
Humana Health Insurance Reviews
- We require contact information to ensure our reviewers are real.
- Our moderators read all reviews to verify quality and helpfulness.
- We use intelligent software that helps us maintain the integrity of reviews.
About Humana Health Insurance
- Reliable coverage for medical needs
- Delays in claim approvals
Humana Health Insurance Reviews
Filter by Rating
- (67)
- (29)
- (41)
- (101)
- (1,296)
Popular Mentions
- 4,963,525 reviews on ConsumerAffairs are verified.
- We require contact information to ensure our reviewers are real.
- We use intelligent software that helps us maintain the integrity of reviews.
- Our moderators read all reviews to verify quality and helpfulness.
Recent
- Recent
- Oldest
- Most helpful
A link has directed you to this review. Its location on this page may change next time you visit.
- 4,963,525 reviews on ConsumerAffairs are verified.
- We require contact information to ensure our reviewers are real.
- We use intelligent software that helps us maintain the integrity of reviews.
- Our moderators read all reviews to verify quality and helpfulness.
Reviewed Oct. 21, 2015
I belong to an advantage plan from Humana. My Primary Care Doctor Just up and quits the clinic I go to - no notice. I am notified two weeks later. Call to get another Primary Care Doctor, cannot see a doctor until the new request goes into effect. In three weeks. I am told I can see any Doctor at my cost, not theirs. Or go to the emergency room. That is the way seniors are treated by Humana.
Reviewed Oct. 20, 2015
All I want to do is notify Humana of my new address. 6 or 7 calls over three hours of holding, transfers, dropped calls later and this is still not done. This is true third world customer service at ripoff prices.
Reviewed Oct. 19, 2015
I pay thousands and thousands of medical bills every year with Humana! I just changed today to start new year WITHOUT Humana, and with new plan I will never see a hospital or doctor bill! I'll only pay $100 a month more to have new plan. Much cheaper than the $10,000 I'm paying this year! Ridiculous plan!
Reviewed Oct. 18, 2015
Humana is a joke! I'm a spinal cord patient for 6 years. Blue Cross paid over 300k when I broke my neck. My individual plan was cancelled when Obama care rolled out - POTUS said were really the individual plan that doesn't count. I signed up for Humana - $525 a month. $75 MORE - I suffer from chronic nerve pain somewhat mobile. In Jan I started on a new drug with less side effects. My Dr. pre-authorization - I filled it - it wasn't covered $568! I received a letter stating I needed step therapy and try Oxi or morphine, both dangerous and ineffective drugs for nerve damage!
The letter was signed by medical director - I Google the Dr qualifications which were rated 1 - 2. More denials signed by different "medical directors". 1 was a rheumatologist. I called his office for an appointment. The secretary stated I'm a spinal cord patient, he doesn't treat this condition. So how can Humana use him to deny my medicine? I've been given the runaround. Reported everyone to FTC and attorney general for fraud and deceptive trade practices. I'm still stuck with the bill.
Reviewed Oct. 17, 2015
I have been trying to see a doctor for past few months but most of the care providers listed at Humana database does not respond or when I get the appointment, I do not get to see the doctors for reasons such long period of waiting, forgotten at the doctor's office to be called or the doctor is on vacation. But we as patient do not know until we get there so we end up with a nurse???
Humana also does provide the information upfront related to the specialist included on the my or the need to see a primary doctor prior to see specific doctors such as Dermatologist??? I was told that my primary doctors could set the appointment but once I called to complain they said that it was not necessary??? So a terrible service and like to have my monthly payment credit for lack of services by Humana as the gateway to the doctors SO AS THE DOCTORS CO-PAYMENT CREDITED... List: (Community Health of South Florida (Went there twice and never able to see the doctor) paid $20,00 co-payment University of Miami Health System - Dermatologist Tel: ** - ( Forgotten inside of the Doctors office without clothe extremely cold) I left and register my complaint with Humana) paid $35,00 co-payment never saw the doctor???
Reviewed Oct. 17, 2015
I called Marketplace in 2014, before Obama's healthcare deadline for all residents to get insurance. I chose a plan with Humana as my insurance company. In my first plan, I only paid $1.50. After that, in 2015, talked to a rep and decided on a plan I would only have to pay $23.50 as monthly premium. I only made one payment. After that first payment, it has turned into a nightmare for me. When I would call Humana to pay, I had to call Marketplace and do a conference call with them, with Humana rep and a Marketplace rep, due to that they had different information. I've had to do this every month up until now, every time I call. I suffer from Lymphedema, high blood pressure, high cholesterol and pre-diabetic. I cannot afford to have this kind of disputes because I need insurance. They terminated my insurance because of lack of payment. I only paid the amount I agreed upon.
What one representative told me in one of my calls was that the first agreement I had made was never put in software, so Humana enrolled me automatically in another insurance plan. When I would call Humana, they would tell me they had to go by their last enrollment. I bought another insurance, but that insurance did not cover specialists, compression pump machine, so I had to go back to Humana. Once I went back, they added up what I owed. I am low income, a widow and disabled. I would have never agreed in paying $113.00 a month because I am on a budget and cannot afford to pay that amount. I am a senior and I do not work. I only receive 2 pensions.
Now the bill has gone up to 413.00, which I definitely cannot pay even less. So my insurance has been denied again until I pay the $413.00. I call customer service and there is not one person that could do anything for me. Nobody seems to be able to help me. I want that amount waived and nobody seems to be able to do anything for me. It has been a vicious cycle and this has caused me to have major anxiety, since I also have to buy medication in a monthly basis, so I can survive and cannot afford to have my insurance terminated. There is nobody in the marketplace or Humana that could do anything for me or help me in any way.
Reviewed Oct. 12, 2015
I went to my pharmacy that I have used for years to get a prescription for Crestor. On 9/6 I had gotten the very same prescription filled and paid $45.00 out of pocket. One month later 10/9 when I picked up the prescription it cost me $122.13 out of pocket. I did not understand so I called Humana, but I don't think the rep knew why either.
Reviewed Oct. 12, 2015
I have told Humana customer service at least 5 times, I don't want to participate in mail order drugs... I have ask to be put on the do not call list, and I still get calls. Is this constant calling trying to force seniors into something they don't want? I think so.
Reviewed Oct. 9, 2015
I recently got insurance with Humana and the experience has been HORRIBLE! I need to get a prescription filled. I have been taking it for 10 years. It is not a narcotic. I called my primary care physician. Today is 10-9-15 and was told I could not get an appointment until the end of November. I explained that I need to get a prescription filled and they will not fill it until they can see me in Late November. I called Humana and was referred to an Urgent care facility.
I went to the Urgent Care place and was told I need to get the prescription filled by my primary care physician only! I told them I am running out of my medicine and they said "we will not fill it. You must see your primary care physician." I called Humana again and they said "you can change your primary care physician, but it will not update until November 1" - when I will be long out of my medicine. Humana provides me with no option to get my prescription filled. If you want to pay for NOTHING opt for Humana!!! They are happy to let me rot and die.
Reviewed Oct. 7, 2015
We are a provider for Humana Plans with the exception of Humana HMO. We filled out the paperwork back in January 2015. We have a large volume of Patients that have changed to the Humana HMO due to the high cost of other Medicare Advantage programs. On June 10th we received confirmation that our contract had been approved and we could start filing claims. This went well for two weeks - not sure if it was even two weeks. After two weeks all our claims were denying stating we were out of network. I contacted Humana stating the problem. They said they would look into it. There has been several emails telling me that I have to be patient they are working on the problem. That started in July. Here we are in October and then still have no answers so I will contact Insurance Commissioner next. Consumers need to be aware if it's cheaper you get what you pay for!!!
Reviewed Oct. 6, 2015
The plan is satisfactory but the service is horrible. I have never called and waited less than 17 minutes and almost always have to be transferred. Their communication is awful. We ordered regular meds and when not received we had to call them to see why. Even though I had given them my cell number they said they were not able to reach us because they had used the wrong number. They seem to be able to send me multiple ads to my email but could not reach me through that? We have to send in the same forms multiple times. We will be changing at open enrollment.
Reviewed Oct. 3, 2015
I had to have emergency surgery. Now they are cancelling my insurance. After reading all the bad reviews I see this is going to be a long fight.
Reviewed Oct. 2, 2015
I'm writing on behalf of my mother who has been suffering for the last 6 months with her teeth, mouth and blood infections!!!! Her teeth started breaking off at the bone. She has been to several dentist who has recommend an oral surgeons. She has had several appts. with them and along with her family physician for infections, thrush and also a blood infection in which she had to be hospitalized. All have told her she needs major surgery to get the rest of her teeth out of the bone. I'm not talking about just one - this is all of her teeth.
She can no longer eat any solid food. It is also affecting her organs and her blood pressure. Humana has denied her coverage under major medical and has refused to pay any doctor visit and her hospital stay due to the blood infection from her teeth. This just makes me sick - the way insurance and government treats our elder. They have paid all their life while working and receive nothing when they retire but Grief, Pain and Suffering. I would never recommend this insurance to any other person. I can only hope that a class action lawsuit would come against Humana Medicare.
Reviewed Oct. 1, 2015
I selected Humana through ObamaCare. I suppose they're an okay company as long as your healthy and visit your primary only for annual physicals. I developed Osteoarthritis in both knees. It's apparent Humana operates on agreed discounts with very little monetary contribution payments to providers. I've been trying to get viscosupplementation injections to my knees and keep getting denied because their paid off doctors who review the claims state I don't need it. Meanwhile, cortisone shots are good for about a week (they only pay 25.00 for a $100.00 shot). I take tylenol #3 and etodolac like M&M's and getting no relief. God only knows what this is doing to my liver, kidneys and possibility of stroke or heart attack. Purchased a recliner lift chair to help with getting up, most times I sleep in it because the knee pain wakes me up in bed.
I've asked my Orthopedic Surgeon what's next and will Humana cover total knee replacement in both knees? Still waiting for an answer but not holding my breath. I'm sure Humana's paid off medical doctors will deny it without offering any viable alternative. It's ironic that their first doctor denial was from a pediatrician, 2nd from a ER doctor and third was from a Internist that's not even listed in Health Grades or shows a practice. They also consulted with an Orthopedic Surgeon but declined to release his name probably to protect him from malpractice. So the opinion of Humana is they only approve procedures where their agreed discounts and patient participation will cover it. I'll let you know if Humana approves the knee replacement along with physical therapy or my post op programs.
Reviewed Sept. 19, 2015
I spoke to (7) CSR's regarding the reason for the denial of my claims. All with different answers... Finally, I spoke to the Board of Directors who contacted the resolution department. My provider filed an appeal and this was denied because the treatments weren't considered a "Medical Necessity"! My doctor provided in depth medical evidence which they disregarded... This problem has been going on since d 5/29/15. I will never go back to Humana again. I have never seen so much incompetence and poor customer service. Anything that they can do to get out of paying the claim they will. That being said I am changing to another insurance company in January of 2016 when I am able to change. Take it from my experience with these people, do not choose them as your insurance company! I gave them the lowest rating. They have caused me not to get the treatment I deserve!! AWFUL...
Reviewed Sept. 16, 2015
Humana Pharmacy sucks. Twice, my prescription for INSULIN was cancelled without explanation. No courtesy call to tell me. Just left me waiting. Paying a little more at retail is better than having medication unceremoniously cancelled.
Reviewed Sept. 10, 2015
I went to my local pharmacy two days to refill my insulin prescription. The pharmacist said that Humana was refusing to refill the prescription stating that I was taking too much medication. I tried six times to get through to the pharmacy. The girl who answered the telephone (who the customer service rep had told me was a pharmacist) was helpful but when I asked questions about the insulin, she could not tell me specifics.
I knew then that she was not a pharmacist and asked her to connect me to a pharmacist. She sent me to a woman who said she was authorized to make overrides to denials of medications. She told me she could not give me an override on the amount of insulin I was requesting because the pharmacist had said I was on too much medicine. I asked to speak to that pharmacist and she told me I could not because she was the only one who could make overrides. And guess what? She wasn't a doctor or a pharmacist either. She became belligerent when I asked her how she could make overrides if she was not familiar with my case and was not qualified to answer questions about drug amounts. How can a mean employee on the low end of the food chain trump my doctor's prescription?
He knows how much I need based on my blood sugars. She said I had offended her and continued to be loud and said she was gonna disconnect the call. I demanded to speak to her supervisor. She put me on hold to connect to the supervisor, and after another long hold, she hung up on me. I was on the phone for over 2.5 hours trying to resolve this issue, was shuttled to six others who then transferred me to this evil woman. And I still can't get my insulin. How is that for excellent customer care?
Reviewed Sept. 10, 2015
I applied for credentialing on December 23, 2014. The 120 day process has passed. It is 09/10/15 and they have never called me back after 10 phone calls, 5 emails, 2 escalations and 2 supervisors. I cannot see Humana patients until they get off their **. This is ridiculous. Every other company I have dealt with credentialed me within three months, some a matter of weeks. I have insurance, license, tax ID, NPI, business license, bank information. This is gross negligence. I can't run my business with this lack of follow up. If your doctor doesn't take Humana, this is why.
Reviewed Sept. 9, 2015
Last year my health coverage was dropped by Humana. I complained to the state, after Humana didn't want to do anything about my coverage on a mammogram that wasn't paid out as a result of them dropping me. I sent all my information to the state complaint board. They sided with me. I finally heard back from Humana… months and months later, stating that I can now be reinstated but at that point (of no coverage) it would have cost me $1,600. Months later, I found the "dental" part of Humana still be charged to my account! So, evidently you have to call them separately to discontinue that aspect of the insurance.
So, I called to cancel. End of story, right? WRONG!! It was being auto drafted to an account I rarely look at. Upon looking at my account a few weeks back, I see… Guess what?! So, in total I've been charged over $350 for a service I not only cancelled but never used. I called to discuss this with them, and guess what? There was NO notation of my prior phone call to cancel the dental insurance! Now I see why there are sooooo many complaints about this company. It doesn't take much digging to find a lot of dirt on this crappy company. Employee and Reference # for Humana Complaint: Employee # **; Reference # **, re: Shauna ** & Cancellation.
Reviewed Sept. 8, 2015
My mother had a major heart attack and stroke due to the ineptness of her primary care physician Dr. Sudha **. She spent 4 months in the hospital and assisted living facility. She was abruptly released and given just a week to find another doctor and cardiologist and 24-hour care since she is now paralyzed. I have spent countless hours on the phone with numerous service representatives and supervisors over the course of a month trying to get this done. I have now been told that they have finally switched her doctor - but it won't be effective for another month! She needs to see a cardiologist and I can't take her anywhere but back to the doctor that nearly killed her. I have no recourse as the people who apparently make the approvals don't take phone calls!
Reviewed Sept. 8, 2015
Humana stock answer to requests for payment is "not deemed necessary." I am a nurse with 40 years experience. I know the blood work ordered by the physician is absolutely necessary. So far, a very minor surgery has cost me close to $400.00. I was not informed ahead of time that my out-of-pocket expenses would cost this much. I would not have had the surgery at this time if I had been informed of the out-of-pocket expenses. I am sure I am going to receive more bills in the future. Customer service is a misnomer. Customer disservice is more accurate. I am thinking a class action is in order.
Reviewed Sept. 8, 2015
As soon as I was eligible for Medicare I was bombarded with nice people calling to sign me up with Humana. They made it all sound perfect although call took about 2 hours in total just to sign me up. 2 months later I moved and they told me how good Humana was in Florida where I now live. They gave me the name of a rheumatologist whose name I needed before I moved as I need to see someone monthly. After going to him I was denied coverage as I was told they were out of network. I called (put on a total of 3 hours of hold time, going thru 6 different people) that doc was not in network although they referred me to him in first place and doctor says he is network.
They said they would review and denied payment a second time. Aside from that they also denied lab work from Quest because they said person from Quest office completely submission form incorrectly. They also told me I would have a caseworker and I have yet to be assigned one. I could go on but I am soooooo angry I can't invest another moment on this company. Looking for another one tomorrow. NOTHING THEY PROMISED CAME TO FRUITION! Lastly, it is nearly impossible to call and reach someone!!! One recorded message after the next. Can someone from CF call me back at **... please.
Reviewed Sept. 4, 2015
I have had the same team of Oncologist, Hematologist and Radiologist for almost two years since I was diagnosed with breast and uterine cancer. I see my Hematologist, Oncologist for medication monitoring and examination. I received a letter denying recent service stating "it was deemed not to be medically necessary." Of course I immediately contacted Humana at their toll-free # to ask for an appeal. Six customer service personnel and 2 days later I get someone of "authority" who basically starts to read the exact letter I have in my possession. I stop the person and they get an attitude. They advise me to write a letter of appeal... back at square one. Up until this point in time I had no real complaints, but this came totally out of the blue... now what?!
Reviewed Sept. 4, 2015
I moved last January from Georgia to Louisiana. That time I called Humana and told them that I wanted to end all of my business with them, because I wanted to shop for new insurance. I'm still getting charged and it is September. Every month my account was drafted three times. In January I was able to get to stop the premium, however I was still getting charged two smaller payments. After being on the phone with them about 6 times and talking with over 30 people I'm still getting charged the smaller payments. I just want them to stop taking money out of my bank account.
Reviewed Sept. 3, 2015
I was on the phone for 20 minutes this morning to see if a potential admission would be covered. Admit would have Medicare primary. Why would you need procedure codes for a medicare supplemental policy? Then he asked if we were a preferred provider, I said I was unsure and he took forever to say he needed to look this up. He never did tell me if we were preferred or not. When he finally said the benefits were finally available to view, I do not believe he gave me the correct information. He was hard to hear and his accent was not easily understood. I do not believe he was trained to understand what I was asking for.
Reviewed Aug. 27, 2015
I went to pharmacy & gave insurance info. They then told me I wasn't covered or in system So I had to pay full cost. Next morning I called help line & she fixed problem as I was online. Within a couple mins pharmacy called w/ news of refund & all is good.
Reviewed Aug. 20, 2015
I filed a Grievance and Appeal for approval of this procedure that is affecting my business and personal life. I am a 73 year old adult male and work as a Real Estate Agent. The appeal is "pending" and I am hopeful that they will approve it. Their customer service response is the worst I have ever experienced. They do have some good reps but I believe that many are not properly trained and/or have guidelines that are set up to discourage the customer. I have spent as much as a hour or more on various occasions and have been disconnected several times. It is also hard to find out who is "in network" and who is not.
I am a licensed Health Insurance Agent and have been for over 30 years and I have Never dealt with a company as bad as Humana. We moved to Virginia the end of last year and our Insurance Co we had for 5 years in Florida (never had a problem with them), so we went with Humana (Big Mistake) and we will certainly change for next year. If you look at the reviews for Humana on the Internet you will find most all ratings are 1 star (out of 5). I will be happy to go into more detail if needed. This company is all about (profit). Why are they approved by Medicare and the State of Virginia?
Reviewed Aug. 8, 2015
My personal care DR wrote an an order for a CT SCAN. I went to an approved provider whom stated they received preapproval. I had the CT done. Humana then refused to pay for it saying I didn't get a referral from my PCP. If the PCP wrote the order who is the referral to. I went to my PCP went to an approved imaging company who got preapproval and Humana refused payment. This plan has too many rules and is too complicated for an older person.
Reviewed Aug. 6, 2015
My mother was enrolled in the HMO plan thinking she was enrolled in Rx coverage only. Now that she is in the system, she cannot get to see a DR (Geriatric Psychiatrist) she needs according to her regular dr. We have been battling with Humana for 3 months to go out of network because NONE of the drs on their provider list are taking patients or even deal with outpatients. The last doctor they told us was contracted with them as a Geriatric PSYCHIATRIST is actually a Psychologist and cannot help with the concern.
Reviewed Aug. 4, 2015
They preapprove and then decline. Their pharmacy is the worst I've experienced. I've spent more than my yearly out-of-pocket, yet they say they "researched" my issue and their numbers are correct. They don't even have my medical receipts, but they declared it "researched." Never again.
Reviewed Aug. 4, 2015
Sign up for coverage then they had an error on the application. Started a new application and supposedly deleted the first. I was getting charged for two insurance policies. They never closed the first. They said they would delete the first again. I told them I was going to the orthopedist. I didn't want my coverage cancelled and they said it won't be cancelled. You still have the 2 application with coverage. I went to the doctor and got a call from them that I have no coverage. Although I have been paying on the insurance.
Reviewed Aug. 2, 2015
None of the great hospitals in Chicago have any doctors that will accept Humana Gold PFFS. Nor will any doctors at the merely 'good' hospitals. I actually did find one hospital 15 miles away that has docs that will take Humana. I am not a doctor however, I have symptoms of a disease that will kill me if not treated immediately. So I have been trying to get diagnosed since MARCH. And the soonest this GI doc can see me (for a 5 minute talk to order a test) is mid SEPTEMBER. Humana takes your Medicare and decides who and how much to pay. Do not go near this company. A notice of my obituary and invitation to a memorial service will be available on Facebook.
Reviewed Aug. 1, 2015
Humana will deny all claims. Even if they are pre-approved. Sounds like the movie, well they are. And then it starts. Calling and talking to a rep. again and again and again. Check the reviews before you sign up with them. Then choose another company.
Reviewed July 31, 2015
Have been with Humana for several years. All seemed fair, until this past December when I had to update. The man I talked to assured me I would save money (I think he must be a car salesman). Well after all was finished I thought, "Good, now I will save money." Well first thing I find out is that I just signed up for a policy that's got a $300.00 deductible. My older plan was $100.00. Well, I got screwed??? Car salesman?? OK I will get through because by this time I almost had paid $ 300.00. Well, I reached the $300.00 deductible. Now I can start saving money. To my surprise I must keep on paying. That low-life car salesman got me again. I have now paid more than $450.00 and there's no end in sight. I called, talked to Humana but they have so many reasons why they are able to steal my money and not give coverage. I will assure you ASAP I will find another insurance company. Hope they don`t employ car salesman.
Reviewed July 29, 2015
I selected Humana from the marketplace - mistake number 1. I needed coverage that had doctor visit copays and prescription copays. I am diabetic. Humana declined two of my preferred prescriptions outright. The third preference had a copay which was higher than the premium I pay each month. Being retired and working part time I cannot afford the medication. Humana declined payment on routine blood work prescribed by the doctor to monitor my HA1C. No reason given. When my wife was transported to the nearest hospital for an emergency, we were informed that the hospital was not one of their preferred providers, therefore they would not pay the charges. The hospital in question is 4 miles from where we live and the preferred hospital is 17 miles away. After much debate, they decided to only pay a scaled amount of the charges leaving us the remainder. None of this was applied to the deductible that I could tell.
Reviewed July 29, 2015
This particular odyssey involve no less than 12 Human "customer service" reps. Moving from Nebraska to Mississippi in 9/2014 I had need to insure coverage elsewhere, as modern health insurance policies are imminently more restrictive service-wise as well as geographically. I had the first "customer service" rep Meagan confirm to me THREE times that I will have NO lapse in coverage. Of course that ended up not being true as confirmed 3 months later by 2 separate "customer service" SUPERVISORS in 1/2015. They also told me that I would have coverage in Florida. This TOO was not true and they ended up informing me that I actually had NO coverage in Florida and that again I was told wrong, C'MON!! During that time I had a claim in Miss. which the provider AND Humana stated I had no coverage for, so 5 months later I unexpectedly get the bill, so I was forced to pay the claim myself.
See if this sounds familiar; "We're sorry Mr. West you had so much difficulty with previous representatives but I will help you." Same ** cookie cutter statement the next 9 or so gave me too. NOW in 7/2015 I'm told that I actually did have coverage and that the 5 or 6 reps who told me I had no coverage were all wrong. We're talking supervisors here giving me apologies and assurances. So now having been told by Humana that I had coverage, that I didn't, and finally that I did, but having already paid the bill, a supervisor told me that it is up to ME to get my money back. I have to contact the provider, I have to show proof, I have to possibly drive 4 hours to AGAIN fix Humana's narcissistic incompetence. NOW they've sent me another bill for Further insult to injury despite the fact that Humana has confused, misrepresented and denied responsibility at every opportunity.
Unlike every other insurance company in the world, Health, Auto, Life, etc., where customer out-of-pocket or overpayments are rectified in one simple electronic or company bookkeeping maneuver, Humana has NO process for settling overpayments by the customer. They ** sure have an accurate system for taking customer money and they hound and send copious amounts of documents to ensure they get THEIR money. But you are screwed if you ever have to recoup moneys lost due to the prevailing stupidity, incompetence, greed and customer disservice one gets from Humana.
They took my Federal funds to pay for the plan, billed me, told me I had coverage when I didn't, THEN because they, as the supervisor said, "Have no 'process' for rectifying their multiple mistakes". Greed coupled with stupidity, incompetence, apathy and unending confusion DESPITE it being all on computers and the year 2015; welcome to Humana.
Reviewed July 29, 2015
My father fell & we found him 13 hrs later. ER puts him in as observation then the next day he is changed to admitted in-patient. 3 midnights served (like they need) and he needs inpatient rehab and wound care. Denied access to inpatient rehab and may have to go to skilled nursing for sub-par therapy. BUT, they are trying to deny his whole hospital stay. RUN as fast as you can from this company. They are only interested in saving themselves money not your health care. Can't wait until I can pull my parents out of this!
Reviewed July 25, 2015
We have Humana insurance because one of our employers dropped our BlueCross plan and switched us to Humana in order to avoid a premium hike. From day one of the Humana insurance kicking in, we've had nothing but problems. The very first medical appointment payment was not applied to our deductible because the provider was "out-of-network," yet Humana sent us there in the first place! There are almost no medical providers in Humana's network in our area and those that are, are poorly rated. We had an emergency, 911 sent an ambulance, the ambulance took the family member to the nearest hospital, and Humana denied most of the payment because the ambulance and hospital were both "out-of-network." That isn't even legal!
I had a medical crisis a few months ago while living in another state and Humana had no medical providers at all in their network in my state. I waited two months to get into a specialist because I needed a waiver from Humana accepting a specialist as "in-network." I finally got one for the only specialists' clinic in the state that specializes in my condition, but it was for only one visit and nothing else. The specialist and an insurance agent assigned to work on these matters finally managed to get a waiver for this physician for one year and I had necessary testing in his clinic. He said I needed immediate surgical intervention to prevent damage to my heart at best or death at worst.
The insurance agent person got the authorizations and verified that the specialist had them. The specialist's office staff said they got the authorization for the physician to do the surgery at his usual hospital, the biggest in the city and state but out of Humana's network. I'd made it clear I would not bankrupt my spouse over medical expenses so I would do nothing without authorizations from Humana. Because I was told all authorizations were in and verified, I went ahead with the procedure.
Well, now we are receiving "overdue payment" notices from the hospital, the specialist, and all the behind the scenes people patients don't know about until we receive their bills, totaling $72,000.00. Of course, we've also already paid our co-payments and co-insurance payments. The $72,000.00 is on top of those payments. Humana has paid between $3,000.00 and $4,000.00 and denied everything else as "out-of-network." Also, because they didn't come close to meeting the Usual and Customary standard for the state I was living in when I had the surgery, almost none of what Humana says we owe is being applied to our deductibles!!
We did everything we were supposed to do before we sought medical care, and we did everything Humana told us to do to straighten out the problems, but it's made no difference at all. The bills just keep growing higher, and today the specialist's clinic called me and told me that not only is Humana refusing to accept as in-network the hospital it authorized, but now Humana is claiming I never had authorization for the surgical procedure at all! Humana is claiming they never authorized anything but the initial office visit to the specialist!
Regarding prescriptions, every single time we go to renew an Rx, for drugs we've taken for years with no problems from an insurance company, Humana denies them and forces our doctors to spend inordinate amounts of time giving Humana far too much of our private information that shouldn't be necessary to establish medical need. Our providers are fed up and my spouse's doctor told him this week that his office will not do it for Humana anymore. My spouse is just out of luck. Now he has to figure out what to do about not having the medication that has given him a normal life and preserved a major organ for the last 20+ years! Humana even denied my cheap, synthetic thyroid hormone medication I've taken for ten years and need for the rest of my life!
Now I'm in a different state, with no primary care physician yet, and I don't know who to go because the choices are so poor, and when I need to renew another prescription, Humana hasn't already hassled me over yet, I won't have a doctor to ask to jump through Humana's hoops. After reading the reviews of so many people damaged by Humana, I figure the next thing will be Humana trying to force me to use its pharmacy. At this rate, we won't be able to afford to keep the job that is providing this joke of an insurance plan. It will have gobbled up a year's salary half way through our first year on it! Humana should be fined by the federal government and by all states with laws it is violating, and removed from any and all federal and state government contracts.
Reviewed July 23, 2015
I wrote Humana requesting a new primary care doctor. This is my first year on Medicare and I went with Humana Gold Plus. I did not know that much about the doctors in the area. I did not particularly like the doctor I selected and requested to be changed to Dr. ** in New Port Richey, FL. I am just being ignored by the local office and corporate Humana. This should not be a big deal in the first year. I have been with Humana for many years but my previous doctor is not on the Gold Plus Plan. If necessary, I will switch to a PPO plan in January but right now I want to be changed.
Reviewed July 23, 2015
I have been trying since March to find an eye Dr who will accept the Humana medical insurance to get an eye exam. This is the absolute worst insurance company I have ever dealt with. They have sent me 3 different lists of providers that they say will accept their medical insurance for an eye exam. Each time they apologized for the prior person giving me the wrong list and assured me the one they were sending was valid. In every case they have not worked and none of the providers I contacted will accept their insurance. They even sent me detailed instructions on how to do my own search on their website and I am getting the same results -0.
Reviewed July 22, 2015
I recently changed from Blue Cross to Humana National POS. First I was somehow given the wrong coverage. They didn't know exactly what the customer service provider did wrong so they agreed to change it to the correct coverage. Then I was billed twice one for the account they first gave me that I canceled and one for the new account. I called and the customer rep told me that when I canceled I was supposed to tell them to cancel my billing too. That was just mind blowing.
Now they removed my auto payment even though it worked last month and I'm dealing with them on that and they said "yes after the first initial payment you have to set it up again". Again I'm thinking what the heck is that? The customer service people don't know anything. They are always putting me on hold to ask a manager simple questions. It has been one of the worst decisions I've made this year. I can’t believe that I can't change to a new insurance till next year. So mad and frustrated.
Reviewed July 16, 2015
In the beginning of the year the company Humana insurance did not let the agents know some policies did not offer tier II drug as no co-pay. So I had a deductible. I have not been able to meet all of it. So I wanted to order the meds free only to be put on hold endless hours. Between myself and our agent we have spent over 15 hours to get this settled. I have been told they would ship the medicine only to find out none was sent because of the hidden deductible clause. I have never been so angry with any company before. I also have been going through cancer testing and the tolerance level does not deserve to go through 3 or more hours today being switched from person to person only to find out I cannot get the medicine until my deductible is completely paid. Why bother everyone to get the tier II drugs switched when I still have to pay. Please reprimand this company especially when Medicare pays them with a contract.
Reviewed July 13, 2015
I received a prescription from my doctor. Humana required prior authorization. This has been going on for two weeks. Every time I call, they never have documentation a call was ever made. "4" authorization calls and two weeks. Without the insurance, one medication cost $400.00. I pay $800.00 a month for coverage. Humana is the worst insurance I have ever had... DO NOT PURCHASE HUMANA HEALTH INSURANCE.
Reviewed July 12, 2015
I was double billed in July for Medicare supplemental AB insurance. The Humana operator said it was due to a computer glitch. Humana has not refunded my money to me yet. I tend to think this was not an error. Until they return my money to me, it is in their bank account gathering interest. If it was a computer glitch, then seniors nationwide are being overbilled in July.
Reviewed July 11, 2015
Double billed for the month of July - 1015. They quickly credited my account, but this type of clerical error is unacceptable.
Reviewed July 9, 2015
Humana just did unauthorized charge on my account for $378.00. When I call them, the only thing they could told me that is system error and they are working on it. System error but they cannot put my money back in to account right now. I called my bank. They will do investigation, which will take 10 business days. I do not know what is going on with Humana. If somebody who is working for them, decided to steal my money and I will not notice this charge or what is going on but $378.00 that is a lot of money for me to be charge without my permission. I never had this problem in my life and I could not think that that big of a company will do something like that. That is a shame.
Reviewed July 3, 2015
None of my drug stores that I am eligible to use have no idea what a DMR form is. I was given explicit instructions from a Humana employee.. "Have name and ID number." Something is wrong with this picture!! Why are none of the pharmacy familiar or know how to get this form? I was left under the impression the pharmacy would have the form!!
Reviewed July 3, 2015
Some time during his life he applied for their $100.000.00 life insurance through work. When he was 76 years old they took 100.00 out of his paycheck every pay period up on his death at the age of 77 1/2. They informed My Mother-in-law. They she was ineligible to receive the full amount due to his age. I believe this is unethical, and they should be made to pay for a service they sold my Father-in-law. They should have no right refusing to pay when they sold him the policy in the first place.
Reviewed July 1, 2015
When I finally got through to someone they could not accurately answer my questions. They said they would review with another person and call me back. They never called. I am usually on hold for more than 30 minutes only to be transferred to someone else. I had requested a Formulary Exception and wanted an explanation as to their charges. They could not explain. Very dissatisfied and will never renew with them.
Reviewed July 1, 2015
I have had Humana Part D pharmacy coverage since January 2014. They have collected my premiums every month. They are denying claims because (1) the premiums haven't been paid and (2) I have coverage with Anthem. Both of their assertions are false. Both assertions are easily proven false because payments are documented and Anthem attests that I'm not one of their insureds. This is not good enough for Humana. They tell me they've fixed it but when I go to make a claim they tell me all over again that the premiums haven't been paid and that I have other coverage. I reported them to CMS (Medicare). CMS says that I may have to pay for my own drugs until I can find new Part D coverage. Somehow that's not a reasonable resolution. If they are to continue to take my money but not provide coverage, then, they are committing fraud and should have their license revoked.
Reviewed June 30, 2015
After dealing with their inept employees, broken phone systems, I finally was able to apply for Medicare supplemental insurance. I am 66 and in wonderful health. However, I do have a condition called barrett's esophagus. I visit my doctor once a year for routine annual tests and to ensure the barrett's esophagus is tested ok. I am healthy but they turned me down for the high deductible supplemental insurance plan because of the barrett's esophagus. Thanks to Obamacare also for not helping the senior citizens of this country and damn Humana for taking advantage of the seniors.
Reviewed June 30, 2015
In December 2014, I lost my Humana Insurance card. Since then I have called Humana and requested a new card five times. Each time I call they tell me they mailed it and will mail me a card (Humana has my home address, I receive claims and summaries). I have talked to ** and a few others. I have some new doctors I must see in the near future. Please help me or advise me on what to do. ** PPO Group Name: ERS OF TEXAS.
Reviewed June 24, 2015
I filed a request for reimbursement for medication that I had paid for out of pocket. Within a few days I received a denial letter telling me I failed to name the drug for which I was seeking reimbursement and that what I submitted was illegible. Actually, I not only named the drug a couple of times in my letter and the form, I included my doctor's name, address and phone number, pharmacy name, address and phone number, clear photocopies of the pharmacy bill, my receipt and a clear photocopy of the pharmacy's sticker on the drug container.
After my first attempt at reimbursement was denied for no good reason, I then filed an appeal with Humana, which I sent registered mail. Not receiving a response, I phoned them 30 days after I had sent them the appeal and was given such a maddening, disgusting run-around that I wish I had it on tape to send to the media. It was very similar to what an attorney who posted a complaint against them on this site wrote.
So far, I have spent over 40 hours trying to receive reimbursement of $128. I'm sorry I even tried because being sick and fairly old it's struggle to write lengthy letters, go to the post office to mail them registered, follow up by phone with people who either are -- or pretend to be -- utterly incompetent, etc. I have come to despise this company that a Walmart pharma rep steered me to when I went on Medicare and had to drop my former insurance provider. Anyone but Humana would have been preferable for Medicare Part D.
Reviewed June 24, 2015
I can't believe how hard it is to get my medication from Humana. If they aren't playing doctor and telling me my meds interact after I've been taking these two med together for years - they refuse to fill one because they apparently know more than the doctor I've been seeing for 20 years. They also refuse to pay for certain things like the increase of my psych meds or the anti-inflammatory I've been prescribed for my arthritic knee - which my doctor also gave me because I take so many pills she wanted to give me a break and now it's the B-12 shot. I am so sick of these people and am sorry I believed the hype and switched to them. My old drug plan paid for everything no questions asked.
Reviewed June 23, 2015
I had to have emergency surgery. I thought things would be ok because I have short-term disability insurance. From the beginning it has and continues to be a nightmare. I would advise anyone to avoid this insurance at all costs.
Reviewed June 20, 2015
If not, it's a contender. I am an attorney and have dealt with insurance companies and other bureaucrats for years. Never have I encountered in 30 years of practice as incompetent, inept and deliberately obfuscating organization as this one. Every single time you call them on anything, you will spend 15 or 20 minutes transversing voice mail messages that ask you for various and sundry info before you can get to a live person. That will only be the start of your frustration. Once you get off hold (30 minutes to 45 minutes typically), you will get the run around.. get passed back and forth to different people for answers and likely, finally give up. Unless you like to volunteer for nightmares, avoid like the plague.
Reviewed June 20, 2015
Humana has been a horrible insurance company for me and it appears many others. Humana has repeatedly denied coverage of medically necessary medications for me, and judging by the letters here has a pattern of putting obstacle after obstacle in the way of good medical care - for what? Corporate greed?
Specifics for me: Main Denial: Repeated denial by Humana - Humana seeking any obscuring excuse they can to deny - Lidocaine Patches. I have Chronic Soft Tissue Knee (and other areas) Pain, recognized as Disabled by Social Security June 2014, with one added year retroactive. Lidocaine Patches were first prescribed for me April 2013 by Dartmouth Hitchcock Pain Management. Last year they were covered fine no problem by WellSense, my then insurer through Expanded Medicaid.
Lidocaine patches, as my PCP and I have repeatedly expressed in our Appeals with Humana: 1. Keeps me from needing narcotic medications; except very small occasional dosages for Break Out Pain. W/O Lidocaine patches patient (me) requires a steady prescribing of narcotics to alleviate pain. Throughout America, Lidocaine patches are medically preferred by physicians, widespread usage e.g., for post-op pain, back pain, etc because they reduce or make unnecessary the use of narcotics. With physicians, hospitals and patients harassed and blocked often from narcotic prescribing and use (the Anti-Medication Backlash - flip side of the much more publicized national problem of people abusing narcotics.
Lidocaine patches prevent torture - If Lidocaine patches aren't provided and doctors can't sufficiently prescribe narcotics then the patient (me and others) is tortured by pain. Lidocaine patches keep ice use reasonable - Without them (esp if harassed about narcotics), my ice use goes through the roof in attempt to keep down pain. This destroys mobility (have to stay close to a freezer) and damages skin to cold burn sores. Plus infuriates given the unnecessary... which compounds the pain.
These well reasoned and experienced medically necessary reasons have been repeatedly expressed to Humana. They persist in denying, for any reason they can come up with. Currently they are legalistically using the fact that many medications have a narrower set of uses they are initially approved for then catch on for wider use. Humana has admitted their reasons for denying are not medical, {but to take advantage of legalistic fine print in order to deny coverage}.
We, my PCP and I are about to go on to Level 3 of Appeals process. The first that has a supposedly independent review. I have also alerted Service Link and will alert Medicare and Medicaid to the horribleness of Humana. The person who does Prior Authorizations for my PCP has shared she also seesHumana as "An awful company." Humana has also denied coverage, though trumped up reasons, of the Lidocaine cream some doctors are prescribing as a partial if lower strength alternative to Lidocaine Patches. Humana claimed the cream was not covered by Part D. That's BS since I know is covered by United Health Care and many other carriers for Part D, having compared their plans.
The amounts they were dealing with were also ridiculous, a supposed 10 day supply was actually a 1 1/2 day supply... Cost without coverage would come out to nearly the same very high $237 per month that Lidocaine Patches are. I was forced to have Humana as a short term carrier because they have the U.S. Govt contract for the LINET program. LINET is a great idea by the government, run though by a horrible company. LINET stands for Low Income Net. It's a short term, two month Part D contracted prescription program to help income-eligible people new to Medicare get coverage help during the couple months it will take for Social Security to catch up with the paperwork and for a longer term Part D carrier to be chosen. As a Disabled person, regardless of age, after 2 years on Disability one is automatically transferred to Medicare.
LINET could have been a wonderful opportunity for Humana to show how compassionate and caring they are. Instead, for me and so many others they have shown the opposite. I urge you to avoid Humana like the plague. If you do catch plague, Humana is sure not to cover it. Myself and my PCP team will keep with our Appeals, and I with my alerts to Medicare and Medicaid, etc to do our part to show how nastily awful a company Humana is now. We hope - and with enough evidence that will happen - that Humana will be fired by Social Security, losing the LINET contract, for abusing patients.
Reviewed June 18, 2015
Well we apply for life ins. They sent us letter saying we was approve for voluntary life ins. On April 1 2012 they start take a one hundred dollars per pay day. We thought we had a 100,000.00 dollar policy. But when he die they only pay me basic of 36,000.00 not voluntary since they wrote and said we was approved for 100,000.00. We thought that what we had. He been die for a year and half. I tell everyone I know do not buy life ins. Put your money in a IRA. I hear voice of advised tell a lot. Do not buy LIFE INS. WHEN YOU DIE THEY WILL NOT PAY WHAT YOU PAY FOR.
Reviewed June 17, 2015
Having surgery in the morning and turned my prescription 5 days ago and Humana has yet to ok the order. I am not sure they will do the surgery without the meds. A surgery I really need. Really sad that a service provider like Humana treats clients in this manner. I realize there is nothing I can do but vent. If they lose my business I am sure they will not have to close their doors. Thanks Humana.
Reviewed June 15, 2015
They do not have many doctors who will sign contracts with them and when you appeal a claim they take forever. After 3 months, hours on the phone and representatives passing my problem around, they finally tell me Medicare is not the same as Humana Medicare, so I'm not covered? Five times they told me my case was still "pending" and I would have an answer within 48 to 72 hours by phone with a letter sent, as well. Never happened. Every time you call you have to go through all the questions and give the information all over again. Frustrating. I finally paid my eye doctor the $700 myself. Medicare always paid for my visits in the past, but now that I have HUMANA, I have to pay myself. I will not renew.
Reviewed June 12, 2015
They seem to be outright liars. I was not covered for anything from cleaning to fillings to a root canal. This does not match up with what they claim to cover. They should be blocked from Healthcare.gov as they are a menace to society. Avoid.
Reviewed June 10, 2015
I tried to change dr because of poor care and could not! There are only 2 doctors on the list I could choose from. One doctor said she was NEVER on the list to accept Humana and the other doctor said they had not been paid since Dec 2014. Therefore the doctor was not accepting anyone who had Humana. So now I am stuck with this bad doctor and a worse insurance company. I pray to God that I do not become ill.
Reviewed June 9, 2015
The first priority was money. Never ask what plan I had in mind. Talk with the speed of a Crackhead. Never considered my needs. It was all about the money. Shame on you people.
Reviewed June 8, 2015
How I wish I had read the reviews on Humana Dental before I signed up. I have nothing but bad things to say about them. They only paid a small amount on my cleaning and X-rays in November and now will pay nothing on my root canal, saying that it is not covered. Huh? What is covered? I am canceling with them immediately, although I have seen from these reviews that that can be very difficult. How do they stay in business?
Reviewed June 8, 2015
I have been helping my mother-in-law with all of her medical bills after her husband was in the hospital for nine weeks and died. Humana paid most of the bills, but there were a few outstanding ones that amounted to several thousands of dollars. It turns out that they were denied because they were out of network. We appealed those and waited and waited and waited. After being on the phone with Humana for literally hours, I felt like I was getting nowhere. They gave me the phone number to their appeals department and it loops me back to the same number I just called. You can't get anything resolved because the representatives don't know what they are doing and their departments don't connect to each other.
They won't let you call the same representative back and so you are explaining your situation over and over again! It's awful. Only once was I able to get a hold of a representative that took the situation one step further and talked to her manager. But that was only after I was in tears and at my wits end. They don't care! They should be working for you. It's the other way around. Horrible customer service. I will never get Humana as my insurance provider. I know this isn't just me. I've called a lot of doctor's offices and all the billing representatives agree with me when I explain how hard Humana is to work with.
Reviewed June 8, 2015
We signed up for a Humana PPO that covered the year 2015 based on our doctors and hospitals being "in-network". This week, we received notice by mail that the hospitals we were using will no longer be "in-network" as of July 10. The new list of "in-network" hospitals are further away and not ones we wanted to use. Based on this new list, we would not have signed up for this plan! They are changing their plan in the middle of the year, but we cannot!!
Reviewed June 8, 2015
Made my premium payment online and even though payment was deducted from my account I did not get credit for payment and Humana canceled my insurance! HUMANA IS SET UP TO BE SOCIALIST LIARS! CIVIL SUITS INDEED!
Reviewed June 5, 2015
They have all the prices on a booklet that you pay out of pocket. I did not get that for about 2 weeks. They are so hard to reach unless you are buying their plan. Well, I canceled and am only getting my 12.99 dollars back. They keep membership fee, over 30 dollars they pocket. Salesperson told me she has the same policy and dentures are covered. I asked free and she said yes proceeding to rambling lots of stuff. I asked her twice, she said yes. Then she said "you pay the office visit 15 dollars." ok. Do not trust these sales people. They won't tell the truth. They must have a quota to keep up with to make commission. Then you have to write a letter to Kentucky to grieve for your money back. Very smart because lots of people won't bother. BEWARE!!!
Reviewed May 29, 2015
Steer CLEAR of this health insurance provider. Their customer service reps are terribly trained and not well informed about the details of their plans or how they work. I received so much inconsistent information in the first 6-9 months of having and paying the premium on this policy to even figure out what was covered and what co-pays were required. Ridiculous. As if that is not bad enough reason to stay away, their customer service department is disorganized, unprofessional and rude. I had one rep hang up the phone on me when he could not answer my question. I was repeatedly connected to diff depts to only have to start my info all over again. TERRIBLY UNPROFESSIONAL and CONFUSED, MISINFORMED employees.
Reviewed May 19, 2015
Problem: SI joint disfunction. Treatment: injection therapy and SI joint fusion. Qualified doctors in network: 0. Each day the problem needs to be explained to the representative of the day, then advanced to a supervisor who promises to look into the issue, follow up on it and get back to me and each day I go through the same routine. Now going on 2 months I was referred to 1 surgeon that took Humana HMOX but he refused to see me under Humana Health insurance.
Reviewed May 19, 2015
I was referred to a couple of specialists. I did my due diligence and made sure they were part of the HMO. The doctors did tests while I was in the office at the appointments. I get the statement from Humana and they say it is an out of network provider and they won't pay. It says I owe over $6000. Next open season I'll go back to Kaiser. The premiums are much higher but at least I know exactly what I will have to pay. This has made my blood pressure rise, caused sleeplessness and just makes me sick. I'll never trust anything with this company again. I purposely chose an HMO so this wouldn't happen.
Reviewed May 16, 2015
I just tried to fill a prescription and after filling this for three years with Humana paying a few paltry dollars on it and my secondary picking up the rest they refused to pay. Because they wouldn't pay my secondary refused to pay. It is Saturday and of course Humana keeps what used be called bankers hours so I threw $22 in the trash for 3 pills. I am so sorry I didn't ditch them earlier when I had the chance. They waited until May to screw me when they know I can't dump them until the end of the year.
Reviewed May 7, 2015
Made my premium payment online and even though payment was deducted from my account I did not get credit for payment and Humana canceled my insurance!
Reviewed May 7, 2015
what should have been a simple precertification, I was told by someone in the escalation department that the denial was a miscode of the drug in question? I assumed the miscode would be corrected and the precert would be approved. I have recently moved to NY and my physicians are NJ doctors. The drug in question cannot be filled in a NY store because the scripts were written in NJ.
If I counted up the number of hours I spent waiting to talk and then being lied to like a naughty child. As an adult who needs a prescribed drug, Humana has no right to override my doctor's recommendation. They are simply pharmacists and clerks who are incompetent & lie. I have never in my life been so rudely and deliberately lied to over the course of three week. I intend to complain to Medicare, and see if there is something else that can be done to remove unscrupulous incompetent drug companies from dealing with Medicare patients. I have no direct contact with RightSource yet, but have applied to have my drugs transferred. This sounds like it will compound the problem.
Reviewed May 6, 2015
Hi, let me start by saying this is a first for me as I am not the type of person who writes post when upset. My great grandmother has paid for Humana for years and yet when she had a stroke and was diagnosed with dementia, Humana has stated they will not continue to pay for her care. She has been in the hospital for less than a week but they will only continue paying if she is moved to a nursing home. They will only pay for the nursing home for 30 days, so please tell me how this is fair. You pay for years to make sure when bad things happen you are taking care of just to find out you are on your own. SHAME ON YOU HUMANA.
Reviewed May 5, 2015
Mother is 91 years old. Has fallen and nods off in bad places. Her doctor requested she be placed in ASSISTED CARE LIVING. Humana turned her down. The doctor contacted personally and they turned her down again. Any avenues to go? Need help.
Reviewed May 5, 2015
Enrolled through open market plan in January 2015, insurance was supposed to start up 2-1-15. Never received a card... Set up tracing of my info through Humana and open market. Where did my info go? No one knows.... hummm So cancel dr appointments. Pay cancellation fees with drs... Humana and open market say keep waiting... 30 more days, be patient. I am and wait.. Wait and spend. A few more days on the phone wasting my time with both of them... check the mail and surprise!! Got my card from Humana 3-10-15.. Go to dr appointment yesterday... Very excited!! Get home to sign up for online benefits through Humana... But wait... can sign in... call number on the back of my card. And wait.... been canceled!! Paid three months of payments totaling up to 337.00..... WHAT IS WRONG WITH THESE PEOPLE!!! Now I'm waiting again for 48 hrs to get investigation through Humana as to why my policy was cancelled.
Reviewed May 4, 2015
My mother has been with Humana since 2011. There has never been an issue until this year (2015), one month after open enrollment ended in January. When I took my mother’s prescriptions in for February, Humana denied the claims. After days of phones calls, they have assure me every month the problem was fixed. It is now May, and it still isn't fixed. If my mother had to deal with this, she wouldn't have any medications. There is no excuse for the lies, or the inept employees and supervisors they have. Here are the names of the people I have gone through. Not one of these people have followed through or fixed anything. I am at my wit's end.
Reviewed April 30, 2015
Simply put this Humana is the worst insurance I have ever had. I moved to Minnesota and found that my AARP United Health Care, Medicare supplement was not accepted here unless it was an emergency. So I had to shop under the Minnesota system which was a nightmare in itself, but back on track here. I chose the Humana as it seemed on the surface to fit my needs, and a quick search of doctors on the Humana site showed a lot of covered doctors nearby. This was not the case!!! Once enrolled I started calling to set up an appointment, but found the doctors on the website were bogus. I called several of the numbers provided and most of the time the receptionist had never even heard of the doctor I was asking for, or the doctor had left.
After many frustrating days of calling and searching I finally found a doctor at Fairview clinics. An appointment was set up and I was seen at the clinic. After going through my health history several referrals were made and a colonoscopy was scheduled at a Fairview facility. I should mention that by this time Humana had assigned me a health advisor to help me navigate my way. I asked if this was a covered procedure and was told it was covered fully. I felt comfortable because my previous insurance also covered it fully.
The big day came and all was well until I got my bill. I was to pay $688.04 for my portion. WHAT? I called Humana and that's when the fun really started. My health advisor was unable to answer any of my questions and attempted to get me to claims which resulted in the call being dropped so I called back. My advisor was not available so I talked with someone else who did connect me with claims. So the first time I was told that it had been filed incorrectly showing Fairview was out of network, and that she would contact Fairview so they could submit it properly.
Days went by and I received a letter from Humana saying they would not pay anything further on this claim. So I called again this time I was told that yes the colonoscopy was preventative and would be fully covered but then she saw that the doctor had removed several polyps so that changed things but on further review by her and someone she talked to, while putting me on hold, nope it was still covered just a different code and she would handle it. Now I get another bill from Fairview saying that Humana had paid their part but I still owed the $688. So once again I call Humana. This time I am told the colonoscopy is covered but the Polyp removal changed it to a surgery but my portion should only be $488.
Now today 4/30/15 I get a letter from Humana saying the claim was processed as out of network based on a tax id number that was submitted, and I still owe the $688. I called Fairview and was told they are contracted with Humana so who knows. Humana certainly doesn't. What I know is I have several serious health issues that need to be addressed and it appears to me that I am going to have to wait till next year's enrollment to change to get some hopefully better coverage. I can't afford to be told I have coverage then get bills like this. Just hope the wait doesn't kill me...
Reviewed April 29, 2015
I called Humana dental insurance to be taken off the mailing list and the sales associate claimed he was not in customer service and was extremely rude to me when I asked to be removed from the mailing list, and had to transfer me to the corporate office to tell me why I was on the mailing list. Here, the lady was even more rude and refused to listen to me about their pricing for my specific area. If this is how they treat potential future customers, I will shop around. I do not recommend this company at all.
Reviewed April 29, 2015
My company switched us to Humana medical insurance as of the first of the year. My wife has a heart condition which requires medication. We have tried two generic versions of this drug and both have failed. The last failure resulted in a ride in the ambulance to the ER, it was so bad. Her doctor has stated that she must take the name brand because of the failures of the two generics. Each time there has been a change in policy; coverage for this drug is initially denied by the insurance company but subsequently allowed after a review of her medical history and discussions with her doctor. This has been the pattern with four major health insurance companies.
Humana has chosen to ignore the doctor and medical history and is taking the position that my wife must first try "their generic" before they will approve the name brand. They further said that the doctor will have to write the prescription for "their generic". The doctor's response was that he is NOT going to write a prescription for a drug that he knows would place my wife at risk.
But if Humana wanted to write the prescription, they could and their malpractice insurance could be responsible. Humana's response is that they are not a doctor and cannot write a prescription so I need to find another doctor to write the prescription for the drug they say she must take. I understand that health insurance companies are in business to make a profit for their shareholders, but other health insurance companies seem to do that as a part of providing service to their clients. Humana has taken the approach that they are going to make a profit by simply denying service.
Reviewed April 28, 2015
I got Humana in January 1, 2015. I agreed to the plan and paid my premium. In March I found my premium and deductible were increased. I called to inquire and they said it was an error and would correct it within 30 days. It was corrected within 3 weeks. My deductible was reduced to what I had in my summary of benefits and coverage that I had received from Humana in January. One week later my premium remained the same but my deductible was again increased. I called again. I was told that they were still within the 30 day time frame and I should wait until then. 2 days (4/26/15) after that conversation, I went back into my Humana site and saw that it was corrected. My deductible was back to what was stated in my plan.
Well I checked again on 4/28/15 and AGAIN my deductible was increased. I have to call again and get the same run around. This is like a ping pong. Deductible up and down, up and down and no one seems to know why. I guess they are hoping I do not check so they can get away with it. If they are not going to honor their contract, then they should stop playing games and communicate what the problem is. I have a policy from them and I pay on time every month. I am thinking what they are doing has to be illegal. I am keeping my end of the commitment and they are playing games changing premiums and deductibles every other week. I though Humana was reputable but I am thinking I made a BIG mistake.
Reviewed April 28, 2015
I have been disabled and on medicare for twenty years. Last year, during the rush to buy Gap insurance, Humana was running an ad that was nothing less than misleading. They knew what I was looking for, but according to Medicare they are allowed to call this a Medicare policy but it is not. My deductible is 7K, that will bankrupt me. They got me by presenting the policy as something it is not, it is not a gap policy, it is not a Medicare policy at all. This policy is sold because the copay is non existent so you think you are getting a good deal.
Sadly in the stress of being disabled, the pressure of having to make a decision; I made the wrong one. They hide behind what the policy really is by putting the info in small print in the benefits booklet. One of my illnesses is brain fog, so it is hard for me to make decisions. We are unprotected and they are making a fortune on the sickest of us. Am so glad I am a college grad with a year of law school. A couple years ago I knew to stay away from Humana but with all the insurance changes, I panicked, so much for education. Please, if you bought the Humana Gold PPFS plan with a 7k deductible, speak up. We need to get them stopped, they need a class action suit!
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.
Humana Health Insurance Company Information
- Company Name:
- Humana
- Website:
- www.humana.com