Humana – Page 11

Two trips to ER over the last month. ER unable to do anything for the issue other than encourage him to explain to Humana he had a treatment team with the military doctors that were familiar with his specific case. Humana will not refer person to this group of doctors citing "they are full" despite this patient was already a patient at this group, has severe medical issue history of over 20 years and 11 surgeries. Humana person intercepts email to PCM (primary care manager no longer known as Primary Care Physician) about the issue and refers him to Humana phone line. Humana phone line is designed to intercept calls to specialty clinic/military doctors so he cannot communicate issue for doctors to assist in resolving. (Did I mention the issue involved internal bleeding while all of this is going on?) When seen face-to-face, PCM explained she cannot assist Humana in resolving the issue. Humana's first referral was to a non-existent doctor, this means the person named never worked at that particular clinic, no one ever heard of the person. Second referral is to another doctor who is non-existent. Doctor of a similar name- different middle name and different specialty listed in the area. Phone number and address for this person was also different. A message has been left with that doctor's office, but no call has been returned. (Still in pain and possibly bleeding here...)

Hello, I was working in one of your facilities in the Chicago area. When your IT representative walked in the door. I politely said good morning to her as she walked in. Seeing how we made eye contact I expected a reply. The response I received was a look of who are you as she walked past me around the corner. I hope that is not your company policy, to be rude and not reply. She also likes to boaster about she is the only IT in Chicago. I hope this will be addressed.
Thanks,
Craig A Padgett

I am Lonnie C. Caston. The reason for me sending this email is because I was quoted the Complete plan by one of the sales representative with your company, but he set me up with the Preventive Plus plan. I clearly explained that I needed major work done(i.e.-Root Canal, Crowns & Deep Cleaning). The sales person said to me that I will be covered and there was no waiting period. So, I called to make a dental appointment at a dental office and the representative said that I was not covered. I have been calling Humana for 2-weeks to try to get this taken care of. I have been given the run around on each call. Just wanted to know if you can assist me with resolving this issue. I can be contacted at [protected] or via email at [protected]@aol.com

Plan ID#[protected]

We have Humana dental insurance. It is a total scam. Wish I would have known what a rip of they are.
They will deny every clam you submit. First claim, they told me that there was a SIX month waiting period before they will pay any of your claims. SIX months? I pay a premium for what?
THey said if it was something minor, they would cover it.
So claim was denied since it was a partial for my husband
I file a claim when my crown fell off and had to be glued back on. 10 min appt. xray and glue. 149.00
Human DENIED it. Said there was now a TWO month waiting period. Who cares that it was just a minor fix. Rules must have changed again.
they said what they always day...you can appeal.
Well I did and I can imagine the appeal on some fat guys desk getting stamped denied
STAY AWAY FROM HUMANA!
NOTHING BUT A HUGE RIP OFF

I am writing this for my sister and nephew who are in charge of her care. I want to find out if you are willing to go with this complaint before I talk with them. My sister is 75 has leukemia and lives in an assisted living facility in MN. Last month my nephew was notified that they canceled her Humana insurance policy due to insufficient funds. They claim that was due to insufficient funds. They also state they sent a letter to my nephew. He never received it. there are plenty of funds so it sounds like a cliche in the transfer of funds process. they are in the process of getting the letter from Humana and the bank statement to prove there were funds. But in the meantime my sister is without health insurance. I understand why my nephew is not listening to my suggestions. He is probably overwhelmed and scrambling to pick up the pieces.

name james l barnes, 10/22/1942 h40087939 primary Dr Rodolfo "Rudy" F. Barroso

your referral system sucks! On my last three appt. then i got to the Dr's office there was no referral,
one: at pal-mri for a x ray, took paperwork to pal-mri, they said they would contact my Dr. two days later pom-mri called to change my appt because no referral, i called my prim, they said HUMANA had not approve it, made new appt, , got the xray ( took 4 days to get your paper work.)
Two: took list of appt with Dr's name & phone gave to my prim, requesting referrals for the appts. 10 days later arrived at Dr Lorena Lewy-Alterbaum when i arrived, no referral when Lewy office called prim, she was told no referral was applied for i called my prim office they said humana had not approved
three: after taking in the list of referrals i needed i also called 4 days before appt, then called 1 day before appt and on each was told yes your referral was done and will be at dr office, june 15 wife's ( same prim.) went to dr angella for eyes after giving my prim a list calling 3 times got to dr office NO REFERRAL had to reschedule appt. because my prim said, , first humana did not approve then said dr angella did not send codes, , is this a way to chase away your members, , and make Patients suffer when we need the care, not the BS paper work wheather it is humana or the primary, please do something, , you know in December i can chang

I called on 5-17-18 twice and once on 5-18-18 and once one 5-22-18 and was adv and assured that I would be able to start going to the new dentist on 6-1-18.. so I made an appointment with the new dentist on 6-5-18 . I called to confirm that I was placed on the new dentist list with human today. the first agent I spoke with said there were no notes of my previous conversations in may and was very rude and over talked me the whole conversation she hung up.. called again and spoke with Kim but would not provide an agent # and then hung on me.. called again and asked for a supervisor he agent hung up once again.. so I finally spoke with Lana after four attempts to get my issue resolved she did state she would attempt to but what she stated was the same information I got when I called on May.. so my issue is still not resolved.. the customer service I got today was the worst ever! If I could switch my carrier I definitely would!

Recently acquired a plan with Humana, it is called Dsave DO NOT BUY it is a SCAM¡¡¡.

This plan is not an insurance policy as such, it is a simple discount card that when you decide to use it, The service provider do not accept it, the provider may or may not accept it.

It's buying a lottery ticket, so absurd, that simple.

Go to the Humana website and look for the providers that appear on your list, when you call, the list is not updated, because the people you serve do not know that plan. Next step, call customer service
Me: I need a list of what site I can go near my house.
Operator: There is no such list, that plan is that you go to a provider that may or may not give you the discount between 25 to 40 percent of the cost, but may or may not give it to you
Me: if there is not a list where I should go?
Operator: As indicated, you must go to see if they accept to give the discount to any site that you go.
Me: this is a scam. I want a refund of what I have been charged now.

I compliment Humana on their support for the race they sponsor each year. I live near St Katherine and South 3rd Street. Every year there hasnt been a problem with the volume level on the music and loudspeaker for the marker water stop for mile 11 here. This year this woman turned these speakers up at 8am on a Saturday morning FULL VOLUME. I love this race and last year the people who did this sound system were considerate of the residents. People who work all week or perhaps all night or have babies. This year this woman had total diaregard for us. Several calls were made to the police and after they left she turned the music back up full volume and even went so far as to say over the pa system "some people dont know how to have fun and the music isnt going down, not gonna happen". Weve NEVER had this problem with the noise level of this music and announcer until this year. Throughly inconsiderate and unfeeling. I applaud Humana on their sponsorship, but this small blonde woman with her two children that was the announcer and music person on 3rd street was thoroughly inconsiderate to we residents. And portrayed a bad example of Humana. There was no happy medium here this year. And she had that sound system at full volume and could be heard the next several streets over, clearly. No one EVER did this in the past. We are forming a group of residence to see how to proceed with this issue, so we can go back to how it was last year and this not happen again. The videos for sound attatched have nothing on in the house. No tv nor radio or anything. This is soley from your employee.
Contact can be made at [protected]@gmail.com

We are at the provider side. We left voice messages to humana financial recovery dept. asking an offset payment information of our patient for us to know why we did not received a payment and for an update of our records too but no one is contacting us.despite of multiple times of leaving a voice messages many times, no action from them yet. What is the use of their voice messages if no actions from them after ?Their protocol is to leave messages only. I hope they will improve when it comes to customer or provider services.

Humana is crooks I got a letter from them last November they wanted $33 for part B I found a agent he told me Humana's Part B is $29 a month he called Humana they told him I was being penalized they weren't able to find out why the agent told them that is weird because I don't turn 65 till February I could see how crooked they are and they don't cover all my prescriptions the ones they do cover only cost me $22 so I pay my own April 4th I got a bill saying I owe them $134 for four months I never agreed to their membership I'm on a fixed income why the hell would I give them $33 for $22 of medicine they are telling me our Government signed me up for automatic start up the last I checked I live in the USA and I'm a citizen I have rights no one can sign me up without my permission Humana is a crooked company I don't want their services and I wouldn't recommend them to anyone

My mother worked for Humana and had health coverage through Humana. She retired and continued coverage through Humana. My father passed away on 1/1/2018. He had coverage for prescriptions through the VA. The pharmacy they have used says they billed Humana for prescriptions. My mom received a bill/penalty for $1600 alleging she had no prescription coverage. The time period indicated for this penalty was from 1/13/18 - 2/18/18. My mom has dimentia and is unable to answer my questions regarding this issue. I need a person to help me establish what coverage mom had from the time of her employment with Humana to the present. Her current Humana plan is based on her relocation to VA. Her name is Elizabeth R. Hippert, acct #[protected]-2. There is a case #[protected].

for the past 6 months Humana has been denying patients excessive amounts of pts the right in Tennessee to come to In-patient rehabilitation units to receive the most appropriate care and best benefit of services to return to home. The service representatives are telling admission nurses that Humana guidelines are different that CMS guidelines and "that we should find appropriate pts and quit wasting their time." The patients call and are told that facilities have not submitted appropriate documentation to qualify them or no documentation at all. Humana has the chance to get patients the best care and be an advocate but is choosing rudeness and I cannot understand why.

I have been trying for several weeks to get onto the Humana website but cannot get past an abbreviated version of their homepage. I had to check on my meds by phone because I cannot view it online. I have been trying to find what options I have for vision coverage because I found that I cannot trust EyeMed, which was recommended by Humana, but I cannot get to the Vision page or the message center. Employees on the phone say they are having a problem but don't know anything about it. Are you trying to chase people away, Humana? You're on the right track!

We changed our Medicare supplement to Humana in December. We were told that when we signed up, there would be no deductible for Doctor's Visit and we would not have to pay for any doctor's visit.

Anyway, my wife had to visit the doctor twice in December due to the cold ... We get a bill from her Doctor Office for almost $140.00 ... The Doctor Office told us that Medicare did cover it, but Humana did not.

We talked to Humana and that is when they advised us that there WAS A Deductible. We were never advised of a deductible when we signed up and we were lied to by Humana

We like for Humana to hold their end of the deal by covering the rest of her doctor visit.

Client Number: H62044398

Whatever you do, DONT try to contract with Humana. They state that you have to go online to submit and inquiry. Once they submit the inquiry you go months and months without contact. When you try to call about the status, you get transferred all over the place and don't ever speak to a correct department regarding the issue.

I have submitted my credentialing application 5 times to Humana without processing.

Completely ridiculous.

Humana contract companies who treat their employees like robots or slaves . Reality is the company contracted can't really handle the contract due to lack of proper training, childish management, and high employee turn over. Truth is employees are treated like slaves on a plantation. Rules apply to some and not others. If only Humana knew the truth behind the contract or do they even care? Management shady constantly lying and changing and making up rules as they go. If only Humana really knew who they contract work out to!

I had a dental procedure on 11/01/2017. Claim was denied on 11/22 due to lack of xrays. My dental office sent xrays but Humana said they didn't receive them. Called Humana on 01/03; talked with Nathan. He said he would follow up to ensure the xrays were received. Never received any follow-up from Nathan. Dental office sent xrays again. Sent email message on 01/09 asking for update. Received email from Humana stating xrays were received on 01/03 and routed to Claims Area. Sent email on 01/15 asking for update. Received email response on 01/16 stating 'xrays received on 01/03 and routed to Claims Area'. Called Humana 01/26; was told they did not have the xrays even though I received 2 emails stating they had them! Talked with a supervisor (Raheem); he asked me to send the xrays for a 3rd time which is absurd. I asked to speak with his manager and he refused. There is clearly an issue with this process since the xrays have been sent twice (I confirmed directly with the dental office) and Humana won't process the claim without them. I have followed the correct procedures and keep getting conflicting info from Humana. This claim has been open for almost 90 days.

[protected]
Humana
Re:
Overpayment to Humana
Case # [protected]
Member Id- H56665575
June Watson

Jan 4, 2016 - Accidental overpayment to Human in the amount of $2800.00.
Jan 16, 2016- Error discovered when intended recipient did not show payment. Called Humana. Was given case number and told by Amy she would help get the refund to me.
Jan 22, 2016 - Called Humana and talked to supervisor Brittany. Was told check mailed on Jan17, 2016 in the amount of 1837.80. I asked where the rest of the money was. Brittany stated it had been applied to the year 2018 completely. This account is not late.
Humana has no right to steal people's money like this.
As of this complaint and date, no check has been received and refund is not complete.

PLEASE SEND COMPLETE REFUND IN THE AMOUNT OF $2800.OO
THIS WOMAN IS 99 YEARS OLD AND HUMANA HAS INTENTIONALLY STOLEN HER ASSISTED LIVING PAYMENT!

On 12/5/17, a request for pre authorization for my husband's periodontal appointment that was suppose to be 2/5/18. I called Humana customer service approx. 1/9/18, was told they needed the charting. I had to call the dental office to request the charting. I called the periodontal office and requested the charting, and they were going to send it to Humana. I should not have to be the one doing the calling. I called back on 1/15/18, spoke to Kylie, she tried to call the periodontal office, they were at lunch, so she told me she would call them back, and then would call me. NO CALL BACK TO ME. Called again on 1/16/18, spoke to Ron T., was offered a copy of the policy then I could figure it out. Took 72 minutes and finally got a supervisor named Gery A. who told me she would personally call the periodontist and "I promise I will call you back." Hmm, once again, NO CALL BACK. Today, 1/17/18, I called again, requested to speak to the supervisor's manager, on hold 20 minutes, finally hung up and called back. Spoke to Liza who is suppose to be the supervisors boss. She did say she would call the periodontist's office to get the correct paper work they (HUMANA) needs to make a determination of coverage, would take a minimum of 2 weeks. My husband waited 3 months for his appointment...that's 2 months Humana had the paper work for the pre auth and never followed up. I did not speak to one person in customer service that cared. Liza was more than willing to cancel our policy. I would never recommend Humana to anyone, and I will make sure everyone knows why.