account. I cancelled the policy and signed up with a new one. I have been waiting 5 weeks for them to return my money on a policy that was cancelled before it was ever even activated. I have hours on the phone, 3 different confirmation numbers, people's names, dates and times. Each time they said the money would be put back in my account. The money hasn't been put back and now they say they have no record of it and want my bank statements proving they took it. WTH? Biggest crooks ever!!!!!
Reviewed Feb. 12, 2015
I called Humana regarding my child's prescription because I had to pay $86.19 Jan. 9, 2015, February 5, 2015. Our insurance is HMO, but my son needed his meds so I paid for it and decided that I will just call to verify why I had to pay full price later. A week later I called to ask why and would I be able to get reimburse. First person told me to call again in 2-3 days because it has to be review. I called on Wednesday, 2 days later. First I was told it wasn't submitted. I think the person I was talking to sense my irritation and said that actually the reason it was not covered is because our insurance assigned a pharmacy to our plan and we can only go to the hospital pharmacy.
I was told to fill out a claim form and I have 90% chance to get reimburse. I told my husband this who is the subscriber to the insurance and said to me that it's not right information so he called Humana himself. This time he was told that our son's doctor need to call Humana for a peer to peer review. We called our son's doctor with this instruction, our doctor told us that Humana said there is no need for prior authorization and it is covered. I called Humana to verify this only to be told that our insurance has $8,000 deductible and we have not met this deductible so we have to pay full price for all of our medication.
Humana insurance company have the DUMBEST customer service representative answering calls. Idiots, Keisha ** said she is a supervisor who cannot even spell her made up name to me is the one who told me that we have to meet our $8,000 deductible first. No training at all. I don't know what are they looking at their screen to come up with all the different statement they told me. I wonder how many dissatisfied, frustrated and like me regretted signing up for this insurance.
Reviewed Feb. 12, 2015
My mentally ill and mildly ** daughter took her medicine and flushed all of them down the drain requiring new prescriptions. Her doctor, the pharmacist, and myself collectively contacted Humana who said they will not authorize prescriptions before their refill Date. I spent 45 minutes being transferred and the last person would not send me to his supervisor and firmly stated that this was against their coverage rules which applies to lost, stolen, or destroyed medication. This is unacceptable.
Reviewed Feb. 11, 2015
I was discharged from hospital after bypass surgery on 2/5/2015. On 2/7/2015 we had a representative from adult & child protective services come to our door stating that Dawn from Humana case mgmt. in Tampa called them & reported abuse & neglect on myself by my wife. She lied to them about our personal life without contacting me first. I didn't need that stress, especially after coming home after heart surgery. Her actions caused my heart rate to accelerate to a dangerous level where I could've had heart failure. This person needs to be fired. You don't just assume things that aren't reality. I demand a letter of apology and that she contact the agency and drop this silly case.
Reviewed Feb. 10, 2015
Humana sent out flyers to current Humana Gold Plus members that our Part B medicare premiums would be reduced by $92 each month. Now Feb and no reduction. I phoned Humana and was told the flyers neglected to say you had to contact Humana and CHANGE plans. Nowhere does it say this would be a change of plans. Customer Service is "sorry" and will notify advertising of this omission. Meanwhile, we kept our old plan even though benefits were seriously reduced, thinking the savings of $92 a month in medicare would make up for the reduced benefits. Foolish us.
Reviewed Feb. 10, 2015
What I thought was a good dental plan based on their no hassle advertisement on plan... turned out to be the biggest hassle ever. I tried to find a dentist in my area. When I called him up, he told me that I have to be on a eligibility list with Humana and I am not. This raised my anger level to be treated as if I am a low income insured patient. After numerous transfers to various departments, I found out that I have to go on a sheet to show I am eligible for the plan. I am never even going to use them again!!!!
Reviewed Feb. 7, 2015
Had the dental through the federal government. My dentist said they didn't pay one penny entire year!! I paid $38.00 a month for worthless policy. They told me, "we get you a discount from your dentist." My dentist would give me the same discount without them if I had no insurance for paying cash. They no longer accept Humana. I bet the medical is the same way. They suck!! The federal government should get rid of them!! They are worthless thieves.
Reviewed Feb. 6, 2015
On Jan.6th I was told I might have to pay out of pocket to see my Pulmonologist. I called Humana, got it approved that night, at least I was told it was approved and received an approval #. Next thing I know I receive a Denial letter - call again, get it approved again, get another #. Call today regarding a Denial for a different claim. Recording states 3 Denials----called, what a fiasco. Says she'll take care of it. But second was denied because "out of network". Not at all what paper work states. My PCP sent me there to have a blood workup. The list goes on and on!
Reviewed Feb. 6, 2015
I work in a pharmacy and had a patients rx that needed a dr.'s prior authorization. I filled out the paperwork and sent it in to the dr.'s office and they did the p/a and I received a fax that the p/a was done. After trying for 20 minutes to run it without any luck, I called the pharmacy help desk number on the letter. Immediately this man on the other end was hostile and rude. I finally got it to go thru without his help and I hung up.
He called back yelling and screaming and when I said I needed to speak to his supervisor, he called me every name in the book, and I told him I would report his behavior. He laughed and said “Go ahead”. There is no way to track it back to him because this was outsourced and he was in Nigeria. I did call back to complain and was told that there was nothing they could do. Things like this is why it takes so long to fill some prescriptions. Bottom line, I will never recommend Humana to anyone and if America doesn't stop outsourcing our work, I don't know what is going to happen to us.
Reviewed Feb. 5, 2015
I bought Humana One dental insurance and thought the policy was the best I've ever found. However I cannot use it... It's pointless and a waste of money. They only let me choose from 2 dentists and they're bootleg; 1 permanently closed down shop running from the law. I called to see what could be done. They only offered me another plan that barely covers anything and there's a 6-mos waiting list for extractions etc. and I still could not see a list of Dentists for this plan. I am searching for another company. The lady I spoke to at customer service could barely speak English and after telling her 10 times I couldn't understand her she never offered to put anyone else on the phone that spoke English. Companies should hire Americans to talk to Americans. I wouldn't work in China on the phone talking to the Chinese unless I was an expert and could be understood.
Her 1st solution offered to me was to cancel my policy when I explained they didn't offer good dentists and I needed help. She acted like no big deal and she didn't care. It was probably never reported to a manager that they need to improve their dentist list. How can you sell dental insurance with no legit dentists? Is this legal? Anyone could make up a policy and sell it if that's the case. You can ask the guy down the street playing doctor at his home to be a provider. You still get your money for the policy every month and nothing is done about it. Hey there's a new business idea. A huge rip off! It's like giving someone a TV that can never have electricity. Pointless. I should be refunded all the months I paid.
Reviewed Feb. 4, 2015
After reading all of the negativity about Humana Insurance, makes me wonder if I did the same thing in switching from my medicare to HUMANA. I haven't really had any issues with Humana thus far. However, the coverage is a bit limited to my taste. There isn't enough dental coverage to cover the things that you really need. I'm thinking the next time that I shop for insurance, cheaper is not always better!! Thank you all for sharing and I take all reviews very serious.
Reviewed Feb. 3, 2015
My problem is similar to Amy below in Georgia. I have a very low income since I'm not working and taking care of my elderly mother. I qualified last year for Obamacare. I was never told that I was not qualified for it this year until January 8th when Humana deducted $617 from my checking account. I immediately called and cancelled my coverage and asked them to reimburse it since I saw no doctors in January and could not afford to pay that. I believe her answer was, "We don't have to since you had a policy as of January 1st." The millennial running Humana are not actual human beings, they're walking dead. You would be better served by customer service from Dubai. Trust me on this. Avoid Humana!
Reviewed Feb. 2, 2015
I got Humana for 2 months for my daughter while we switched to my husband's new insurance. Month one was fine. Then month two rolls around and they increased my premium 30% with NO notice. So I try to cancel it in the first week of month two...but oh I am not on the account so I can't cancel or do anything to my 1-year old insurance. Never mind that I am the spouse under my husband on the account, or that I am the one that set it up, or even that I am the name on the card they charge. So I call two weeks later and lo and behold, I can now cancel it.
But wait it's too late for month two, so I have to pay it but the representative tells me that it is automatically ending at the end of the month. Then I get a bill for month three. I am seeing red by this point. Finally after all this I got it canceled with a confirmation number, and I convinced them to take month threes charges off. But I still have to pay for month two. I will never go thru them again. Crappy horrible service.
Reviewed Jan. 31, 2015
They have the worst insurance I have ever encountered. When they jacked up my premium a few months ago, I immediately called to cancel. After waiting over 20 minutes, I was finally spoke to a human. However, I was transferred from one employee to another until the call was timed out. A couple of days later I called and the same thing happened. The next month I got a form letter saying I had missed the open enrollment period and would still have to pay them. I notice they have several class action suits against them. I would like to join one.
Reviewed Jan. 30, 2015
I called in December because I wanted to make sure I could receive the same health insurance at the same price, spoke to multiple representatives. They told me if your rates are going to change you should receive a notice. Otherwise it will rollover at the same rate. So I sit tight until I get hit with a bill for nearly triple what I was expecting to pay. They didn't collect a payment in January and then called wanting triple in February.
I looked online and see it is the law to justify rate increases over 10%. And we didn't have any medical bills over the whole year. Then the representative at Humana named Kathy wanted to act like I had no other option but to renew. Finding comfort in my United Healthcare plan already Kathy! Will never be going back to Humana and they should be sued for trying to increase my rate without prior approval over 45%. What a scam. I don't want to pay their ridiculous increase for January AND February which they are billing me for already and I have already today started a new plan with United which starts March 1st. Do I need to pay them anything. I didn't agree to any increase or visit any Doctors.
Reviewed Jan. 30, 2015
Went to pick up my rx for COPD, which I get monthly from Walgreens and pay $40.00 co-pay. This morning they wanted $240.00. $200.00 for the deductible. I have been using this rx for years and never had this happen. I was told by Humana, that this rx is a tier 3, as all rx's for COPD are, and as of Jan. 2015 there is a $200.00 deductible. Unfortunately this medication does not come in generic form. I live on a fixed income and to go to Walgreens to pick up my monthly meds, and find out it will cost me $200.00 more was gut wrenching. I did not pick it up as I did not have the funds. Humana should have notified me of this. I will be looking for another insurance company when it comes time for renewal! I could not recommend this company to anyone looking for medicare advantage insurance.
Reviewed Jan. 28, 2015
The Humana Health care corporation offers very poor customer service. They keep you on hold over and over. Sometimes as long as 30 to 45 minutes at a time. I signed up for a Medigap insurance plan through them and was repeatedly given incorrect information and misled as to what they covered. They are way overpriced for the poor service they offer. If you are looking for health coverage, Humana is the last company I would choose after the nightmare of dealing with them.
Reviewed Jan. 27, 2015
Humana Health and short term disability would not pay a emergency room visit in Feb of 2013. Said it was a non emergency visit leaving a balance of over $ 5000 - kidney stones left kidney. In September of 2013 went back to emergency room - kidney stones left kidney. Paid all but $200. My company just changed over to Humana at the beginning of the year.
I have been out of work since October 18, 2014 and on Oct 18 of 2014 had surgery on left kidney - removing kidney stone 6 mm and a stent put in place. Release date was December 15. December 11 had stent removed from left kidney and a 5 mm stone removed from right side and multiple stones removed. Stones impacted and surgically removed. Stent installed and fitted for bladder stimulator. Submitted a extension to Feb 2 - continuous battle to get money. December 30 -had stent removed from right side - bladder Stimulator installed revoked at left kidney. Kidney has a 5cm strictures causing urine to not drain - needs a major surgery to repair blockage.
Sent Humana all information. Sent in extension request asking for recovery time. Next surgery was on March 24 to replace stent. All these surgeries have taken a toll on my health. 3 months of multiple surgeries and being 58 years old the bladder stimulator required me to stay in bed for two weeks - not including other multiple surgeries with very close dates.
I have a appointment with urology of Emory on Feb 11, 2015. They are the only surgeons that I can find that can do this surgery. Now on Jan 26 the extension has been denied. Having the Stent in, I am not suppose to do anything strenuous on lift over 10 lbs. I am a heavy equipment operator with various other duties.Now what am I to do?
Reviewed Jan. 23, 2015
The past yr in 2014 I got Humana insurance through an agent. Since I made only like $250 a week I was eligible to pay less (there's a name for that but I forgot). I was paying only like $21 a month because of my low income. Well, when I had to renew my plan Humana took $210 from my credit card! I never authorized that - if a new yr starts obviously they need to cancel the withdraws.
I called the next day and they had me transferring from one person to another. I just wanted my refund! One girl told me I couldn't get a refund (even if I called exactly the day after). Another girl told me they would contact me no later than 14 days. So I waited and waited and nothing! I called back and one girl said I couldn't get a refund cause I basically paid insurance for the month of January! I was so pissed! That girl made me wait all this time and now that I'm calling again it's too late! Don't get Humana. They do things without your authorization!!!!
Reviewed Jan. 22, 2015
I made a decision based on going on Medicare.gov and researching the full year's cost of the drugs I need. Humana had a cost of about $3200 per year, BlueRx (which was who I was with) had a cost of $3900. So I said I could use $700 in savings and joined Humana. First drug I had to refill this year (2015), I noticed that the co-pay was higher than with BlueRx. I went back on Medicare.gov and put back in all my drugs and BlueRX was still about $3900 and Humana was now over $5200. They hiked my out of pocket expenses by $2000.
People are complaining about premium hikes, they better check out what the out of pocket expenses are for the new year. $2000, have you got that hanging around. I called Medicare to file a complaint, they said Humana has done nothing wrong. You have to commit to these plans by Dec. 15th, the insurance gets to change their pricing on Jan. 1st, and you are stuck with the consequences for a full year.
Reviewed Jan. 21, 2015
My disabled husband broke his hip. After surgery, to place pins in it, his doctor wanted him to go to a rehabilitation hospital. Humana refused to approve this so he was sent home and after many months, is still having problems. The daily physical therapy he would have received would have been so beneficial to him. Now my mother-in-law is hospitalized and Humana is once again refusing the acute care her doctor has ordered for her. I wonder what the circumstances would have to be for them to approve any extended care. I don't recommend Humana to anyone considering Medicare advantage insurance.
Reviewed Jan. 16, 2015
On November 21, 2014 my paperwork was submitted to Humana for their Medicare Advantage Program in Broward County, Florida. I was due to refill my prescriptions on January 6, 2015 but never received my membership card. After several calls (a lot including speaking to supervisors when I wasn't disconnected) they finally admitted they had my application but never processed it and could take up to 30 days for me to receive my membership number. Problem is that I am disable, have 9 prescriptions (costing about $1000.00), having heavy withdrawal complications. They told me that I could pay for them and be reimbursed once the policy is activated.
Since I don't have the money to layout, and Humana was no help, I got CMS involved. Finally I was approved yesterday per CMS but Humana had no record of that. I had been advised by my Doctor that I can't be left alone due to the withdrawals and should check myself into the hospital. Thanks to my family and pharmacist, I was able to get 3 of my prescriptions that have the worst withdrawal complications leaving me with 6 more that need to be filled. Due to my physical disabilities, I now also suffer from mental health disabilities.
Reviewed Jan. 16, 2015
For 7 yrs I have worked for humana. I paid heavily for a small term life insurance policy on my husband. Because he was over 70 yrs they would only let me take out $25,000 policy. Every paycheck for 7 yrs they took out money. Recently $89 per check or $178 per month. My husband died oct 7, 2014 of lung cancer. Now they say there was no policy. I told them they owe me for all the money they took every paycheck. No one calls me, they transfer me all over the place so, I guess I have to sue them. I need a good lawyer.
Reviewed Jan. 14, 2015
I called Humana on Dec 18th and cancelled my insurance for the upcoming year as I was starting insurance with my company on January 1st. They assured me my policy would be cancelled on 12-31-14 and that no further money would be taken out of my account. On the morning of Jan 2nd I noticed they had taken $403 out of my account. I called and notified them and after several people I spoke with a supervisor that stated my refund would be expedited and refunded within 3-5 business days. I waited the 5 business days and still no refund.
I called them on Friday the 9th and they stated that it should be there if not that day on the following Monday. I waited and still no refund. Since this date 3 days ago, I've called 5-6 times a day. I eventually get to a supervisor who gives me a different story every time. One of them told me I would be refunded that day, one tells me that no refund has ever been processed, and another tells me they'll let me know in another 24-48 hours. I'm still waiting and calling them several times a day. I have involved my bank at this point to help, but I cannot believe the incompetence of this company. Every review listed here is accurate. They are full of empty promises. STAY AWAY!!!! DO NOT BELIEVE ONE THING THEY TELL YOU!!!
Reviewed Jan. 14, 2015
I wish I would have read more into Humana before I bought my dental insurance! I guess what they say is true, you get what you pay for. Looked up the info online and what looked like they covered most procedures and only $15 visits! That was so off. I had to get a full cleaning of my teeth done, went in thinking the cleaning was going to be covered and thought I would walk out with a $15 bill, boy was I wrong. Walked out with a $129 bill for a cleaning. Was also told I would have to come back for another one which would be $218. When it clearly said cleanings are covered! Got quotes for extractions which I needed 3 done. Without insurance it's $1,108.00 with Humana insurance $1,714. To me this so called insurance would seem more like a discount plan than an insurance, but then again the rates are higher so it's not an insurance because nothing is covered, and it's not a discount plan. What is Humana charging me for? I wish I would have read all these reviews first! You live and you learn!
Reviewed Jan. 13, 2015
My wife and I purchased Humana Silver POS from the Exchange in 2014. Everything was great at first and in December I upgraded my Policy for 2015 to add both of my children. My son was sick and we took him to the doctor and when we checked in, they stated that Humana had canceled our insurance. I called Humana and they stated that we never had a policy and better yet couldn't find anything in their system of us ever having a policy. I sent multiple documents proving that we did indeed have insurance with them and even sent proof that monthly statements were paid and they stated they had a glitch in their systems. They found the original policy but refused to reinstate the old policy as we would be covered on the new policy Jan 1st.
My wife and I paid the first monthly bill for the new policy and it has cleared my account. I called on Jan 1st and they stated that they have no application for our new policy. They stated that they didn't see any previous accounts. I got the BS runaround again and shenanigans again when I called on Jan 10, 2015. Today I called and they stated that the Marketplace was late sending applications over to humana and they even gave me a our supposedly new group id and Member ID. I was sick today and went to doctor with the new info they gave me and was told that this insurance was canceled on Nov 30, 2014. Again I was bounced around to three different people and told today that our policy hasn't been sent to enrollment yet.
What the hell is wrong with this company. I am signed up and have proof of everything and even the marketplace confirms it. Yet Humana it's been two weeks and nothing, not a phone call, nothing. Pissed off consumer. Tomorrow A certified letter will be mailed to the insurance commissioner for the state of GA as well as FOX 5 news I-Team.
Reviewed Jan. 13, 2015
Reviewed various Part B plans in 2014. Bought into all the hype of the Humana Walmart plan, monthly premium savings and better RX prices than all those other carriers. So we left AARP looking at $35 monthly premiums. Then came the shock. My husband went to Walmart with his Humana card and his monthly maintenance meds, 2 of which were lung RXs. He thought the $40 that AARP was charging for inhalers was too expensive. When picking up his inhalers from Walmart, the price was $500!!!! Deductibles, co-pays. Needless to say we could not afford to pay for meds so he is without. What a load of crud their commercials, web-sites, & scripting from customer service reps. Now we are stuck with them for a year. Hope my husband doesn't need to breath for the next 12 months!!!! Beware for 2016, DO NOT BUY INTO THEIR load of promises. Can't wait to cancel their plan and give up the 45-minute wait time at Walmart. What a scam & false advertising!
Reviewed Jan. 12, 2015
My husband and I had signed up for health insurance on the exchange back in January 2014. We had previously been long-term clients of Humana Health Insurance through a small group we had with our corporation. Six months into our health insurance, we got notification that my husband and I needed to send in verification of Warren's citizenship and his income even though we were not receiving any kind of supplement - we were paying a full rate. We are both American citizens and had been insured with Humana for six consecutive years prior. Then Humana created a separate bill and a separate insurance policy for myself Kristina **, and Warren ** was removed from the policy. We had somehow double-paid, we paid both insurance policies - one was $673 and the second one for Kristina was 300 and some odd dollars.
As a result of the request for verification of Warren's citizenship and income, we sent in a copy of his passport as well as copies of pay-stubs for 2014. We never got confirmation that they receive the documents even though we had certified return receipt on the documents, no one called us. Warren's health insurance was not reinstated and we have gone several months without health insurance. When I called to discuss the issue with Humana, I was then sent to a whole different area in a whole different department who did not know what was going on with the policies or the financial portion. I consistently spent 30-40 minutes at a time on the phone to get nowhere. I eventually requested a refund and canceled the policies because my husband was not covered on this current health insurance, and the policy that Humana had now assigned to me did not even have a current insurance card with the correct number.
Reviewed Jan. 8, 2015
Signed up for insurance with Humana in December. Bad decision. They took money out of my account without authorization, and I have been giving the round around ever since. They even sent me a bill for my first payment after I told them to cancel me.
Reviewed Jan. 7, 2015
Humana decided to steal over $1356.93 from my bank account and now deny involvement or stealing the money even though the bank has proof of who took the money on the date, amount, account number, and transaction number. They now say they will investigate the transaction and it might take several weeks. It only took 1 (one) day and one (1) transaction to steal the money. I talked with them and explained that they had taken all of my retirement and left nothing to eat with or pay for heat and electricity. Told me they would call me to discuss, but nothing yet. They have stolen my money without my permission and now will not even talk about it. I guess I can go and pay an attorney with money I do not have to try and get money I no longer have.
Reviewed Jan. 7, 2015
I had recently relocated from AZ to FL. So I needed new health insurance. I met Humana rep, RS for zip code area 33436 the middle of November. This is the Medicare open enrollment period. I signed up with RS. Several weeks later, I logged on and found out my end date of service was the end of December though I had just signed up in November. I called RS to ask for assistance but he was out of the country on vacation though it was the height of his busy season??? Why hadn't RS checked my registration information for accuracy???
I attempted to call Humana myself. 1st, I was told I was not a member. Then I called right back and got someone who did find me easily but was told I would need a NEW policy. When I asked him why when I had just signed up in November??? Even he replied “that didn't make sense.” He switched me to the new policy dept but I got disconnected.
So I emailed RS and requested a call when he returned. RS returned my call about 12/22 and I again explain the situation to him. He claimed he notified Humana and the situation had been corrected but it would take a while for the changes to show on the Humana web site. Near the end of Dec, I again noticed the wrong end date of service. I also had received a letter in the mail from Humana stating the same. I again called RS and he read me a "confidential letter from Humana where it had been corrected???" He also reassured me it was illegal of Humana to drop me. So I decided to wait out the situation.
On 1/6/15 I went to pick up my prescription medications and found out I had NO HEALTH INSURANCE!!!! Needless to say, I was FRANTIC!!!! I had NO CHOICE BUT TO PAY FOR MY MEDICATIONS OUT OF POCKET! Medicare open enrollment is now closed so I have no choice but to stay with Humana. So I decided to eliminate RS since he was useless and called Humana myself. Since RS is a company rep, he has a back number to call directly. I had to use the customer service number. For OVER 3 HOURS, I was on the phone with Humana being transferred from one dept to the next, the automated system did not work, HUGE wait times, telling the same sorry tale to every new person, when placed on hold leaving my call back number in case of disconnect, expected to know sign up information that the company rep had given but I didn't have handy, etc, etc. In other words, I had to do RS's job and sign myself up. Then I was told to call back in a week to see IF things have been corrected!
3 hours of my time is a small price to pay for health insurance. But the stress was incredible and I have had brain surgery. I have all kinds of impairments that made this entire process VERY HARD. But hopefully I have resolved my enrollment. Why wasn't RS able to do the same??? Then I had problems w/ the Humana web site and had to call their IT dept...UGGG!!!! When I asked the Dr's office which insurance provider did they recommend, they ALL SCREAMED "HUMANA!!!" I will be letting the Dr. office know of my MANY difficulties! At present, I cannot recommend RS nor Humana!
Reviewed Jan. 6, 2015
Humana Obamacare premiums renew in Jan for policies started last Feb. They don't clearly explain that if one waits to renew annually (in Jan for Feb) then the subsidy won't cover January's PRICE INCREASE! Humana just takes the extra out of your bank and says too bad!
Reviewed Jan. 6, 2015
I decided to be an honest person when I moved from broward county to palm beach county. I moved on Dec 1, 2014 and called Humana and told them I wanted a new policy so I can get a local doctor. BAD MOVE - the person I spoke to there cancelled my policy with Humana for December even though I told them that I wanted a new policy so I could my medicine in my new county and have a local doctor. I was cancelled and the agent I was supposed to see for the new policy NEVER showed up and I was told he was double booked and he never had the decency to call and say he would be late or could not make it so I spent the whole morning with no one showing up. I was infuriated when this happened and should have shut my mouth and said nothing and then I would have been able to get my medicines with no problems. Now that I am trying to get a new doctor, it will be a while and all I have is enough medicine for the next 10 days. If I would have said nothing then I would have gotten my medicine at the end of december and then the new policy would have kicked in and there would be no problems.
Under my old policy my medicine was free, with the new policy I have to order it through right source and it take 10 days - 14 days to get it and it will be free otherwise it cost me money. Like I said if you decide to move, do not tell humana because they will screw it up and their customer service will nothing to help you.
Reviewed Jan. 3, 2015
On 02/2014, I had arthroscopic knee surgery to repair a torn meniscus in the left knee. The operation was in a Top 20 rated hospital in Fair Oaks, VA. The surgeon, an outstanding doctor, charged $6000. Humana paid less than $800 of the bill.
Reviewed Dec. 31, 2014
I am a biller for a hospital based home health agency. We are constantly being denied claims for our Humana patients for the most ridiculous reasons. I fight daily with them to get our claims paid. I get notices called ADR's (additional documentation requests) and have 60 days to respond. I send reams of paper to them to support the bill that they are challenging and still they take back the money stating that the diagnosis codes aren't consistent between the bill, the plan of care and the OASIS (all Medicare requirements) I can circle the primary diagnosis code and resubmit...THREE TIMES.... and they still deny for the same reason. This is just one instance of the multitude of problems we have with them.
There are several providers in our area who now will not accept patients that have Humana and we are also considering it. It's not worth the hassle for the few measly dollars if and when they do pay. We lose money every time on Humana claims. Provider services is located in Manila, Philippines. Most of these people have no idea what they are talking about and that's if you can understand what they are saying to begin with. They continually deny claims as a stall tactic. I know of a patient who was dropped by Humana when she was hospitalized multiple times with a heart condition. They just DROPPED her!!! Humana is the face of evil!
Reviewed Dec. 30, 2014
During open enrollment in 2014 for coverage in 2015, I enrolled in a PPO medicare supplement. I chose a plan without Part D coverage due to the fact that was I currently enrolled in a Humana part D coverage on another policy. I had been enrolled in the Part D coverage since open enrollment in 2012. Humana did not notify me at, during or after enrollment that they had arbitrarily canceled my part D coverage. The only way I found out was when Social Security sent me a supplemental award letter saying that I would no longer be charged for my Part D coverage after open enrollment was over. I had to contact Humana to learn there was nothing they could do to help about their deception.
Reviewed Dec. 25, 2014
I made a huge mistake when I took the Humana Enhanced (PDP) prescription drug plan. Everything was always a big hassle. Nobody ever had the authority to make decisions or resolve issues. Staff is poorly trained and can only read the script they were provided. I spoke with 8 different employees within a two hour phone call to finally have someone tell me that I needed to file a grievance with their Grievance Dept. I had already spoken with the Grievance Dept (person #5). All they did was bounce me from person to person when they actually had no idea who I needed to deal with.
First person said the grievance would take 24 to 48 hours to resolve. Second person said 4 to 5 days. Third person said about 10 business days. Then I received a phone call saying that it would take 30 days. I filed it on Dec 5 and finally got the decision on Dec 23. Decision was "Sorry, we can't fix that for you unless you sign up for the 2015 plan." Fat chance - total waste of time and effort on my part. Totally worthless program. Take a pass on this one.
Reviewed Dec. 23, 2014
I spoke to a Humana rep who told me that the drug I was prescribed was on an alternate list of medications, and that with my Dr.'s cooperation, I would have prior authorization for the drug within 72 hours at most and most likely within 24 hours. One week later, it is finally before their review authorization board. My Dr had submitted the necessary paperwork already, and had faxed them it again with "urgent" written on it. In calling Humana to inquire about the progress of this review, I was lied to and told that a supervisor would return my call. This did not happen.
I survived a horrific accident in which my back and neck were broken in many places and my leg had to be reattached to my body. This prescription is for painkillers, and due to my state's laws regarding controlled substances, my access to doctors who can prescribe narcotics and narcotics is extremely limited. This extreme delay has forced me to take much less pain medication than I am prescribed, and I am facing withdrawal if this is not approved. It is Dec 23, and my pain management Dr. will not be available later this evening or tomorrow to alter the prescription to a drug that Humana automatically covers (**, a vastly inferior painkiller with more dangers than **).
Humana's "nurse advisor" also called my next of kin when I did not respond to her repeated attempts to get me to contact her about "possible extra benefits." I had reviewed the paperwork and determined that as a nonsmoker who is medically underweight, none of those "extra benefits" were applicable to me. She insisted on contact and even called my elderly father who is NOT on my insurance and who does not pay for my insurance. She disturbed and frightened him for no reason, and violated my privacy by doing so.
I think that medicaid must be better than this. Humana keeps trying to put my PHP as a clinic with med students rather than with a real dr. With experience and a practice, which is not at all in line with my needs. Overall, terrible money-grabbers. I hope they do not treat their employees as badly as they treat their customers.
Reviewed Dec. 18, 2014
Had to have injections on some herniated disc and was informed by Humana that they don't cover any procedures for pain. Absolutely blows me away.
Reviewed Dec. 15, 2014
Humana twice drafted $412.17 instead of $16.46. Only had $465 in account. IN PAIN & have urgent Orthop appt 12/18/14 $60 won't have money. A lawyer would love this! Dec.12 money taken, no one has gotten back to us. I WANT JUSTICE!!!
Reviewed Dec. 13, 2014
I am on oxygen equipment from my pulmonary physician. I cannot get Humana to send me a document for my doctors to sign giving them authorization to my medical equipment. They say they don't send out documents. I am on life saving devices and cannot get any cooperation from Humana to give the approval to my medical supplier for my life saving devices.
Reviewed Dec. 13, 2014
Inept, poorly trained staff, inordinately long waits on phone over and over and over again and Nothing resolved. Ended up with $12,000 in annual premiums and a $12,000+ deductible and they had the nerve to congratulate me on getting "Affordable" coverage that amounts to zero coverage and the worst customer service imaginable. Our next step is to leave Humana quickly and pray that Obamacare implodes soon!
Reviewed Dec. 12, 2014
They refused to pay for the only medication that help my illness and refused to pay for CT scan. My illness got worst because I could not get medical help. I'll change my insurance in 2015.
Reviewed Dec. 12, 2014
I've had Humana for a few years. I am on SSI disability and Humana takes the premium out my check every month. Last January they didn't take it out because they said I didn't say I wanted to continue it with them. (Before they did it automatically). So when I notice that they didn't take out for January they told me that they didn't think I wanted to re-enroll. So in order continue with the new policy, I had to send the premium and had to pay late fees for the rest of the policy. Since they made all the changes like I couldn't use my own doctor and the cost of the deductible for drugs before they would pay anything - I was not going to enroll again for 2015 so I didn't call and tell them that I wanted to get another policy. Then I received the new insurance card and they had deducted the premium from my SSI.
When I called them, they told me that it is renewed automatic each year and that I can only cancel during the enrollment period. I told them that is not what happened the last time and cause me to pay a penalty for not signing up. So the lady said that I would have to fax or send a letter saying that I wanted to discontinue the policy, member ID, type of PPO, the date and to sign it. I mailed it today. I have my doubts considering all the other complaints that I have read. I will write an update when I find out something.
Reviewed Dec. 10, 2014
I turned 65 in Apr 2014 and made the mistake of signing up for the Humana Advantage Plan. For the past few months I have been treated by one of their PCP. He diagnosed the pain in my hip as arthritis. I keep telling the PCP that the pain was excruciating and that I could not put any weight on it. When I went for my appointments they would come outside to the vehicle and bring me into the office in a wheelchair. His answer to my pain was "We will up the Meds". Was taking Hydrocodone 10-325 for the pain. The pills did nothing for me as the pain persisted. I finally had enough of the pain and called the Nurse at Humana. After explaining my situation she told me to get to an Emergency Room within the next 4 hours. (The only intelligent person I talked to at Humana).
After having blood work, x-rays, and scans done at the ER, they recommended I see an Orthopedic Surgeon with 2-3 days. They didn't tell me what was wrong other than I needed surgery to correct my problem. I called my PCP as soon as I got home. Was told that they would have to get records from ER before they could do anything. Left message to have PCP call me. A week and 1/2 went by, no call from PCP. I called PCP and he stated he didn't have any records from my visit to the ER. I looked up the Surgeon that the ER recommended and called him. He is in the network but needed a referral from PCP. Called PCP and they refused to refer me to Surgeon. They would only refer me to a Surgeon of their choosing, another Doctor in their Group. Now the problem, do you really think I would want a Doctor in this group of Doctors to perform Major Surgery on me? They misdiagnosed my problem as arthritis when in reality the top of my femur bone was collapsing, thus the severe pain. For 2 months I endured this horrific pain and now I have to have a total hip replacement....a Major Surgery. I do not trust any of these Doctors in this so called Group.
I called Humana and was told I have to do what the PCP says even tho my Surgeon is in the network. The office girl at my Surgeon's office got the records from the ER and called Humana arguing that they were in the network, why couldn't they see me. Humana would not allow it. When I signed up for Humana back in March I was told that I could go to any Doctor I wanted as long as they were in the network. I was never told about PCP's with their own group of Doctors. So I am unable to walk, can only sit or lay down. I do have a walker and a scooter (which I paid for out of my own pocket $1200) so I can get around my house as I live alone. Instead of getting this operation done and over with before Christmas I now have to suffer and wait until January when my new Insurance and PCP go into effect. And yes my new PCP will refer me to my Surgeon. As far as Humana is concerned they lied to me when I signed up with them and their PCP should be kicked to the curb. Stay away from HUMANA!!!!!
Reviewed Dec. 9, 2014
This is a complaint regarding your medical coverage. First let me say that I am not a stupid person. I was operation manager of large corp. with hundreds of employees, and I know damn well when I'm speaking to stupid people. First let start by saying every time I call you guys I get to talk to someone who don’t know what the hell they're talking about. What’s one of your criteria for a position there is stupidly? And another thing is my go to man Bosley 1800-662-9508 ext ** - when I need info I can never reach him. He emailed me and said he tried to call me couple times. Well he's a liar. I have an answering machine and was no messages on it, so he's a liar and I will not deal with him ever again. Your medical service is garbage and worth nothing to me and I'm sure to a lot of other people.
Reviewed Dec. 8, 2014
I have been calling to Humana for 7 months trying to get an explanation on what they are charging me $600 plus in my premium. I was waiting every time I called for at least 1 hour and half and the answer is the same, “We will start an investigation and we will call you in one week.” 7 months after... nothing happened.
Reviewed Dec. 2, 2014
Medicare part D drug plan with Humana — I have been taking the same meds for 3 years now and my meds were all paid for. When Humana took over in 2014 I only have 2 of my 8 meds paid for. They will not pay for the others. They say that my doctor has to get prior authorization and that it is medically needed and he did that several times and they still refuse to pay for them. I have filed several reconsiderations and still turned down. I have not had the medicines my doctor says I need all year thanks to Humana. So what's the point of having insurance if it pays for nothing you need.
Reviewed Nov. 24, 2014
Humana does not cover vaccines administered at any of the major pharmacy chains which means I have to make an appointment with my primary care physician for a simple flu shot. His office said I would be charged $25 for the office visit to give me my "free" flu shot. He also does not stock the shingles vaccine, which is also "free" under my plan so he would have to give me a referral to a specialist who will then charge me $35. While I was on hold with Humana, they had a recording about how, in an emergency, it was better to go to the Humana-owned Concentra Urgent Care Centers instead of the ER - but it turns out that my plan ($400+/month) does not include access to Concentra outside of my immediate city. Overall a waste of money.
Reviewed Nov. 21, 2014
Somebody said do not go to the navigators at Humana. The Navigators are the nurses, they are not trained to do benefits, they work with actual members and their health. I use to work for them, they are not great to work for.
Reviewed Nov. 21, 2014
I was admitted to the hospital on Aug. 1, 2014 with my hemoglobin level down to 5 when I usually run 15-16. I was given a blood transfusion which brought my level up to about 6.5. After being released from the hospital, I was being treated by my primary doctor and waiting for my hemoglobin level to get up more before setting up referrals to get more tests done. About mid August, I get a letter stating that I would no longer be able to continue with my primary physician effective Sept. 1, 2014. I appealed twice and was denied. They had the gall to tell me that I was not in the middle treatment. I am in the biggest health crisis of my life and Humana wants to dictate to me to go to another primary doctor. I know and trust my doctor and he knows me. This is not right. Humana should have allowed me to finish the year with my primary doctor. Customer service is terrible. I spoke to about 10 different people and when I finally got to the right person they hung up on me. They had all my information, they could have called me back. I have changed insurance company effective Jan. 1, 2015. You should too.
Reviewed Nov. 19, 2014
I am a healthcare provider myself and strongly recommend staying away from this company. I have had repeated struggles with them where their representatives have been nothing less than robotic and relentlessly unwilling to take responsibility for and correct their mistakes. They double billed me on two occasions, drawing money from my account without my approval. I had to go directly to the charge card company to correct this after spending hours trying to straighten it out with Humana. Just yesterday I got a voicemail from them telling me to call them back for an important message ASAP. Their voicemail menu makes absolutely no sense and kept shuttling me from place to place and then putting me on long holds. This so called health insurance company probably causes more illness than they help heal.
Reviewed Nov. 19, 2014
I went in for a procedure that the doctor and facility was approved but the person that puts you under wasn't approved and the people that read the results and so on and so on. Now I am paying out of pocket in full which has reached over 3,000. My out of pocket max was is 750.00 but after a 20,000 hospital bill and other dr bills they say I still need to meet a deductible. I have stripped all my money trying to pay a stack full of medical bills and no longer can pay my morg., put food on the table for my kids and myself. Every time I call and address these issues I get a run around even by the managers. I will soon be homeless with my kids and losing my home. I only make 640.00 a month before taxes are taken out and have exalted every area I know to turn.
Reviewed Nov. 15, 2014
We have black and white proof we enrolled in the Humana Walmart-Preferred Rx Plan PDP. Somewhere within the last couple of years our policy was switched to the more expensive Humana Preferred Rx Plan. In trying to find out why we were switched, I spent over 2 hours over 2 days talking with 6 different representatives and got no where. The last representative was extremely rude, stating emphatically that our plans had NOT been changed. When I offered to scan/email her our written proof with proof of the correct monthly premium being auto debited she became more belligerent. Needless to say, we have dropped Humana.
Reviewed Nov. 14, 2014
I took my over 30 minutes to obtain an authorization. Whenever I talk with representatives in the Philippines I am asked to constantly repeat myself. When I voice my frustration about this I always get the same answer that the phone connection is not good. I feel that these representatives do not understand what I am saying and do not understand our culture. I wonder how many subscribers know that the money they pay for insurance goes to provide jobs in the Philippines and not in the US. Humana, Wellcare and American Progressive Insurance offer horrible customer and provider service and I would not recommend to anyone.
Reviewed Nov. 13, 2014
Our policy had an effective, start date of March 1 but was canceled for nonpayment in February. Funny how something can be canceled before the payment is due. We paid our premium on time, every month. After MONTHS of calling and being told that the representative would take care of it, every claim in March, April and May was denied. Finally in June a representative fixed the problem and the claims were reprocessed. BUT Humana has 2 systems and information does not automatically transfer from one to another. So about 2 more months of dealing with nonpayments. We are just NOW getting everything corrected and it is November.
Just when I thought everything was ok and I was actually getting something for the $1000 a month I pay, another DENIAL. So I went to an immediate care facility and then sent to the ER because the immediate care did not have the equipment to treat me. The ER was in a hospital that was in network. Most of the claims were processed but one was denied. The reason went from the physician being out of network, the situation not being an emergency and then that report was needed. The only light at the end of this AWFUL tunnel is that open enrollment is next month and I can FINALLY get away from Humana. WORST CUSTOMER SERVICE AND COVERAGE EVER!!!!
Reviewed Nov. 9, 2014
Humana is just terrible. I have a self-funded plan through my job and went to an out of network doctor for bariatric surgery. Total bill is 120k. Humana allowed 1000.00 then said the rest was patient's responsibility. I almost died when I saw the bill. I complained to the doctor who said his collection department appealed and couldn't get the insurance to budge. I was talking to my brother about this and he said **. I basically told my doctor to give my claim information to them. 4 months later, the doctor was paid. They were paid and part of the negotiation was my coinsurance and deductibles are waived. Humana sucks ass but 1/2 of the problem is these so called collectors who don't know what they are doing.
Reviewed Nov. 8, 2014
On exchange plans will always have a narrow network. That said, the only people that should be on the exchange are those eligible for a subsidy. And the subsidy better be worth it. It is very difficult to navigate claims and billing. I have many stories. Most seasoned agents will know what they are doing. Stay away from "enrollers", "navigators", etc as they will not know how to advise you and your family appropriately. You have to be in this field for years to get the nuances of certain verbiage.
My first application on the exchange took 4 hours. And the carrier never paid me (wasn't Humana). Many agents and providers are not being reimbursed. Many providers are not accepting exchange clients since there is a 90 day hold for payment. And no guarantee. So, stay out of the exchange unless you get a major subsidy. You will always be better off the exchange. Better service, No government interference.
Reviewed Nov. 7, 2014
I don't know if anyone else feels the same problems.... but I have had nothing but very poor healthcare since making the mistake of enrolling in Humana Medicaid. I've been trying to see an Orthopedic Surgeon to get a simple Cortisone shot in my right knee. I have very bad pain. The ONLY Ortho provider in my Humana Medicaid Directory is only accepting patients that are currently seeing a PCP at their medical center. But, I tried twice now to be a patient at this medical center, so I can be seen by the Ortho Dr., but the Family Practice dept. isn't accepting Humana patients at this time. Of course, just my luck!! I've been suffering with this Osteoarthritis since Aug. 2013. It is really making me so angry!! There has got to be an Ortho in this freaking state of Florida, that can HELP me!
This is totally unacceptable for people with this insurance. The only reason I'm on this plan is because of my visual impairment. I am disgusted and fed up!!!!! ALSO I went to the ER two, nights ago... because the knee pain is just so bad and NOTHING was giving me ANY relief!!!! Not Baclofen, Advil, or Tramadol. The Physician Assistant said my Arthritis is still Mild. It was a long wait in the ER, so she asked me "If you were the Ortho Dr, would you come (at like 9 PM) to look at this knee?" So, I said "Not tonight"... (but I was thinking if it were earlier in the day, Yes I would!!) I need some help here!!!
Reviewed Nov. 6, 2014
I always need an anti anxiety drug before getting on the phone with Humana representatives. One surgery was an upper endoscopy. Easy five minute procedure. I had two Anesthesiologists who charged me twice. I never saw the second anesthesiologist. One dr was in network and one wasn't! I didn't have control over this. So one was paid by Humana and the other one was applied to my out of network deductible. Amazingly enough both drs worked for two different named companies that were owned by the same owner and had the same tax id. Big scam there.
For my next surgery I researched everything. Dr in network. Anesthesiologist in network. Second anesthesiologist in network. Hospital in network. Pathology lab in hospital in network. Radiologist reading films in network. Nurse called and approved my overnight stay in hospital. I thought I had everything approved and there would be no surprises. I could not have been more wrong. I got a bill for a few thousand dollars for a surgical assistant that was not in network. Another large bill that I unknowingly had to pay. My all time favorite bill was the bill for any additional meds. Since I had major surgery and was being given multiple drugs I didn't ask them if all my medications were approved by Humana. I even stopped the morphine they were giving me and switched to tylenol (I was ultimately charged for morphine). I don't understand how they can dictate what my pain level will be after major surgery. I asked the rep on the phone if they would have paid for a baseball bat to knock me unconscious when the pain got too bad.
The fun didn't stop there either. Once released from the hospital my mother went to get my pain meds filled only to be told they were denied. For me to get the necessary meds I would have to try a different drug first to see if that worked before they could fill my prescription. The drug they wanted me to try was approximately $900 according to the phone rep and of course it was not covered by the insurance company.. So not only wasn't I allowed morphine after a major surgery but I was released from the hospital with no pain meds.
The current fiasco is with a dr who is in network who filed claims for the month. All claims came back denied because it states she is out of network and I owe a ton of money (yet again - it's a trend with this company). She is in network and has all documentation she is in network. This out of network scenario is a repeat occurrence with Humana. They always blame it on a computer glitch and then I have to resubmit my claims for appeal which is another thrilling experience. My level of disgust with this sham of a company is off the charts. I doubt I could find a worse insurance company.
Reviewed Nov. 6, 2014
I had Humana HMOx Platinum plan. I pay over $1000 per month for a family of four. I had nothing but trouble from the day one with this company. They have no customer support. They have no proper network. Even the doctors drop this insurance since they do not pay the doctors. The in network turns out to be out of network and I am slapped with a bill of over $2,000 for a mammogram that I was referred by my in network O/B making sure that it is covered. I have contacted BBB in KY, but I doubt there will be any result. All I can say is do not give your business to this company. This health insurance will make you sicker in the end. While they get richer, you will get poorer, angrier, insulted, bewildered.
Reviewed Nov. 5, 2014
Had surgery 10 days ago. Went to get a lesser dose of pain meds with a hand written prescription. Was denied by the insurance Humana even though it was a covered drug. Second time they have denied a doctor's order. Not even a heavy script. Since when can they deny doctor's orders. Something wrong here.
Reviewed Nov. 5, 2014
This company has to go down in history as one of the worst if not the worst company in the history of the United States. I have been dealing with them since January 1, 2014 when my plan began. First issue, we took my son for a routine checkup and everything went fine. Next thing I know a few days later I get a call from the doctor's office stating my plan had been cancelled due to non-payment. Which for one is VERY EMBARRASSING and secondly was incorrect. Not only had we paid our premium timely EVERY month which was due on the 10th, we had paid every month the last week of the month prior except once and it was paid on the 3rd.
When I contacted Humana, the lady I spoke with was extremely rude and informed me that yes in fact my policy was cancelled due to non-payment. After giving her all my confirmation numbers she changed her tone and told me she didn't understand what had happened and after a week my insurance was reinstated and the claim was paid. Then on to the next month, I went for my yearly checkup for my Thyroid disorder. When purchasing my Humana plan, my specialists was in-network. At time of service, he was not. Humana informed me that the website was functioning incorrectly at the time I signed up and that in fact NONE of mine or my wife's doctors are in network now. So I got a bill from my specialists. Of course with Humana denying to cover the claim I contacted the appeals department. They finally approved the claim due to their own negligence. I made them 3-way call my doctor's office and inform them they were going to pay it because by the time this was resolved they wanted to turn me over to collections.
Long story short, 6 months later I finally had to pay the claim myself and now they conveniently have no record of them ever saying that they agreed to do that. Reference numbers are invalid, the whole works, just a sham of a company. Now onto the next instance where it gets even better. In October I had to go see the family physician for a cold, checked to make sure he was in-network before my visit. Humana's doctor finder tool confirmed this, as did the Doctor's office. Week after my visit get a claim receipt from Humana stating my Doctor is out of network and they have paid NOTHING yet again. I have paid Humana $5,674.40 to date plus now almost $3,000 out of pocket and they have paid for one measly wellness visit for my child.
Reviewed Nov. 2, 2014
My husband has had Humana Advantage plan with prescription coverage for 18 months + and when I went to pick up his blood thinner prescription, they gave me two different excuses. One saying they interact with his other medicines. His cardiologist changed his prescriptions. The other excuse they are using is that they are showing he is covered under my BCBS group policy and well they want BCBS to let them know. They were to investigate this 9 days ago and every time he has to have a prescription they have to override it and I am a couple of hours on the phone. Only one customer service lady was helpful to me and did the override. Four other times I have called, they don't even try to help. Just give me excuses. I had to make the representative today look back at the history of the situation and told her they said they would have it resolved in 72 hours. Well it is not resolved. We cannot afford to pay for his prescriptions at full price and surely not when they are getting paid to pay their share.
Reviewed Oct. 31, 2014
Humana is the absolute worst. Just like everyone else. Humana refuses to pay a $3200 emergency hospital bill. What I don't understand is how with all these complaints, they Humana, are a fortune 500 company? Why does the federal government allow this to continue? It is very clear, Humana they with all their lobbyist, are very well connected. They LIE TO ALL OF US, they're very poor at best, refusal to pay our medical bills, yet they sure have zero issue collecting our payments and premiums from us. Ever wonder why the federal government does not do something? I do believe it is time for a very serious class action lawsuit, surely if people got together, we all could find a very good law firm, to help us all stop all this NONSENSE?
While I do agree we all have a sense of responsibility, to help keep healthcare cost down, this absolute nonsense of Humana being allowed to become very wealthy to its share holders and literally walk all over us, take advantage of our not so good personal health, it is far beyond time for 100% of Humana Health care Inc. to be stopped IMMEDIATELY with their LIES AND DECEIT BY WHATEVER MEANS NECESSARY! We are very powerful together, regardless of our health issues. What I truly do not get is why we need Humana in the first place? Is it just possible that when it comes to health care, it's just another business that our wonderful government seems to accept full of deceit and lies, just because our government is just like they are, full of deceit and lies!
However, in this case we are empowered to do something about it. I seriously ponder if all of us contributed just $50 bucks, I bet we could hire one darn good law firm, in a class action lawsuit and at least create some serious havoc within HUMANA AND OH BY THE WAY, IN MY CASE, I WAS ACTUALLY TOLD BY A HUMANA SUPERVISOR, ON THE PHONE, BECAUSE I RECORD ALL OF MY PHONE CALLS AS WELL. QUOTE "sir, we cannot process your primary care physicians request for you to see specialist, because the lady who does the approval for that is out of the office until Nov. 5, 2014.".... unquote. Are you serious? How many crooks does HUMANA EMPLOY!? I may be having some serious health issues, however, it has NOT AFFECTED MY BRAIN! Not yet, I do posses a PhD, in molecular marine biology, with a duel masters, in business finance, and music!
And I want the world to know, I am retired and disabled, with nothing better to do, than play music and FIGHT Humana with all their billions and I'm sure, corporate attorneys, up the kazoo, but with truth, music and the justice of decency on "OUR" side, how can we lose. Most importantly, how in the world does Humana even exist in such a polite society? They should all be very ashamed of themselves. It is obviously, very apparent, they are CROOKS and are driven with greed! Not decency and honest fair play.
STAY COMPLETELY AWAY FROM HUMANA! I MEAN COMPLETELY AWAY! Whatever your health care needs are, they are absolutely NOT GOING TO BE RESOLVED IN ANY MANNER, associated with HUMANA! They are at best crooks with the power of the pen, through your own federal government! Please you all have a brain, USE IT PLEASE!
Reviewed Oct. 30, 2014
In Jan. of 2013 at my Cardiologist's request that I need schedule heart tests, I asked his office manager to check with Humana to see if I was covered for this. She did this and advised me that Humana said that it would be covered, that is was in network w/ medicare. However sometime after these tests were completed the Doctor's office advised me that Humana was refusing to pay for it but she would keep working with them to resolve. I myself contacted Humana and they said they would investigate and I so advised the office mgr. at my cardiologist's office. I thought the matter had been taken care of until October of 2014 when I was scheduling a visit to his office when I was informed that my account had been flagged because of an overdue balance of $468.90.
I again talked to the Office Mgr. who advised me that she had still been having on-going talks with Humana with no luck. I told her that I had not received a bill from them to indicate that it had not been taken care of whereupon she said she had held up sending the bill thinking she could still resolve it with Humana. I called Humana to discuss this and ended up talking to 3 or 4 different people before one finally advised me that Humana would not cover it because it was out of network? I feel like I did everything I was supposed to do by asking the Doctor's office mgr. to verify coverage before setting up the tests my Doctor wanted to perform and was led to believe that it would be covered only to find out that now I have to pay this bill in order to continue seeing my Cardiologist. Angry does not begin to cover my feelings toward Humana, they need to change their name to IN-HUMANE INS. CO.
Reviewed Oct. 30, 2014
Had a knee replacement and had problems at the hospital and filed a complaint with Humana a few days after I was released. Talked to them twice and got two reference numbers. Tried to stay in touch with them over a few months to dispute my bill. There is no record on file! Sent the complaint by certified mail, had to do it three times over six weeks because Humana reps kept on providing me improper mail box numbers and zip code addresses. After 5 months, the issue is not resolved. They will not be my insurance company for 2015.
Reviewed Oct. 28, 2014
I have had continual billing issues with Humana. They first over-billed me for $421.44; after contacting the Better Business Bureau this was straightened out. Now they are saying that I did not make a payment for October and my credit card has paid for the month of October and Humana will not give me credit for my October 2014 payment.
Reviewed Oct. 27, 2014
I paid one year of dental coverage for my wife. Once we found out they pay hardly anything toward a claim I tried to cancel. No cancellation requests by phone. Only if you send a letter to their Grievance & Appeals address will they cancel. Problem is they won't respond. Customer service told me they respond normally within 60-90 days. It has been over 120 days, several phone calls and no replies. DO NOT PURCHASE HUMANA COVERAGE OF ANY TYPE!
Reviewed Oct. 23, 2014
Humana Dental Insurance is the worst Insurance in every aspect.To start their website doesn't work so I called in for an "accepted provider".
Waited on hold for 15 minutes only to be hung up before I even spoke to someone, then called back 3 times, 45 minutes later finally got what was supposed to be an accepted provider.(Basically ended up doing this for 3 days straight!) Got there...it wasn't. Called them back AGAIN! Same waiting on line for what in total was over an hour, THEY gave me another name, went in ...nope doesn't accept that plan. Got a 3rd from THEM, BY AGAIN CALLING IN and having to wait several minutes.
This provider said they took that plan but needed Humana to verify. I called Humana, again waited several minutes (20) to verify and first they said I needed to wait for a month because I was just assigned (wrongfully by Humana) to another dentist. WHAT!! I talk to 3 supervisors ...was on the phone for an hour to discuss not wanting to wait because their customer service screwed up!
Instead they tell me, they don't cover this provider...WHAT I WAS JUST THERE, "YOU ARE THE ONES WHO SENT ME THERE!", So I THEN CALLED THAT PROVIDER AND SAID I MIGHT HAVE TO CANCEL BECAUSE EVEN THOUGH "THEY SENT ME TO YOU" , HUMANA NOW SAYS THEY DON'T WORK WITH YOUR OFFICE. THE DENTAL OFFICE SAID "THAT'S RIDICULOUS, WE DO TOO WORK WITH HUMANA!".
NOT LIKE IT MATTERS AS ALL OF THE CUSTOMER SERVICE REPS AT HUMANA SEEM TO SUCK (AT LEAST THE 9 I HAVE SPOKEN TO SINCE MONDAY).SO I SPOKE TO ** , ** AND AM SUPPOSE TO HEAR FROM ** BUT NOTHING HAS BEEN RESOLVED. Worst Ever!!!
Reviewed Oct. 22, 2014
My father had cataract surgery, and his doctor told him that it would cost him an additional $1600 out of pocket for laser surgery. This wasn't defined anywhere that I could find either in Humana coverage information and Medicare benefit description on the .gov site. I called Humana to ask the question and ended up talking to 3 people before I got to the right place.
I am now being told that our policy (a Medigap policy) does not cover ANY cataract surgery, even though Medicare DOES. WTF??? This is a policy for SENIORS. Who the hell doesn't eventually need cataract surgery? I am dumbfounded, and thank God I found out during a new enrollment period.
Reviewed Oct. 20, 2014
Prior to my husband retiring, we completed forms for our drug supplement with Humana through a broker. Over the course of the last two months the following has occurred:
2. They couldn't find my husband's ID number because his name was misspelled.
3. When we tried to get the plan corrected, our broker spent HOURS on the phone with a variety of people. He has completed the forms twice since our original submission.
4. We have been sent the ID cards for the wrong plan, and all correspondence continues to reference this plan.
5. Today my husband spent an hour on the phone, talked with four people, and found out his plan is still incorrect although the person in Enrollment was able to pull up his original application and verify that HUMANA had made the mistake. The person, who said she was a supervisor, could not or would not correct the error. She said our agent would have to resubmit AGAIN to correct HUMANA's error. She would not allow my husband to verify the change. He asked for her supervisor, she said she had none. She gave him the number for Corporate which he called. That person sent him to "Executive Voice Mail".
I have spent my career in customer service. If you make an error, you move heaven and earth to fix it for the customer. The incompetence in this case borders on the intentional. We are changing plans as soon as we can sit down with our broker.
Reviewed Oct. 18, 2014
We first purchased our plan in September 2013. They were constantly busy and we chalked that up to the new cutoff dates for Obamacare. After setting up automatic debit payments, we found out the hard way, that they had in fact never set it up. They cancelled our policy. We had to go through the process all over again to get a new policy started. We were told our deductible was $7500. Great, we thought! We had reasonable copays for visits, and well-visits were covered. Come to find out...the deductible is per person! Our copay means nothing, we still get billed for every single doctor visit that we already paid a copay for. We have no chance of meeting our deductible unless all 3 of us have some sort of traumatic event that requires a visit to the ER with major exams...like a CTscan.
When we call we're told one thing, and then our doctors are told another thing. We receive some claims...but not all. We find out months later that nothing is covered. Nothing! I have never been with an insurance company that provides nothing, yet charges so much. We were grossly mislead by the independent broker that signed us up with Humana, as well as Humana itself. We've given them thousands of dollars just to pay 100% out of pocket for every single doctor visit we've had or test we've needed done! Scammers!
Reviewed Oct. 16, 2014
Poor service - Went to Dr. ** in Beaverton Or and they said they were on the Dental plan for Humana dental - had service and then they tell dentist they are not on the preferred plan and I am now out 184.30. Sent in a complaint and they rejected it - found a much better plan for veterans without a one time charge of 35.00 to apply with Met Life. Try another plan - you will be much happier. Poor service.
Reviewed Oct. 10, 2014
I started Humana in March of 2014 and paid my premiums on time, every single month. I moved and did a change of address in July. I was told that they have to redo everything because I was in a different zip code....cool....understandable. July 1st, I pay my premium. August 1st, I pay my premium. September 1st, I pay my premium. September 4th, I go to a new doctor to get a physical exam only to find out through the receptionist that my insurance has been terminated on July 31st, so I apologize to them and rescheduled my appointment for Sept 19th (or I could've stayed and paid $500-$600 cash/credit upfront to get the exam). Now I'm thinking....Humana, you terminate my insurance without me knowing, yet you still take my money (btw, I don't do automatic draft payment, I pay online and it still showed that I was being charged).
So I call customer service and they told me that it had been terminated. I asked who did it and asked how to get my money back; she didn't know either so she transferred me to billing. I talked to billing and they told me that I cancelled my insurance (cancelled by subscriber). The guy tried convincing me that I am the only able to do it. So I say, "sir, do you think I'm an idiot? Why would I terminate my insurance on July 31st, but still pay for my terminated insurance for August and September? Does that make any sense to you? I don't have $200 every month that I can throw away. Either you give me my money back or you reinstate my insurance and use the premium payments for August and September for the premium payments for October and November." He transferred me to the marketplace and had it reinstated before my rescheduled appointment.
September 19th (day of my rescheduled appointment) comes and I call Humana just to make sure my insurance is actually active and I can use it. It is... but now I only have medical and not dental. So they send me back to the marketplace to dental which will not be available to me until November 1st even though they have my payments. Later on in the week, I get a paper bill from Humana saying that I owe about $230 for October's payment just for medical (keep in mind that I pay $200 for both medical AND dental). So I call them up again and ask them why I'm being charged this much and why aren't they taking the August payment and putting it toward October payment.
The lady on the phone says that she sees that it has been terminated, but there is no record on their end that I made my premium payment in August so she can't take August's payment and put it towards October. Little did she know that I pulled up my bank statements online going all the way back to July's payment. So I say to her, "Well that's funny because I'm looking at my bank statements right now and I see the money pulled out from your company for both medical and dental for July." Which she responds with, "Oh oh okay. I see it now. Okay, let me transfer you to billing to fix this. Is there anything else I can help you with?" To which I apply, "Yes, you customer service reps can stop treating your customers like we're idiots. You have a wonderful day."
I get transferred to billing once again and the lady (she was actually a sweetheart and genuinely wanted to help me solve my issues--and I've worked in customer service for many years even on the phone, so I know about being patient and what it's like to be on the other end..... But don't treat me like I'm an idiot) told me that she saw that it was inactive and terminated since July 31st. She helped me out as much as she could dig to find out why I'm being overcharged and couldn't find the reason why, so she escalated the issue to her manager, which the manager will call.....WHICH THEY NEVER DID!!!! I was getting nervous because October 1st is coming up and I don't want to NOT pay it and they actually have a legitimate excuse to terminate me and still keep my money.
So I call back on October 1st to see where the issue stands.... I am with billing once again....dealing with this crap once again. This time I'm talking to a guy and he is trying to convince me that my service was never terminated in the first place and it has been active the entire time so he cannot take the August payment and put it towards the October payment. He was able to dig a little deeper than the last rep and told me that I was double charged in September, but still need to make the payment. So I ask him why that everyone that I have spoken with confirmed that my insurance is INACTIVE and was TERMINATED. Apparently all of them were wrong, but seeing that Humana thinks their customers are idiots they don't think we can think for ourselves.
So I ask him, "If it was never terminated to begin with, why was the medical reinstated in September and I won't have the dental that I paid for until November 1st? In order to have something reinstated, doesn't it have to be terminated first? And if I did terminate it, can you please explain the logic behind why I terminate service only to continually pay for it while your company happily accepts my money?" The only thing he said was that he can escalate my issue to management and as soon as they contact him about the issue, he'll give me a call. I've been dealing with this issue for a month now and I STILL DON'T HAVE AN ANSWER TO ANYTHING!!!!
If you're looking for an insurance company that terminates your policy without notifying you, only to have them blame you, but still take your money that you paid for your terminated service, then turn around and get some of the WORST customer service EVER.... then Humana is the company you want to go with. They can't get their discrepancies right, nor can they be honest with you. If that's what you want to spend your hard earned money on, then Humana is the company for you. If not, don't waste your time, money, or energy. On a serious note, if anyone is looking for insurance, I will highly recommend NOT going with Humana. I'm very disappointed with you, Humana.
Reviewed Oct. 1, 2014
I set up an auto draft to come out of my checking account, based on my income I get government assistance through the Marketplace. Humana took $172 more out of my checking account on Sept 4, 2014. When I called to asked why Humana stated that I had been enrolled in a policy in April 4, 2014 that was cancelled April 30 2014. I told the Rep that I had no knowledge of ever being enrolled in any insurance policy.. I never received a bill, a card, nor did I receive and enrollment package, so how was that possible??? They told me through the Marketplace. So I called the Marketplace, they stated the info was sent over by accident but that they have back dated and sent over all the info need to have Humana refund my money. I called Humana back telling them the info that was giving to me from the Market Place, so for verification a conference call was made from Humana to the Marketplace. The Marketplace confirmed that the info was correct so the Rep from Humana said she was going to send in a request for a refund and that it should take 10 days. October 1st will be another month and Humana has yet fail to refund my money. Humana keep giving me the runaround and my money is very much needed for a bill that they stole it from.
Reviewed Sept. 25, 2014
My elderly mother switched to Humana (I believe they contacted her vs. the other way around, which is disconcerting) and ever since, she has had difficulty with a number of things, particularly related to medications. Because she then had to switch doctors, her pain management went extremely downhill to the point that we had to get her into hospice so that her pain could be managed appropriately.
The company's affiliated pharmacy in the area, Carepoint, overcharged her quite a bit for medications (it was an honest error not completely their fault), but the issue came with correcting the $300+ mistake: First, the manager said it wasn't a mistake and instead due to price increases of drugs, increased co-pays and Humana sending claims back; then the manager said she would fix the problem (after the charges were already on my mother's credit card, late and paid); then she didn't fix the problem when promised, and instead told me that she would review the paperwork "on Saturday night" (was I supposed to feel sorry for her?! ).
When I called Humana to complain about this, it took 25+ minutes to finally reach a live person, only to be told that I had to call back with all kinds of identifying information, even though they had already confirmed my mother as a client and all I wanted to do was inform them of the issue with the pharmacy.
Reviewed Sept. 25, 2014
My Dr's request pre-authorization from Humana for all visits/treatments/procedures/prescriptions because Humana rarely pays charges in full and often refuses payment. Procedures that they assured me would be covered (before purchasing my policy) are not. So few Drs in my area accept Humana that I am extremely limited in my choices. I am attaching an excerpt from my most recent Humana statement.
Reviewed Sept. 22, 2014
First doctor was questionable. Second doctor could not find. Now Humana may or may not pay. I had to sign form that I will pay if they don’t. Hard to explain - does not help. I live in Arizona.
Reviewed Sept. 21, 2014
Humana website is misleading at best. All plans in Calif. are Walmart plans but website does not say this. I pay a lot for no coverage.
Reviewed Sept. 20, 2014
Stay away from Humana's poor excuse for a medicare advantage plan. After numerous phone calls from myself and my doctor I can no longer get the amount of medication I have been on for over 10 years now. They finally sent me a letter saying I was approved but when I filled it the only reduction I got was a $20 discount leaving me with a $600 plus bill at the pharmacy. I no longer purchase my meds in the US. For $325 I can get 5 months of the same med as compared to the US price of $618 per month.
I recently received surgery at an approved hospital to reconstruct my foot so I am able to walk again. Humana okayed the surgery prior to the date. I am now receiving Claim Receipts from Humana stating "your policy does not cover standard foot care". Under the dollar amounts paid, discounts, etc. it has a 0, except for the amount I owe column... $44,869. The surgeon bill looks identical with a lesser amount owed.
Now I am playing the call game with them. Nobody on their phones know anything or they just chose to lie to you to get you off the phone. At this point I am done playing with their phone idiots and have moved on to file a grievance with Humana on my and my surgeon's behalf. Maybe someone out there that reviews the denials will get this mess straightened out. I have already searched for my new Medicare policy for next year. Humana can scam someone else, I'm fed up with their games.
Reviewed Sept. 18, 2014
My husband purchased Humana Dental for our family last Spring as his job does not provide dental and we have 2 children (9&7) that need to go to the dentist (exam & cleaning without insurance would have been $220 each). I looked into the list of providers and the pediatric dentist that we use wasn't on the list but there really weren't many options available on the list. So I took them out of network after calling and hearing that they pay 70%. My 7 year old had 2 severe cavities in his molars that had just come in and they needed to be filled. Humana bass covered none of it and says that there is a 6 month waiting period for services (I guess that's in the VERY fine print). What they don't tell you is that they pay 70% of the cost that they deem to be acceptable so for a cleaning the dentist charges $81 and they decide that should have only cost $62, then you have to pay the $19 and they only cover 70% after a $50 deductible. So taking my two children to the dentist, if I had just paid the dents for the cleanings, sealants, fillings and everything I would have paid $733.60.
Instead we purchased insurance for $1000 and are paying $523.60 to the dentist on things not covered by Humana. My husband and I have yet to go to the dentist as our dentist is not in network and I have yet to find one who is that I know anything about! In summary, don't waste your money, coverage is awful and list of providers is minimal, customer service is rude and unhelpful.
Reviewed Sept. 18, 2014
I went to Humana after the implementation of the ACA. Remember we did not have to change insurance or doctors? During the sign up process I had to choose a new doctor off of their provider list. My first visit to that doctor showed he was a cosmetologist dabbling in family care. He saw me 1 time then refused to see me again. Having extreme blood sugar levels, 350 plus, I needed to see another Dr. right away. I contacted Humana and they referred me to a clinic and I was helped there in February. Late February I was told by Humana that this clinic was not on my provider list. Yes after they referred me there. I then was referred to the new provider list that was just mailed to me. After going through several doctors I was told all were not on my provider list, Even though they were on their provider list provided by them.
After several calls to them I was given a list of Dr's directly off of their computers listing. When I tried to authorize treatment every one of those same Dr's they gave me were not on their provider list. Here we go again! When talking to one of the agents there I was advised that my treatment at the clinic I had been seen in were being paid and there is no reason I could not be seen there again. So I returned to the clinic. This month I received a large bill from that clinic. I was supposed to have $0 copay, and they advised all payments received by Humana had been reimbursed to Humana at their request, because? You guessed it - they are not on my provider list, HUH?
I am now left with no Dr. to be seen by and there is no help available in government or private for these type issues. In addition Humana is my part D provider and my statement say I pay 100% of the medications and they pay the rest. I now cannot afford my insulin again. The only response I get from Medicare and many other agencies is there is a new enrollment period coming up, But I will not get new coverage until Jan 1. If I live that long.
Reviewed Sept. 17, 2014
My son had some dental work done. We followed the required procedures and got a pre-approval from Humana for the procedure. After it was all done, they denied the claim, saying it wasn't covered. I appealed the denial, and provided copies of the pre-approval and other information, and they denied again, saying that they should not have pre-approved it, and it was their error, but they still weren't going to cover it. This was $1500 we would have to pay. I tried to call and they refused to talk to me because my son had since turned 18 and was no longer a minor. Finally had to get my benefits department at work involved. They said it definitely should be covered, they had to take it up the chain. Finally got them to (grudgingly) pay most of it after 9 months. Worst insurance experience ever. I got the impression that their claims folks are encouraged to deny as much as possible.
Reviewed Sept. 17, 2014
Last year 2013, I bought my 2 medications in a 3 months supply, never even came close to my spend down. This year 2014, my dr started giving me a 1 month supply of my medications. This month September I went to get my prescriptions and had to pay a little more than I had been paying all year. The pharmacy said I had met my spend down with Humana and I had to pay the full price for my medicine the rest of the year. I called Humana, had to go through 3 people who talked like a taped recorder. They would not or could not understand what I was asking them.
After looking on my account on Humana It showed Humana paid nearly the same amount last year for a 3 month supply as they did this year for a 1 month supply. This is why it showed my spend down was all used up. I had to ask to speak to a supervisor because I could not get any help from calling several times, trying to get someone to answer me why this happened. So today I finally talked to a supervisor and he told me the manufacturer of the medication went up and that is why I am paying almost 3 times the amount. There us nothing I can do. I am on disability and I have to get my medicine so I am looking for things to sell so I can get the last three months.
So after I got off the phone with Humana I called the manufacturer to see if they did have a price increase and if it had went up almost triple the amount. They said they did had a price increase last year 2013, but it was nowhere near the increase Humana told me. He said they have no control on what Humana or the Pharmacy does to the cost. I am furious. This should be illegal to do this to people. If anyone on here knows of anything I can do I would greatly appreciate it. Thank You.
Reviewed Sept. 13, 2014
Their recent "feel good" commercials make me a little nauseous. I was a college student supporting myself by being a real estate agent. I bought Humana for myself and had it for years but never needed it until one day I couldn't talk without pain due to strained vocal cords. No one knew what was wrong with me so many different doctors and tests were done. They kicked me off the policy and left me with over 20,000 in hospital bills. They said I had a preexisting condition (this happened before the law changed) because months prior I saw a doctor about a sore throat. These people shouldn't be human. Really makes me sad that they are still in business. :(
Reviewed Sept. 11, 2014
Day 2 waiting on humana to approve a prescription that I have to take daily. So far I have had to come out of pocket $70.00 in order to have medicine. I'M also still waiting on my medical card, so in the meantime I'M having to carry my policy number around with me on a piece of paper. Not a good sign at all.........but it was cheaper insurance!!! Deserves no stars!!
Reviewed Sept. 11, 2014
Worst phone service I have ever encountered. Very difficult to get through to a human being, and when I finally did the gentlemen who answered seemed borderline illiterate. He could barely communicate and had no idea what I was talking about. The problem was they dis-enrolled me from the Medicare Drug Plan because I hadn't made a payment, despite the fact that I never had made a payment - they simply billed my credit card every month, which was still active. The illiterate guy informed me that his screen said to call Medicare. I surrendered and hung up. Medicare is looking into it. Humana is hopeless - avoid them.
Reviewed Sept. 6, 2014
Deductibles and out of pocket max, customer service, tiny provider directory. I did, unfortunately, get the wrong personal health insurance -- Humana Detroit HMOx. I have had nothing but trouble -- denial of my meds, denial of services.
Reviewed Sept. 3, 2014
They stopped taking my auto withdrawal then took it all at once after they offered me a payment plan. Said they would give me a discount and then denied it now after they stole my money. They won't pay claims, and I didn't even vote for Obama stupid piece of **.
Reviewed Aug. 29, 2014
May was my first month. I will relate chronologically, so you can see the situation. MAY: I Made a payment through BOA account but because it was not received, I paid with a credit card. JUNE: The invoice detail: Amount due: 0 Receive: $523,62. Since this was a second month, according to the amount received, the second month was paid. I assumed that the BOA check was received. June - PAID. HUMANA Website shows that.
I traveled outside the US for a month. JULY: I tried to use my insurance but at the pharmacy someone told my account was canceled. Also at home I found a letter – JUNE 17TH. Saying that I have 31 day grace period to pay June until July 02, otherwise my account will be terminate date of May/31st.
Jaime explained that my account was canceled due to a lack of payment in June. Normally an account through the marketplace has 3 months of grace period, in my case I am through the marketplace but without a subsidy because I am not working, I pay the full premium and I have 31 days grace period. This was the explanation told by a customer representative. He also said "you can pay June and July and then call the market place to reactivate immediately the account." The marketplace told me that my account was going to be reactivated on August 1st.
JUNE AND JULY ACCORDING THE TERMINATION DATE AND BECAUSE I WAS WITHOUT INSURANCE , I WAS NOT REQUIRED TO PAY. I was told that the premium I paid (June and July) was going to be return to my credit card because it was a mistake have charged since my account was canceled. I receive these amounts back. My account was activated on august 1 (I checked the web). When I received the invoice, it shows that I owed JUNE/JULY and AUGUST!!!
Daniel told me that he was going to send this situation to a supervisor to be resolved and call back again later. Emanuel - this personnel said that no actions were taken so he needs to send to a billing department to resolve this issue. Daniel - told that the termination date was change to JULY 31th!!! He escalate the situation to a manager. Jamie - Manager call - said that the termination day only can be changed by the marketplace - to the real termination date may 31th. She also suggested to pay AUGUST while we were dealing with June and July. I called the market place, they told me that HUMANA needs to resolve that!! What a nightmare!!!
Michael told me he would open a case and escalate to a supervisor and call back within 5 days. Never received a call from him to resolve this! I told him I can pay and end with this!!! And because I do not want to lose the insurance I was able to pay but Michael suggested to wait. He never called! Jaime - HE call again on August 27. He told me my account was canceled because of 3 months of not payments. I explained the situation. He said just over and over, "This is what my system shows. I am not a saint to resolve this. And your account is canceled. And the amount you paid will be returned to you."
I just want to show what Humana is. A big disaster! They cannot compensate the many hours and hours I wasted in the line. It is a lack of respect. Each person say something different. And to explain the situation each time I called was a nightmare. Nobody took responsibility for the situation. Just hang up the phone, call another customer. I call the Marketplace because in their system my account is active. I request a final cancellation, because my account today, August 28 is canceled for Humana. But it is not going to be a surprise if Humana activate again and continue billing!!! I do not want Humana as insurance, never in my life!!!
You cannot give me back the time I wasted, the hours on the phone getting each time more nervous, more disappointed and frustrated. I will say to everyone to avoid having this insurance. This was the worse experience of my life!!!
Reviewed Aug. 28, 2014
I have been extremely disappointed that I have lost coverage through many of my medical providers. I was not informed and coverage change was mid-year. Not at enrollment time. For example: I live in a major city, Fort Worth, Texas. There is not a Psychiatrist to prescribe my medications within 3-4 major counties. Also my PCP - Primary Care Physician was dropped. We have been abused by the system. We were not given an opportunity to change Insurance Companies.
Reviewed Aug. 25, 2014
My cardiologist ordered a angiogram 8 days ago. The doctor's office called me the night before the procedure, saying they were unable to get in contact with Humana, and would have to cancel the procedure. I called the number on the back of my Humana card numerous times, just to have the call dropped. I set up a account (almost impossible) so I could contact them through their website. After getting set up, their website will not allow me to compose a e-mail. I had to quit driving two months ago because of a heart attack, and still have not been treated because my doctors and myself cannot get through to humana.
Reviewed Aug. 25, 2014
I dis-enrolled from their service the beginning of 2014. Humana does not acknowledge this, and continued to charge me for another 6 months. I did not use their service. They now have sent me to a collection agent. I called them in February, again in July, and again today the 25th of August. In February and again in July they stated that they would fix the problem. Today they said "sorry" but did nothing to resolve the problem.
Reviewed Aug. 24, 2014
Bought this insurance two months ago, assigned me a doctor who stopped accepting Humana long time ago. The new one assigned booked for next four weeks. No ER close to home is covered, no one at Humana on weekend to answer the questions. And I NEED A DOCTOR NOW and nothing is covered out of network. I bought the best Humana possible, at that time I checked network, everything changed after I bought insurance. And that network is not covered anymore but one very small unit of very vast network.
Reviewed Aug. 22, 2014
I have had horrible service from Humana, Great service from Right Source! Humana has refused the most ordinary process for pain control. Right Source is the only reason to stay with this company. Not too sure my pain can hold out!!!
Reviewed Aug. 20, 2014
My mother fell while on her treadmill. She was diagnosed with a hairline fracture of her left humerus. She was sent home from the U of KY ER. She fell again a few days later trying to use one hand w/ her walker to get out of her recliner. She fell on her left side. She was taken back to the UK ER and they performed CT scans and x-rays. The ER docs said nothing was broken and even though her left shoulder hurt worse, they did not re-examine it. Several days passed and she was in so much pain in her lower back she could not urinate. EMS services took her Good Samaritan Hospital, another U of KY hospital closer to their home. There the ER docs discovered a comminuted fracture of her left humerus, a fracture of her left pelvis and a fracture of her sacrum and her L5 vertebra. They admitted her.
The admitting diagnosis was "back pain" which Humana has denied. I spent the entire morning being shuffled around to "fix" the problem. Bottom line from the denied claims dept. was that there is nothing we can do without the doctor resubmitting and my mother or me appealing. I attempted to appeal the denial and was refused. She is now in the ICU due to atrial fibrillation (RVR), spikes in her BP, and over-medication of narcotics which dropped her oxygen saturations to unacceptable levels. I have attempted to notify the insurance commission of Kentucky and am awaiting a call back from Stephanie ** (sp?).
Reviewed Aug. 19, 2014
I have asked my PCP, Adisa **, numerous times to see a endocrinologist for several heath reasons. She always denies my request but does nothing as my PCP to help me. I have asked to have an MRI of my thoracic spine. I have been making this request for over a year. I was granted permission for an xray of my spine. She said it was normal. That is b.s. and I know it. I am in so much pain. I'm not asking for pain management. I want help with my spine so I don't end up in a hunch back condition. JSA is all about saving Humana money. I can't wait until open enrollment for Medicare. I am dumping them and going with straight Medicare. Oh, and if you go to the ER without calling your PCP, be prepared to chewed out and talked down to like some kind of criminal. She had the gall to disrespect me by telling me I was foolish for going to the ER. I was foolish for signing up with Humana Gold and JSA medical group.
Reviewed Aug. 19, 2014
I told them not to send unimportant emails, and they do, I had to call them NUMEROUS times to put me on the do not call list! The worst thing with them is that they are SO unorganized! One rep says this, another one that when you really need help! If you need a vacation override for your meds due to a trip, you'll have a VERY difficult time, since all they did was give me a different story every time I called them! After all of these problems, they DO NOT let you email the corporate with your concerns! I'll switch plans next year!
Reviewed Aug. 14, 2014
On April 2014, my doctor's office sent a request to Humana for additional trips due to my severely sprained ankle and need to go to the physical therapist once a week, plus, my visits to my primary doctor. Everything went well until 8/12 when I called the transport co. and was told that Humana voided all trips for the rest of the year. The nurse Amy at my doctor's office told me that trips already approved were good until the end of the year. I have sent 3 e-mails to Humana trying to find out what's going on and why did they unilaterally cancel my trips already approved AND they already sent me a Notice of Denial for the trips I took to my physical therapist.
Reviewed Aug. 12, 2014
They keep telling us something different every time we call so we contacted Social Security and they are going to check them out. So if you have any complaints, let Social Security know!!!!!
Reviewed Aug. 9, 2014
I was trying to make my premium payments before my grace period expires. I was told by Humana to set up e billing. I attempted to do this three days before my grace period expired. The e billing function wouldn't work, neither did the email to Humana function. I sent them multiple twitters, emails, etc. no response. There is NO website support and no after hours support. If I lose my insurance, I will become homeless as I am on disability and pay a high premium for individual insurance.
I cannot re-enroll until open enrollment at the end of the year. I am appalled at Humana's lack of help re: their website and their lack of automated phone pay options and their misinformation. They totally screwed up a new dental policy for me so that after I had extensive dental work done, surprise, it wasn't covered even though they told me it was covered at 50% so now I have a huge bill to pay. I am furious. I have a been an RN for 35 yrs, including having jobs such as Director of Nursing of a 120 bed hospital, Dean of Nursing in an RN program, etc. so I have dealt with insurance companies for years. This is absolutely the worst company I have ever dealt with.
Reviewed Aug. 8, 2014
Be very careful. I have had two situations that did not please me. First when the agent came to my home, all prescriptions and doctors were checked to ensure they were covered. Then went to fill prescription and told they no longer covered. Received a letter saying that another medication was available and should use it. Well, I had already tried the alternative medication and did not work out well for me. I felt like they were strong-arming me to force me to use the medication they chose. I ended up getting it covered by putting out more money and having additional blood tests ran and getting a letter from that doctor. So it was a waste to go over all medications as they will change their mind any time they feel like it.
Second, I drove 130 miles in pouring rain to get a simple tooth cleaning at the dentist I had used for 30 years, just to find out that they were not in network after they had also been checked, just to drove back with nothing done and 5 hours of driving, gas, and wear and tear on my vehicle. All I can say is be very careful, and at this point, if it changes from day to day, better not make an appointment until you call and find out and call again right before any visits, or you may end up with a big bill or no service. This kind of behavior of trying to force individuals to take what they want is strong-arming, and if all are checked and okay, it is misrepresenting and falsifying their information. And I believe they have voided their part of the yearly contract, but I will end up having to keep up my end and pay monthly until the year ends. So what am I paying for, and obvious they are not trying to keep medical costs down.
Reviewed July 31, 2014
I follow up on medical claims for physicians at a hospital in Pennsylvania and we have the worst time getting Humana Gold to pay the claims of their subscribers. The patients of these Humana Gold claims think that Humana is wonderful insurance. And the only reason for that is because according to the Medicare guidelines, since Humana Gold is a Medicare Advantage plan, we cannot drop any unpaid balances to the patient and so we must adjust them off instead. So that is why so many of Humana's customers think that they have such great insurance. When they actually, they have one of the worst plans they can get for their healthcare. Even when we appeal the claims 3 or 4 times, sending medical records, calling customer service, they don't ever review the medical records or appeals. They just continue to deny the claims without even reviewing the medical records.
And also another practice of their company is that they will pay a claim and after about 1 year they will come back and take back the money saying they inappropriately paid too much on the claim. They will then in turn say to transfer the money they are going to take back over to another patient account that they had not paid yet. But they always wait for almost a year so that most of the time the computer system has already transferred the services into a purged status and it cannot be investigated easily. They do not follow the Medicare guidelines and they pay poor people from other countries to work on their customer service phone lines. And so it is impossible to ever get medical accounts resolved correctly with Humana Gold Insurance Company. Stay clear of Humana Gold for your health insurance. They truly need to be investigated by our government because they are not following the Medicare guidelines as they are supposed to be doing since they are considered a Medicare Advantage plan.
Reviewed July 31, 2014
Very...very frustrated with HUMANA. I have contacted over 10 doctors in the Dayton, Ohio area and no one will take my insurance which I obtained from the Market place. The doctor's offices said that Humana does not pay so they are not accepting anymore. The Humana website is filled with incorrect information. On two of the 3 phone conversations I was given incorrect information. I have 3 cards coming to me with primary care doctors' names on them - none I can use. One doctor is available in September. Today is July 30th. I have a hospital waiting for me to take a test that was authorized by a doctor's office who thought they took Humana, but later realized they do not take HMOx. The test is an ultrasound for a blood clot, so I cannot sit on this. I have 2 1/2 hours of minutes on my phone, at least 2 hours researching, I work full time... Who has time for this... and I still do not have a doctor that is taking patients and will accept my insurance...
Reviewed July 29, 2014
We performed a covered service on a patient with Humana Dental Coverage. We have been waiting 9 months for payment. The claims department has requested redundant information multiple times. After sending a redundant detailed letter of service, they claim they never received it.
Reviewed July 25, 2014
I have wasted numerous hours on the phone. I signed up through the marketplace & decided on Humana (A Platinum Policy). I signed up for an HMO & my card reads HMOX. I can't find a local Doctor to take it, tried to get it changed to what it's supposed to be & they said I need to wait until open enrollment in November... They want me to go to Tampa, an hour away for a Doc. Reps have been extremely rude. They take your money every month but don't want to service your insurance. Tried to find out what an X means after the HMO & rep kept saying line of business, but the Drs don't want to take it! It's bizarre... Hate Humana... I'll be looking at Aetna, Florida Blue, anything except them! I asked about ER & she said I needed approval for that too. Marketplace rep was on the phone 3-way call, & she informed me that I did not need ER approval.
Reviewed July 24, 2014
They informed the medical provider that they did not cover the condition. They wrote me that there was nor was no documentation of the condition. Direct claim for out of network services have been lost six different times.
Reviewed July 22, 2014
I have Humana Medicare Insurance through OPERS. I am 78 years old, in very good health for my age, but started falling a lot and have poor balance. I have suffered a concussion and many other injuries. I recently moved in with my sister after another serious fall. She has steps into the house which I am not able to go up or down. My new doctor here recommended I go to a PT hospital for intense PT. A therapist came to the house and after an extensive evaluation said I was a perfect candidate for the PT hospital.
Humana refused to allow the admission stating I didn't meet the criteria. One of the criteria was that I needed to see a physician 3 times a week. Who is sick enough to need to see a doctor 3 times a week, but can still have intense PT 3 hours a day? I am now home-bound since I can't navigate the stairs, and know I am getting weaker because of this. If the state offers us a different insurance company this year, I will change. If not, I will just drop Humana and probably be better off with just medicare. Just trying to change your address is a nightmare with Humana. I couldn't do it online and their phone menu is a repeating nightmare. I finally just wrote to them. I wouldn't recommend Humana to my worst enemy.
Reviewed July 18, 2014
I have had Humana since 7/1/2014, been to the doctor only once, but it went pretty smoothly. I have chronic pain, was seeing a specialist that was not on Humana, so the doc went out of his way to see if he could request that I could still see him which was nice. He also gave me a bunch of samples of medication to help my issue. I had a pretty pleasant experience overall so far - no trouble as of yet.
Reviewed July 17, 2014
Humana started billing my daughter in January 2014 for her new policy by automatically charging her credit card on the first of the month. All of a sudden, after going to an orthopedist on July 3 for a sprained and broken ankle, she gets a bill from the doctor for nearly $500.00. She had already met her deductible and her annual maximum out of pocket for the year, so she really owed nothing. When we called Humana, they said she got the bill because she didn't pay her July premium and was past the grace period for doing so. When we checked with the credit card company, they said the payment was deducted from her credit card on July 1. Furthermore, the grace period is 30 days. So they are DUMB, DUMB, DUMB.
Now we have to call the orthopedist to tell them not to send us any more bills. This is not the first problem we have had with Humana. My daughter has had a policy with them for about 10 years. I have had to report them to the Insurance Commissioner in Georgia about 3 times a year for not paying claims, not paying enough, denying claims that should not have been denied, asking for "more information" when they already had all the information. This year, she has claims from January and February that have still not been paid. Getting ready to report them again. The best way to do this is to fill out the form online, print it, and then fax it to both the Insurance Commissioner AND Humana the same day along with supporting documentation. Then, Humana knows in advance that they have been reported. This usually gets their attention, and we have been successful with getting the Commissioner to make them pay every time.
Another tip: In the state of Georgia, insurance companies have 15 business days to pay a claim or send a notice of why they can't pay within that time frame. If they don't pay within that time period, you are then entitled to 18% per annum interest. We have gotten that paid too through the Insurance Commissioner. Humana will do anything they can to keep from paying a claim. You have to dog them to death. But if everyone would do this, maybe they would stop stealing our money.
Reviewed July 15, 2014
I was super sick. My throat was so swollen that after working a 14-hour shift I couldn't see to drive. I went to the nearest what I wouldn't call emergency room but an urgent care center. They charge well over 1000 dollars for the visit. I was over 60 miles from home. I had nowhere else to go on a Saturday night again, 60 miles from home. Human(less) Insurance denied my claim because they said it wasn't an emergency situation and that the ER (urgent care) doctor stated I didn't need to be seen. It's interesting to me that the urgent care doc also charged me and billed the insurance company who has not paid what they were contracted to pay. Did I say I couldn't breathe? It was a Saturday night about midnight. I had nowhere else to go. My throat was so constricted that I was gasping for air.
Had I known that paying my insurance without question would have had this implication, I wouldn't have paid for it - oh wait, it's the law. So the law tells me I have to have it, but they don't have to pay. What a sham. I've disputed it, and written a letter to the congressman that represents my community but nothing changes and the emergency (urgent) care facility is still charging me 800 bucks for nothing. In all fairness, they are horribly awful and I regret that I had to have them as a provider. Did I mention it's the law to have health insurance, did I miss something? Angry and lost why we're forced into using a crappy company.
Reviewed July 14, 2014
My mother was placed in a nursing facility from having a stroke and loss of ability to communicate, walk, feed herself, etc. Humana benefits were checked and were to cover the first 101 days. After 45 days, we were notified, THAT DAY, the benefits were denied due to my mom did not meet the "Criteria" which is not known to even Humana customer care reps. When I called to discuss it, I was transferred to at least 15 different people and the last one told me she did not see reason the claims were denied. I could have the nursing center fax the documentation to Humana and their policy is to have an answer in 72 "Clock Hours", not "Business Hours"... However, when more than 89 hours had passed and I tried to find someone to tell me the status, no one is aware of the policy, they can no longer speak to me, etc.
Reviewed July 12, 2014
My mother left AARP to sign up with Humana. She is 74 years old and had a stroke in February of this year. She was discharged from the hospital to a rehab center. It was a horrible place. We decided to bring her home for a little under 4 months. Having been admitted to the hospital, the doctor felt she needed more skilled therapy. My mother only used 42 days of her 100 Medicare days only to come to find out Humana denied her admittance to a rehab center. Her doctor and the hospital could not believe this. I now know that this insurance is not for the patient but to make them money. I will make sure in October she drops them. I feel she would be better off with just straight Medicare. I can't stress enough, if you are on Medicare, stay away from Humana.
Reviewed July 9, 2014
We are long time customers of Humana - the first 14 yrs were great - no problems, excellent service. But recently, my husband's employment status changed, so we had to end an employer-based account and begin another type, still through Humana. That is when the problems started. Claims have not been paid from our new policy. Despite the fact that we have at this point 4 months of premiums paid, it sits in our account as a "credit" because Humana has not invoiced us (our account) for our health insurance. They will happily accept our money, but for all intents and purposes, we have no insurance.
I have made many calls, several times a week to Humana. I can only get to Claims/Customer Service. No one there can fix the problem. It's an internal billing issue. I cannot contact Billing directly, nor is there anyone else I can call. This has been going on for 4 months and our bills are piling up. I have had to contact our physicians to explain what is happening, but that is a long time to make them wait for payment.
I deeply regret continuing with Humana when we had the opportunity to switch providers. I don't know how this is going to end and how long it will take. I would not recommend Humana at this point - they are not the same company we knew all these years. I suspect it must be illegal to hold onto a client's money without providing the service they have paid you for. However, there is nothing we can do about it except share our story of woe.
Reviewed July 9, 2014
I moved from IL to IA, and called to inform them in March. They told me that I would be charged a slightly higher premium for the move, as I had a IL policy. My policy went from $268 to $410. I paid this through June, all the time trying to find another company that would cover me with my pre-existing conditions. After cashing my 4 checks, through June, at the higher amount, they sent me a letter June 6th. This letter stated that they terminated my policy, as of 2/28, as I was no longer paying premiums.
Apparently they had cashed my checks, but not applied them to my account. They tried telling me that I was not paying enough each month, even though it was the exact amount on the new coupon book. When they realized their mistake, they said it was too late, and that even though they accepted the payments, they would not reinstate the policy, or cover any claims for those 4 months. They then had the nerve to try and sell me a new policy! It was clear to me that I was costing them too much money in claims, and they were doing whatever they could to drop me.
Reviewed July 9, 2014
Humana is the absolute most inefficient health insurance company with completely inept representatives. Since I am self-employed I went through the Health Exchange to obtain insurance for myself and 4 year old daughter. Initially I was given a quote of approximately $150 but the real monthly charge is $480. Since obtaining coverage on 2/1/14 I had 3 doctor appointments. The first one was a skin check to ensure no cancerous moles. Humana paid as I expected. The second visit was on April 24th. It was a routine women's GYN annual exam which is supposed to be fully covered under Obama Care. All bills related to that visit have been marked "In Review" since April. I have called at least a dozen times to find out what the problem is since the doctor is sending me collection agency threats.
There have been a variety of situations when inquiring into this matter with Humana's customer service phone reps: 1) Been transferred to a non-existent extension and realized it was a terminal hold and had to hang up. 2) Was told that the doctor didn't submit the bills to the correct location. I stayed on the line for an hour while the Humana rep made calls. I now am convinced that was pure fiction and no calls were actually made. 3) I had several reps tell me they had 'absolutely no idea'. 4) Some reps said 'they must be looking for pre-certification or some additional information' (makes no sense at all-totally normal, routine visit that would never require explanation codes!). When I ask, 'What information are you looking for?' the reply is always 'I can't see that. It's handled by another department and they don't have a phone number.'
So basically there is some mystery department made up of idiots that can't process simple claims and on top of that they have no communication with the main office!!! I have called my doctor's office and think I found someone who actually cares and she claims she will resolve everything but I am not holding my breath. My educated guess is that Humana isn't paying promptly because they don't know how to manage their business and are short of funds. In fact, the woman at the doctor's office told me this has been an ongoing problem. Humana has sent back bills to the doctor's office saying they have too many to process and to wait a while before sending other bills!!! All this while I pay $480 a month. My third doctor's visit was a routine physician visit with a charge of $100 and Humana didn't even pay that yet. Everything is "In Review".
I am beyond furious with our politicians who clearly did not organize things properly when setting up the Exchange. It appears that there is massive confusion from both the doctors' offices and Humana itself. And somehow the consumer is expected to make countless calls to rectify the problem (which is really just extortion). Paying a monthly premium to receive benefits and then seeing none of your bills are being processed is obscene. No one at Humana has attempted to help me. I have submitted two very angry emails through their online site with clear mentions of taking their corruption to the broadcast stations and creating a website to let the citizens of the U.S. know how truly AWFUL they are. I have demanded to speak to an executive since I am done talking to their clueless phone reps. I have received NO response after my emails and have started building the website which may take a while since I am not a programmer.
Another thing - How can our government FORCE us to pay for insurance that is completely worthless? If we don't sign up for health insurance we are fined. So many of us have been forced into the horrific health exchange to satisfy the laws. What needs to happen is a petition to the government stating that the Exchange is failing and needs to be fixed. I live in GA where we have a moron for Attorney General. He has gone on record many times saying he is refusing to cooperate with Obama Care. Therefore his stupidity is probably a contributing factor to the non-payments I am experiencing. If you have been experiencing non-payment under the Exchange please post your experience.
Reviewed July 8, 2014
Thank you for viewing this comment. My extended family has had positive results with Humana. Unfortunately, I have not. My extended family uses them for Medicare. Though I can sign up for Medicare, currently I have school insurance as a teacher. The school district has them for our insurer. Unfortunately, it is quite difficult to deal with them on the phone or through their website to see who provides eyeglasses. Their web phone numbers are often incorrect and send one to other businesses. When I do sign up for a Medicare company, it will not be them.
Reviewed July 3, 2014
Due to changes in the health of my wife, I tried to get exceptions to the formulary prescriptions. Humana would not bend and allow Vesicare 10 mg with no information regarding what must be done to satisfy Humana's objections. This left the doctors and myself without any directions for proceeding. Trying to guess what the objections were was pointless. Was there some way through the process to make it happen? We could not find out. All to frequently no one answered even after holding for nearly an hour, so we gave up many times. No Humana for me next year.
The doctor was experienced in getting exceptions with other companies and was supplying the necessary information. Refusals without reasons were repeated with no help from the company. This company is not responsive to their policy holders questions and requests. I will try to discourage others from choosing Humana.
Reviewed July 1, 2014
Ordering a gelfoam mattress cover to allow my mother some avoidance of bed sores and ease in sleeping. During her last 1-3 months of life has become a nightmare because of the way in which Human Health Insurance provides coverage. Humana has a process of organized, dodge-and-weave obstruction to access for health care, including a "verification procedure" they initially claimed as "due to Medicare's requirements" and then "HIPPA policy". And later finally accepted as simply their own policy which requires repeating all of the members information four (4) times minimum before even addressing the question of finding an in-network provider that is actually still in business and who has a working phone number. The list they provide, despite having only a three (3) day shelf life, is filled with inaccurate information. The process has taken more than 4 hours of phone calls, just to Humana. We still don't have the mattress. And I know the system - pitiful care for the services provided. I will certainly notify the local medicare provider.
Reviewed July 1, 2014
Before scheduling braces for my daughter, I consulted Humana who stated that their financial commitment letter AKA pre-treatment estimate should take about 2-3 weeks to get back to the dental provider. Provider mailed request for estimate on 5/21. I was told last week -- 6/23-- that it was finally mailed out to the provider. Provider has not received the estimate. I called Humana today and I was told that the estimate has NOT been mailed and it is in fact still pending. An inquiry into the pending status is an additional 21 days from today, so about 7/22. Our dental provider prefers to have Humana's Pre-Treatment estimate in writing before they start any work. It seems that they don't trust Humana to pay (wonder why? ) I just hate watching Humana's TV commercials that advertises easier insurance without paperwork and red tape getting in the way of important medical coverage...
Reviewed June 30, 2014
I accepted a medical insurance quote from an insurance broker when the Obama Healthcare plans were being offered. I gave her my credit card information to make my first payment of 168.00 for the first month premium. Humana charged my account an additional 431 dollars in April, and I have not seen any signs of a refund even though I've called over 7 times and spoken to 3 different supervisors about their mistake. I can see by these blogs that I am not the only one they are stealing money from.
Reviewed June 30, 2014
I've only been in Humana insurance for a few months, and all my experiences have been complicated, negative, unsatisfactory in multiple ways. I visited with a specialist for a known problem condition. Specialist told me what is needed, which is traditional therapy which this specialist can apply quickly and effectively. But also told me that I must first get a referral from my designated primary care physician (PCP). Humana had first assigned me to a PCP whose office is >50 miles away. There are >1000 competent physicians less than 20 miles away. So I called Humana and requested a PCP in closer proximity. So Humana assigned a new PCP for me. However, when I called the office of my assigned PCP to schedule the appointment to get the pre-authorization for treatment for my problem condition, I was told the earliest appointment possible with my PCP is >8 weeks in the future.
So I know what treatment I need. I have a specialist, who is competent to administer effective, efficient treatment. But the Humana system requires that I wait > over 8 weeks to get authorization from a PCP who knows nothing of me and that Humana and I pay for the PCP visit to refer me to the specialist whom I already know and who recommends the treatment. This pre-authorization is required from the designated PCP, who has never before seen me, and therefore has no knowledge of my health condition nor history, nor needs.
A similar situation transpired in the Humana system with my wife. A specialist advised a treatment, but again, a referral from my wife's PCP is required before treatment is possible. Her PCP has repeatedly been changed six times before she visited with any of them. Humana requires a PCP refer for any/all treatment by specialist. Now if a designated PCP really knew the health condition of the patient, then there may be value in getting a referral from a PCP. But rather than arbitrarily designating random PCPs for patients, when a person newly enrolls in Humana, allow the person to make appointments with physicians as they need for the first 6 visits - during which time the person can determine and select the PCP they want based on their experiences.
Reviewed June 29, 2014
We have had Humana as Medicare supplement for 5+ years now and do not even look at options. My husband had to be hospitalized for 5 weeks. Never even saw EOB for months after. Humana took care of everything. I am eligible and ready to sign up this year for myself. Highly recommend....
Reviewed June 26, 2014
Went to hospital with heart pain! Was in intensive care for 5 days. Refuse to pay doctors because I did not get outpatient permission! I advised I was in the hospital. A cocky! discourteous customer service and supervisor refuse to reason to my explanation and that they did not care that vendor (Doctor (had to re-bill because they were not gonna pay!) I KEPT EXPLAIN YOU HAVE A HOSPITAL BILL FOR THIS PERIOD! IT GOT ME NOWHERE, VERY UNREASONABLE! SHOULD NOT BE IN BUSINESS! RAN INTO SAME ISSUES WITH THEIR DENTAL INSURANCE! AS FAR AS I AM CONCERNED, BORDERLINE TO FRAUD!
Reviewed June 24, 2014
This was bad choice. I need to pay $720 annual and they cover $1000 minus 20% is $800. Bad customer service.
Reviewed June 23, 2014
I am a psychologist and I have not been paid since Oct and have been assured it is approved to pay. Now I can't reach claims. I have been kept on hold forever and then dropped. Help.
Reviewed June 23, 2014
How does Humana get away with this? I had a broker supposedly help me last November when I was trying to get health insurance. Apparently, the 'x' at the end of the HMO means it is in the Colorado exchange; over half are subsidized in this program (I have since learned). I never was going to be subsidized, so why did he suggest this plan? Every health care provider whom I have contacted, my former docs and several new ones, say "NO". They don't accept the insurance. These providers are all listed by Humana as accepting their insurance. The clinics and docs suggest that I get their Tax ID number and contact Humana.
What a load of stupidity this is. I have NO IDEA who really accepts this substandard insurance. Worst health care situation I've ever faced. I've contacted both the State of Colorado Department of Regulatory Agencies, and Humana. Formal complaints just filed with them. When I finally got through to Humana, which was of course a big ordeal in and of itself, the person said, "My understanding is that not very many doctors accept this insurance." She gets points for honesty.
Reviewed June 20, 2014
I chose a plan through the market place which was with Humana and when the cards came I found that I had a different doctor. I did not want to change doctors so I decided to cancel my plan. My activation date was on the 1st of May and I requested the cancellation on the 22nd of April. Since I had already paid my premium, I assumed that I would receive a refund. I spoke with several representatives from Humana who assured me that my refund would come in 45 days. Well, it's been almost 60 days and this issue has not been resolved. I do not have coverage with them and they have taken my money and no one can give me any reasonable answers as to why, or when I can expect my money to be refunded to me. I as told that because my cancellation request was not entered and submitted to the correct area that I would have to wait another 45 days for a refund. This is unacceptable.
The customer or potential customer should never have to go through this situation because their representatives do not know the proper procedure. I have spoken with ten people who have no definite answers. Its not a fortune but it's mine. They sent me all kinds of letters when I as a potential customer and as soon as I terminated the impending policy I have heard nothing. The sad part is that they took this on and did not have a system in place to give quick turn around time pertaining to resolving issues. This is very bad business. I would not choose this company again for my insurance needs. This area where refunds are process is virtually inaccessible. The supervisors can't call them, they have to submit request through email, even when it is of high priority and they don't respond back to them within a reasonable amount of time. A supervisor submitted this situation to that area on my behalf and it's been a week with no response.
Reviewed June 18, 2014
PPO is the better of dental insurance plans so it is what I have been PAYING for since 2011. However, it was not until June 18, 2014 a customer rep. named Marylyn explained to me Humana has TWO (2) PPO plans and I had been signed up for the basic one which includes two dental cleanings and very little more. In these 3 yrs. no dental procedure was on my record (but for one cleaning) because HUMANA NEVER COVERED ONE CENT.
Reviewed June 16, 2014
Humana has an answer for the medication "doughnut hole" - don't pay anything. My father switched from one diabetes medication that was causing symptoms of cardiac arrhythmia, to a more expensive one: Januvia. But Januvia is really expensive, so they said they wouldn't pay for it. Doctor writes a note that they pay for one month and allegedly approve Januvia for a year. Not so. Next month, they deny payment. So we go to the doctor and he gets another, but pretty cheap medication. Humana's response is that they still won't pay because it's a second medication for the diabetes.
He quit the ** Januvia and got the cheap stuff to satisfy them and they still won't pay for it. Humana's commercial are a big fat lie. They don't try to keep people in their homes. They are just drunk on the medicare subsidy.
Reviewed June 11, 2014
On April 1, 2014 while packing and moving boxes and furniture for storage, I injured my back. The pain was so severe that I fell to the floor. That same day, I went to my Doctor's Office and was prescribed Motrin 800 and Tylenol #3. I could not sit or stand. I was bent over at about a 40 degree angle. The pain ran from my lower back down my thighs almost to my knee on the left side. At any rate I called in sick and used both sick and vacation time until my employer insisted that I apply for the Family Medical Leave Act.
Realizing how severe and serious the injury is, I then applied for my Disability Insurance with Humana. Well, Humana did accept the initial claim and paid for the first 30 days and since that time, Humana has denied any payment citing that the Physician has not shown why I cannot return to work. My physician has written and completed their forms and has written a letter explaining my diagnosis and prognosis. I have also faxed data from the Physical Therapy Group which is a separate entity from the Doctor whose findings support his diagnosis and am still waiting for my payment. In the meantime, my mortgage, car note, car insurance, light and gas, credit cards, doctor bills and physical therapy bills are all past due and mounting. I have paid $120.00 a month for the past 6 years for insurance without fail and now that I need it, I could lose everything.
Reviewed June 11, 2014
I've used Advair for many years with excellent results. Previously I had many trips to ER unable to breathe! I have COPD, chronic bronchitis, asthma, etc. I called in a refill for Advair to Walgreens. When I got there to pick it up, the pharmacist told me that HUMANA refused to pay for it & wanted me to try a cheaper brand! I have no Advair left & have been experiencing asthmatic episodes frequently lately! I need it now! There was NO notice from HUMANA whatsoever! In the past they refused to cover my nasal medicine Rhinocort, & I had to pay out of pocket for it - almost ninety dollars at a clinic!
Reviewed June 10, 2014
Where to start??? I have so many negative experiences with Humana that I can share only one at this time in order to prevent writing a novel. I have been enrolled with Humana HMO Gold for about 4 years. I have had issues with chronic pain for that entire time period. I have had a problem with my teeth rotting (due to a congenital disease), and of course I have no dental coverage and essentially I had to endure countless abscesses and other complications. I literally had to endure my teeth decaying to the point that they were only roots below my gum line. Also, I suffer from spinal stenosis and arthritis. My PCP was kind enough to prescribe me pain medication, specifically methadone (due to my inability to tolerate the acetaminophen in other analgesic medications).
For 3 years Humana allowed me to fill the prescriptions without any issues whatsoever. Then methadone became almost impossible to fill (pharmacy claimed a shortage), and I had managed to save enough money to have what remained in my mouth surgically removed, and full dentures. At that point, I asked my doctor to put me on Subutex (buprenorphine) so I could safely taper off of the medications. Subutex costs $5 per pill, and methadone costs a few cents. Can you see where this is going? Yep, all of the sudden I found myself in an endless cycle of denial letters. Denial after a pre authorization from the pain management specialist that I was required to go to just to get the Subutex. I was required to take urine tests, and always passed them, but still I found myself paying for medication they have listed on their formulary as "covered".
This last time around, I received an acceptance form and another denial form on the same day! On this last denial form they require that I seek a mental health professional for drug addiction counselling AND my pain doctor has to jump through his own hoops with the "form 2000" waiver (huh?) AND I have to continue to pass drug screenings as well as other obstacles clearly designed to force me on to the street to find opiate medication so I don't have to go cold turkey. Keep in mind - I HAVE been in compliance with these conditions, and have sent them countless "explanations" as to why I think their decision is not valid, only to receive denial after denial. I could cite countless other reasons, and experiences to NOT recommend Humana to my worst enemy, let alone anyone else. Bottom line, Humana = Corporate medicine. Humana > Doctor, Humana > patient needs - You do the math.
Reviewed June 9, 2014
I have been with Humana for 15 years. When I joined, our Dr was very helpful and we had no problems getting the care we needed. We even bragged to our friends what good care we got. The doctors asked questions and their main concern was keeping well. I have a couple forms of arthritis and have chronic pain which I try to live with as I don't want to feel helpless all my life. A lot of medication didn't help and mostly now I depend on pain meds. I had started trying to lower my doses through the dr as I didn't feel when I got older that I needed so much as I was taking.
A couple years ago our nurse practitioner who had been our major "dr" for most of the time, with Dr. ** resigned as she felt she was spending more time with computers and things than she could with the patients. Dr. ** had sold his office to Metcare and we soon lost him. I have my meds cut way back. Many of the other places we use, like the heart dr. have had a time getting our meds regulated. We feel the dr has been replaced by a computer because most of the time while in the office, we sit and watch them read the computer. The nurse takes our blood pressure, our temp, and asks if we have any problems or do we need prescriptions refilled. We do not sit on the table and get checked any more. We get asked a couple questions. Everything is handled by the "main computer" where everyone's problem is put into and this "main Computer" which goes by what everyone else in the country has and that is how your diagnosis is handled according to the dr.
I was taken off a heart medication prescribed by my dr. because the computer said I didn't need it. I am going to bide my time and wait until a new enrollment period. Then I will check this site and find out who has the best references. From what I am reading, it is definitely not Humana .
Reviewed June 8, 2014
I am new to Medicare. I purchased a prescription drug supplement plan through Humana. My first experience was that they messed up my billing, after two months I finally got that straightened up. After speaking with an agent, he told me that I could get my prescriptions filled at Walmart. I explained that the closest Walmart was 70+ miles away from my home. He told me not to worry, they will deliver for free. I did make a trip to my local Walmart to bring in my prescriptions for the first time. They informed me that they do not deliver. I would have to purchase my meds through their Texas office. I spent another two weeks working out all the details between my medical provider and Walmart and still no meds.
I tried to call Humana through their customer service and I only got to speak to a robot. It took me another week to find the secret to find a live person. That person told me I should sign up for their other program. As of this date, I still have not received any medications from Humana. I am out of some of my meds and have paid Humana for over three months of service. My medical provider has been attempting to help me get this matter straightened out but she has had no luck yet either. Even though I cannot get any service support from Humana and I have not received any services at all, I cannot change my coverage until the next open enrollment. I believe this, in any other theater would be considered fraud! Is there anything I can do besides giving up my coverage plan by not paying them?
Reviewed June 6, 2014
Humana Atlanta HMOx - I enrolled with a start date of 01/01/2014, have had nothing but trouble. First it was my deductible. It was suppose to be 500.00 went to 1500.00 then finally back to 500.00... I'm diabetic and wear a pump. My insulin is still so high I can't afford it and now I'm having trouble ordering pump supplies.... They decided not to cover my test strips which who cares if I had to change brands, right?... I am just so disappointed with these non communicating people. WHAT A JOKE!!!! I'm covered for what?
Reviewed June 5, 2014
Yesterday, my bank was double billed for my wife's monthly premium. The representative I spoke with was very outrageous and stated that they were aware of the problem as many others were also double billed. I asked how would I get my bank account reimbursed and was given a fax number and name of person handling this and have faxed my bank statement to them. However, I was not given any guideline as to when the money taken from my account would be returned. This is the second time in the 3 months we have been members where we have double or almost triple charged. As a retired person, my financial strain has been painful to say the least. My wife's premium total due has been $800, but to date $1167 have been hijacked with seemingly no recourse for the overcharges to be returned to my bank account. In the old days, bank robbers were hunted down by the local law enforcement. Now sadly, highly paid executives tee it up at the golf course while their lowly paid reps handle our irate phone calls. WHERE IS THEIR CONSCIENCE!
Reviewed June 5, 2014
I went to the hospital short of breath and with a offloading heart. It was determined that I had hypothyroidism. I need a primary to get a referral but nobody on the list provided by Humana takes Humana gold. I guess I have to risk death and go to the hospital hoping that they will treat my thyroid there. I'm extremely disappointed.
Reviewed June 4, 2014
When I signed up for Humana, I was told my medication would be covered with a 50.00 copay. I signed up through Ehealthcare.com. They assisted me through the marketplace and assisted me in choosing Humana HMOx as my new insurance plan. I have asthma and have been well maintained by Advair 500/50. Humana denied my prescription and they have a tier system that forces me to pay 50-100% of the cost of any medicine that is strong enough to control my asthma.
I was forced to change doctors offices because they out of network and had my old doctor complete the forms required to appeal the medication denial and they still denied the medication. Since then, I have been sick and have missed work. I'm worried about losing my job and I'm worried about death from an asthma attack because I can't afford to by medication out of pocket. I am the only income in my home and I only make $16.00 per hour. I have 2 children and a wife in the home with me and I'm tired of suffering everyday because of Humana. I deserve to breathe just like everyone else. I believe Humana is trying to kill me. Please help.
Reviewed June 3, 2014
We were treated well and received excellent care in a Humana PPO. The problem arose when we were released and had to make our own decisions on follow up care. We called for predetermination of benefits and when the bills arrived, they did not agree with the quoted amounts. We were told the quote is "just an estimate". I did not know that at the time. Just a warning.
Updated review: June 2, 2014
I have been a member of Humana for several years - probably more than five or six. The doctors have always been caring and supportive. I believe they have provided the best care they could given what have sometimes been difficult and complicated situations. I think they do the best they can given the rules, regulations and cost-controls imposed by the government and health-care insurers in general.
Part of my problem has been my mental-health issues. As in manic-depression and schizophrenia. I have had episodes of paranoia and delusion when I've believed people, including lawyers, doctors, my TV set - have been set on destroying me. This has led to numerous other problems, as I'm sure you can imagine.
Almost six weeks ago, I stopped taking most of my psychiatric medications. This has made this period extremely difficult for me and anyone close to me - including anyone who has attempted to provide me with medical care. Paranoia, delusions and anger have resurfaced with a vengeance. I would not have wanted to have me as a patient during this time. I believe people have been trying to kill me.
Although I believe there have been legitimate problems with my medical treatment, and I think many of these could easily have been avoided, modern health care is a complicated business and I really do think everyone is doing their best.
I have spoken with my doctor's office and Humana and they are helping work through my problems.
I apologize if I ever gave any other impression.
Best of luck to all.
Original Review: June 2, 2014
I've had two Humana doctors. Both have been disasters. The first failed to diagnose/treat a major medical condition. Her treatment of a severe onset of bronchitis - she prescribed only the cheapest, generic antibiotics and no steroid shot - which I desperately needed. As a result, and after several follow-up visits, I wounded up in the ER, barely able to breathe and not able to walk 15 feet. The ER immediately gave me a steroid shot and prescribed the best antibiotics on the market - more expensive, but they worked. I had to send my doctor a letter with a copy of the ER report detailing what they had done - and I noted these steps should have been done immediately, not after her 6-7 weeks of incompetent treatment.
Later, I ended up back in the ER after I called this doctor on a weekend saying my breathing was getting worse and the treatment she (again) had me on was not working. She said, precisely, "Call my office Monday morning." I went to the ER, again, that night. This was five months of neglect which damaged my lungs with scar tissue which will never heal or go away. Also, I've had DVT (blood clots) several times since I was a teenager. This doctor could not find the right dose of a blood-thinner for me after years, YEARS, of trying. In the end, she told me I should quit taking warfarin altogether because it was having "no therapeutic effect." She said, "If you get blood clots again, then we will treat them when they occur." Right. If I didn't drop dead in the meantime. This is malpractice, period. This doctor should lose her license - but I'm sure Humana will do nothing. So I am filing a complaint with the Florida medical board; I'm pretty certain they will do nothing. This is modern American medicine.
My second Humana doctor is little better. He claims he told me diagnosed me with COPD two years ago - but if he did he never told me. Until I finally started yelling at him during my last appointment because I knew something was wrong - something I was not being told about. He never told me about nor referred me to Humana's program which helps people cope and deal with COPD and other chronic illnesses. He never discussed his diagnosis with me; never discussed treatment options; never discussed my prognosis, nothing.
Also, his staff is incompetent. Which should not be a surprise given the person they work for. They cannot or will not carry out the orders he gives WHILE YOU'RE IN HIS OFFICE - things they are supposed to do before you leave that office after an exam. Having a flu shot if you have COPD is important. Yet, during the two office visits when this doctor ordered a flu shot for me - something they are supposed to give patients at his office - I would have left both times without a shot had I not reminded the staff to give me one. The first time I did leave without the shot and then at a pharmacy remembered I was supposed to get one at the doctor's office. The following year - same thing.
The doctor prescribed a shot but his staff "forgot" about it. They said I was "all ready" to go - when I reminded them they were supposed to give me a flu shot. Also, last year, this doctor's office had a computer problem and could not receive lab test results for three weeks - 3 WEEKS. I called every week until finally they got the problem *fixed.* During this time, the doctor did not seem to think it important for his staff to phone the lab and get the results - something they could have done if they weren't so lazy, irresponsible, negligent and incompetent. Again, malpractice. After every office visit, I have to fax/mail a list of things this doctor's office staff was SUPPOSED to do - but which they don't follow up on.
With each Humana doctor I had to appeal to Humana directly to get a referral to a specialist. My requests for a referral from the doctors were met with hostility and arrogance. These are just BAD DOCTORS. If they haven't killed someone already, I'm sure they will. Run for your life.
Reviewed June 1, 2014
Before joining Humana Prescription Drug Plan in May 2014, I listed the names of my medications including Advair Diskus. I was told that they were all in the Formulary. When I had my prescriptions filled, I wasn't able to get my Advair Diskus. I have been using Advair for 20 years successfully and have never had any side effects. Before my asthma management with Advair, I had about 4 ambulance trips a year to the hospital emergency with severe life threatening asthmatic attacks. Since my use of Advair, for the past 20 years, I have had no severe asthmatic attacks.
After not being able to get my prescription filled for an Advair Diskus, I received notice from Humana that they did not have Advair in their formulary and would not cover it without an appeal or exemption. The appeal was made and denied. They said instead that I should use Symbicort. I certainly would never take Symbicort even if these were the only side effects: Seizures, severe chest pain, large, hive-like swelling on the face, eyelids, lips, tongue, throat, hands, legs, feet, or sex organs, mood changes, muscle cramps, nervousness, numbness or tingling in the hands, feet, or lips, pounding in the ears, severe headache, slow, fast, pounding, or irregular heartbeat or pulse, stiff or sore neck.
I don't believe insurance companies should be deciding on what medication I or anyone else should take. I canceled my enrollment and now they don't want to pay for the prescriptions that were filled because I was enrolled for only one month. My policy is that I will not be lied to and will not pay. These misrepresentations must stop.
Reviewed May 31, 2014
My doctor called today and said the claim they filed a surgery was denied by Humana because they had cancelled my Medicare coverage. After 8 phone calls to Humana, they said my Medicare medical coverage was cancelled because I added a drug plan in May??? I was never contacted and told my coverage was being cancelled. Humana decided I needed drug coverage MORE than I need medical coverage. I have spent hours on the phone and each person gives me a different answer. What I don't understand is HOW they can cancel my Medicare coverage which I pay for each month out of my disability check. I now have $2500 in medical bills that HUMANA says they are not going to pay EVEN though my doctor got pre-authorization. Must I hire a attorney for such a stupid mistake?
Reviewed May 30, 2014
Very disappointed about Humana Choice PPO H4520-006. This plan is suppose to offer health and prescription for in and out of network benefits, and it doesn't offer the services that they said they offer for the Humana Choice PPO, according to Medicare Contract.
Reviewed May 29, 2014
I called HUMANA on February 4th, 2014, to express my desire to cancel my prescription insurance coverage. I was told that the only way to cancel the coverage was to FAX them a letter of dis-enrollment stating the effective date and also to include a reason for cancellation. I did all that was asked, informing them that my reason for dis-enrollment was that I now have better prescription coverage from another source. I signed the letter, included my telephone number should there be any further questions, and FAXed it to the number I was given: 1-800-6338188. I received an email confirmation that it had been received by HUMANA, so I did not pay them for any months going forward - I had already paid them through the end of February, so everything should have been fine. On the letter, I also included my Member ID number so there would be no question as to who the letter came from.
This past week, I received a bill from Humana for $153 - the amount they now say I owe for the months of March, April, and May of this year. I responded by telephoning them 2 days ago, at which time they claimed never to have received my dis-enrollment letter on February 4th. I told them that I have an email confirmation that they received the FAX on that date, yet the person continued to claim that they had no record of it. Giving them the benefit of the doubt, I FAXed a new cover letter with an explanation to them on May 27th 2014, along with a copy of the emailed acknowledgement that they had, in fact, received my dis-enrollment letter back on February 4th. For good measure, with this new FAX I included another copy of the original dis-enrollment letter.
Just today, 2 days after that last FAX to them, I received a telephone recording from HUMANA telling me that I MUST pay arrears of $153. I pressed the necessary telephone prompts until I had a HUMANA representative on the phone. This woman went back and forth with more double-talk than I have ever heard in my life. Reading through my file she claimed that they did receive the first two pages of the FAX I sent just 2 days ago, but that the third page (that copy of the original dis-enrollment letter) was blank except for where it said "From" and "To. " In other words, she claimed it was a blank page. She dug into the records further and at one point said that they did receive my original dis-enrollment FAX back on February 4th, but that they could not reach me to confirm it. When I stated that my telephone number was clearly written on the letter and that I have an answering machine to record the calls if they had really phoned me, she changed her mind and said she was mistaken - the original dis-enrollment FAX had never been received on February 4th after all.
After she had contradicted herself, admitted receipt of information and then retracted those same admissions to me several times, it became very clear that I was being hustled. The fact that the only pages that are consistently coming out of their FAX machine as "blanks" are my dis-enrollment letters (and nothing else) further substantiates my claims.
At the end of our conversation, the representative said "Here's what I can do for you. I can cancel your HUMANA drug plan as of May 31st, but you still owe $153 for March, April, and May." At that point, I told her to shove it all up her "where the sun don't shine" and slammed the receiver down. HUMANA is clearly throwing dis-enrollment requests away, or otherwise ignoring them, just so they can intimidate seniors and others into paying for additional amounts of coverage when it isn't needed. This form of consumer rip-off MUST be stopped. I'm sure I'm not the only one these thieves are doing this to. Any chance this would be a class-action lawsuit?
Reviewed May 29, 2014
We are a billing service that handles ambulance billing. We have had numerous claims reject for our Medicare patients that were transported by ambulance to a local hospital & then admitted to an In-patient status. Our claims have been denied or monies recouped erroneously. After multiple phone calls, appeals and faxing of records to substantiate the ambulance transports, we were told this: Humana bundles "ALL" provider charges up to 3 days prior to the In-Patient hospital admission and includes them with the hospital charges! We have explained that the ambulance companies are independent entities from the hospital with different Tax Id's, NPI's and ownership. It is true that the admitting hospital has to bundle all out-patient charges within the prior 3 days of a qualifying In-Patient admission. However, that does NOT apply to all other providers. We are not sure who handles Humana's Medicare Compliance Department, but obviously, they do not fully comprehend CMS guidelines
Reviewed May 26, 2014
My Husband has Humana PPO which if you never get sick is okay. But if like my husband you end up with a back problem, it’s whole different ball game. My first but not only complaint is their provider list. The doctors in our area on Humana's list will not accept or deny you an appointment until they review all medical records in order to see if they want you as a patient. In my husband’s case, he is in dire need of surgery to free up a compressed nerve. He has been in terrible pain for over two weeks. He was hospitalized where they did 3 MRIs, CT Scans and X-rays. Did nothing for the pain. His Humana approved Primary care Doctor believes in death if you are a certain age or pain for life. He refused treatment or any more test. Hospital Doctor and Primary Doctor never talked. I can go on and on.
Every time I call Humana to tell them that my husband is suffering in their "providers" care, they say their policy is to see that all patients get the care they need. This is not true. The next person you talk to tells you it’s up to the doctors practice policy. I told them his primary not only refused the care my husband needs, he also said he would not be doing any prostate exams on an 80 year old "because Cancer of the prostate is slow growing and he would die before cancer could kill him". Then when I took him in for this recent back episode, he refused to do an MRI because my husband had one two years ago. But this was a new change, his reply was "Well we know your husband has a bad back and a MRI will show he has a bad back, and at 80 we won’t be doing any surgery, so no need to do MRI.” This is HUMANA'S provider of Health & "To do no Harm".
Next because my husband was in unrelenting pain His Primary Dr. said call an ambulance, take him to the ER to get the pain under control (never happened). The Hospital ER said it was his hip. I told them it was his back but the pain was in his hip, leg and foot! Would not listen to me. They did 3 MRIs, 2 CT scans, and x-rays, then treated him for an infection that tested negative! Then did not have the sense to use contrast in the MRI test. At my insistence they finally called in a Neurosurgeon (which should have been done in the ER). After all this they were going to send him to Rehab/Nursing home facility.
They told Humana he walked 200 ft - which was a lie. He came to the ER on a Stretcher because he cannot walk without terrible pain. Can't sit because of pain and yes, he did walk with a protective belt, a walker and two nurses help. He walked maybe 20 feet? I had to call Humana numerous times explaining every time I called the whole story from the beginning. No continuity exist with Humana! He was denied rehab because he walked - Duh! No record of his pain, nor mention of his short term memory loss or the fact that they had FALL RISK on his wrist, on his hospital doors and on his record.
After 4 days we finally got my husband into the Nursing home/rehab where he mostly lays or tries to sit in pain, now going on two weeks. I have called Humana daily trying to get something done for my husband and to make sense of their rules. They do NOT follow Medicare Guidelines. Pain pills is not helping and my husband has lost from 176 pounds to 152 lbs. Pain is unbelievable. Prior to this back incident my husband was active. He does have some memory loss due to a stroke 4 years ago, but he drives and does everything he wants. But now he can't even walk. He has had Pain injections but they don't help.
The tragic thing about this beside the extra CO-PAY COST and the no-care attitude of Humana Providers is this. The nerve that is getting mashed by a bone spur has a root. If the root dies, my husband will be a cripple. Humana is a Big mess. No one there knows what they do or don't do. You get an opinion. The turnover of workers must be excellent. Obviously they look up information because they put you on hold. They needed my power of Attorney one time and the next person never asked.
When one insisted she could not discuss my husband’s health I faxed them my Power of Attorney per her saying as long as I faxed it then they could talk to me. Caveat to that! It takes 12-15 days to get it into their system. Stupid! All I had to do was go to the Nursing home and have my husband tell them it was okay – DUH. I could get anyone to pretend he was my husband! Makes no sense! I've waited 4 days now while two doctors are looking at my husband’s health records to see if they will accept him for an office visit.
This is all Obama Care BS. Sorry for the expletive and I know people say it’s not that and Medicare has not changed in years. That is not true. The day has long passed when you could pick up the phone call for an appointment and go see the Doctor. My husband could be paralyzed before he is even seen for appointment then they have to Evaluate. What he needs is a Myelogram followed by a CT scan! And frankly, I want to know what the Doctors Philosophy is - do they treat someone according to their age instead of need. I understand withholding operations for the terminally ill. But my husband is healthy or was before this. But, all his vital signs are good.
If we had the Money, I would go to a good doctor/Surgeon who does not take any Medicare or other insurance and get the operation he needs which by the way is a minimally l invasive procedure that they have done on people older than my husband. But I have not been able to get to first base with Humana or the Providers he has to use. I would never ever use Humana or any managed care again. Medicare and a supplement is the only way to go. And all of you who think this new Healthcare is great! Just wait until you need Hospital or an operation of course if you’re young and healthy then hopefully you do not become Hospital bait!
Reviewed May 24, 2014
Had a annual health and wellness exam which was supposed to be free of charge. I just received a bill for $55.33 for a blood test. I don't know how they consider this exam as being free. I guess no more blood tests for me. They should have the doctor inform you that it will cost you.
Reviewed May 24, 2014
I had a Humana HMO plan in Florida and was happy with it. I have relocated to New Bern, NC, and signed up for HumanaChoice (Regional PPO). There are only two doctors listed here in my area for me to choose from. I searched for and found a Endocrinolgy Care center that was listed by Humana's search tool. So I have gone there since I am diabetic and also have a thyroid condition. Thus far, Humana has not paid for this care and doesn't even show the treatment through my online access to my healthcare account. Additionally while I was out of town for a wedding, I had to go to an urgent care facility for treatment for a bad infection in my right hand from a wound. They refused to pay that saying I was out of my plan's coverage and that it was not listed as emergency clinic by the doctor's office.
I was billed for over $400 for that although it was an emergency and the treatment was administered at an Urgent Care Center. I am also on the hook for hundreds of dollars at the clinic here at home as although they list it through their search tool, they won't allow me to select this clinic as my primary care location. My drug costs have skyrocketed here as well although I am supposed to have a better plan than I had in Florida. So I say Humana Sucks! Oh Yeah, just try to contact them through the number on the back of your membership card! That is a fool's errand!
Reviewed May 19, 2014
I am supposedly registered with Humana's website but I cannot access from my computer. Talked to the tech people at Humana and they claim they could sign me in on their end but I could NOT get into the site from my computer. And to add insult to injury, they could do NOTHING more for me. I wanted to order one of my insulins which is critical for my health as I am type 2 diabetic.
Reviewed May 19, 2014
Having this insurance is like paying a premium to show people you have an insurance card. They seem to cover nothing. I spent three nights in hospital in January after coming down with cellulitis. I paid $3153.35 out of pocket for the short stay - 365.10 of which went toward my deductible. Why didn't the entire $3153.35 go toward my deductible. And Humana covered virtually none of the expense. Paying for Humana insurance is paying a premium to receive nothing at all. I pay a $75 co-pay to see a specialist, then get a bill from that doctor showing that Humana has covered little to none of the remaining costs and that I am responsible for the balance.
So far this year I am nearly $5200 out of pocket for mostly preventative services. Add that to the nearly $4000 I've paid in premiums and that is over $9000 for health care costs and the year is not half over yet. Humana is the biggest rip-off of any insurance I've ever had. They should re-name the company IN-Humana. Profit is their GOD. Patients and serving them is not a part of their business model. Can't wait to have it out with someone on the phone, dump these slimeballs, and get back to a company (Blue Cross Blue Shield) that actually provides coverage. This company is a scam of the first order.
Reviewed May 16, 2014
I spent four days trying to change my primary doctor. The customer care will give me a list of Doctors. When I would call the Doctor's offices the Doctor didn't accept my Humana plan or the phone number was out of service. It was very frustrating. The customer service wouldn't give me anyone to complain to and just said they weren't allowed to. My question is WHY isn't Humana updating what Doctors are accepting my plan?
Reviewed May 16, 2014
Charged me 40.00 copay instead of 20.00 my card says, they say because I had a shot it's considered surgery which is an extra 20.00. If you have a choice, I wouldn't get this insurance, have had other ripoff things.
Reviewed May 16, 2014
I got a new Rx from my Dr. I took it in to have it filled. When I went to pick it up, the amount was $238.2! I called to see why no insurance was paid towards this Rx. I spoke with an agent named Elana, 5/16/201 shortly after 9 am. She was extremely nice, and gave me information on different generic, Rx's that my Dr. might possibly change me to, so that I can afford it. I don't have enough space to tell you all the nice things about her. If you can find out who this Elana is by the info I have given you, I think you should give her a raise. My name is Carol **. My member # is: **. Elana is a keeper!! Thanks you for listening!
Reviewed May 12, 2014
I turned in all the paperwork I was directed to turn in. Now they are saying that they have no paperwork or invoices of the portable oxygen machines I purchased. Also they are saying, I have no authorization to be on an oxygen concentrator. I have been on oxygen since 2010 so now I have no oxygen machine or portable concentrator to use. They say they can't authorize it. What happened to the last four years? How were they paying rent on the machines without authorization.
Reviewed May 12, 2014
Parent was in hospital for several weeks for illness. Was told by hospital that rehabilitation was needed to get strength up before return to home. While Medicare will provide @20 days for this, Humana denied this because they claim that parent would not get any better. This looks like a Death Panel decision related to the ACA.
Reviewed May 11, 2014
I called Humana to cancel my Medicare coverage during 2013. Two times I spoke with Humana reps and requested my policy be canceled two different times during the period of 2013 in which I was suppose to be able to cancel the policy of Medicare. Humana never canceled my Medicare insurance policy after two verbal notices over phone with Humana reps. I am continuing this matter any way. I can see once Humana gets your information, they do what they want and it's all about the money! This is crooked as hell. I requested my policy be canceled two times during eligible period in 2013. Humana rep said he would forward my request for my policy to be honored for cancellation, has yet to come to fruition. I'm going to ride this until I get this Medicare policy canceled!
Reviewed May 10, 2014
I signed up for Humana Health thru healthcare.gov. I have made of 30 phone calls asking for the benefits are under my policy. I have not been able to speak with a live customer support person at all. I have made every attempt to get thru to a live person over the last three weeks with no luck. I will not make the monthly payments, and will contact FL insurance commission.. Humana Insurance should not receive federal money for insurance if they cannot provide customer support as they advertise on their web site. I filed a compliant with healthcare.gov.
Humana Health Insurance Company Information
- Company Name:
- Humana
- Website:
- www.humana.com