Incorrect products delivered
On or about 11/15/2022 I ordered One Touch Diabetic supplies online. On 11/19/2022 I received an email that they shipped (see attachments).
I called Humana Customer Service on 11/21/2022 to see about returning the wrong items in the shipment. The CS rep told me no.
Why does the Centerwell Pharmacy website have diabetic supplies listed for order that they will not sell?
Desired outcome: 1) Remove any and all items that are not available for ordering from the Centerwell web site or ship me the One Touch supplies. 2) I want to receive a call from a decision making member of management about this issue.
Surgery Denial!
The absolute WORST insurance I have ever had! I pay out the roof just to have insurance and they cover NOTHING! My husband has osteoarthritis and both knees are bone on bone. He was scheduled surgery and was called the day before and told he was denied. He had to receive shots (which he already had done and was told by the Dr. that they will not help), he had to do 3 months of physical therapy (he had done). On his 4th week of therapy, he was told they will not touch his knee again until after surgery because of how swollen it was (from upper thigh to foot). The Dr. scheduled it again and it was DENIED, no reason given! The Dr. wrote an appeal letter and was told that it will take 30-60 days to get a turn around. All the while my husband cannot even walk on his knees! I am beyond disgusted by this company! We are
Desired outcome: My husband to have his surgery so he can have his mobility back!
When you receive a denial, there should always be information on how to file an appeal. It’s not hard, and it’s best to keep it as simple as possible, but with all the facts about why you are appealing. The insurance company will review it, and often will overturn the appeal. Always call them if you have questions about the process.
I recently had a serious and necessary surgery denied. I immediately appealed, and it has (thankfully) been overturned.
Insistence upon scamming.
I have been contacted through solicitation mail by Huma*a at least 31 times by mail to join their senior medicare supplement system at NO cost to me (utter BS!). I have consistently refused and finally just started to throw their mail n the trash WITHOUT response! Let me be clear I have NEVER nor will I EVER respond to Huma*a for any reason except to complain/ accuse them of scamming or harrassment and criminality whether it be to or for me to STEAL from our federal government or join ANY program of theirs AT ALL!
Well, it finally happened! Huma*a, WITHOUT response or communication with me whatsoever, placed me in a program, WITHOUT CONSENT, sent me a "package" along with ID card and stated that they would start billing my account! It has finally been confirmed to me that Huma*a is a more than typical "CORPORATION" of thieves, scamers and corrupt criminals who hold NO values, NO ethics, NO morals, NO decency and are completely bereft of a single honest cell in their collective vile, evil and criminal existence!
It seems apparent to me that even IF they cannot steal from me directly that they have the means, the will and the methods to STEAL from the USA in my name WITHOUT my approval or consent! My response? FAR Q Huma*a! Far Q and EVERY CORPORATION thatacts and/or looks like you!
Desired outcome: STOP Huma*a! STOP the lies, the cheating, the theft(s), the harrassment, the scam, the criminality and the STEALING in my UNSIGNED name!
Health care systems are just as bad.
Policy
Spoke an agent on 11/15/22 about changing to a better Humana policy and was given information on a policy we agreed on and completed the application R139063138547. Checked on the application with Humana on 11/20/22 and found out the agent signed me up for a different policy. The agent I spoke to on 11/20 corrected the error by signing me up on the correct policy. H2516-310, Honor Policy. If I haven’t checked with Humana I would had gotten a policy I didn’t want.
Desired outcome: Notification that this was not done on purpose. And a phone call by the agent explaining what happened.
medical reimbursement
I am the owner of an allergy and dermatology practice for over 14 years. My medical biller has recently brought to my attention that Humana claims are being denied because of insufficient coding. One is example occurred recently when my medical biller informed me that Humana was no longer accepting ANY ICD-10 Z codes. This recent change is EXTREMELY concerning as all patient with a history of skin cancer including MELANOMA are given either a Z10.82 (Hx of melanoma) or Z10.83 (Hx of skin cancer) to justify their necessary skin screenings. Medicare requires us to regularly follow-up on all melanoma patient via quality measure and previously MIPS or risk significant penalties. The previously mentioned Z codes is exactly how we monitor those patients and report back to Medicare. These recent and continuous changes and restrictions on patient care are unacceptable and dangerous. Insurance should be prioritizing preventative care not inhibiting it.
Desired outcome: allow Z codes
Package inserts about the prescriptions
Hello, I am requesting an "opt-out" box with my rx refills online. I had this with my prior mailorder company and chatted with a rep. this morning who said they don't give this option. It would save alot of $$$$$$ for the company in terms of printing, paper and packaging weight. I have been on the same meds for years and do not need the single sided printed sheets, sometimes totalling 10 sheets!
Please be modern and think about giving this option. "No" is not an answer...please forward this to management. Thank you!
Desired outcome: Opt out box on the refill site for declining rx information sheets. Gives the option to the patient
Humana call center provider confirmation
Humana denied in network coverage for two visits to my dentist after their benefits coordinators confirmed that my dentist was in network to both myself and my dentist.
In January of this year I called Humana to confirm that my dentist was still in network for the new plan year. They confirmed that he was and I scheduled an appointment. After scheduling the appointment the dental office also called to confirm that they were still in network and Humana confirmed to them that the office was still in network. Humana followed up by sending the dental office an Eligibility Response. Based on multiple confirmations of in network status, I scheduled a routine visit. During that visit it was determined that I needed some restorative work and we once again confirmed the coverage for the work with Humana. I called and my dental office called and Humana again confirmed in network coverage. Following the first visit, Humana paid in network benefits to my dentist however after the second visit they denied coverage claiming that my dentist was not in network. In fact, they wanted the dentist to pay back the benefits that the dentist had received for the my first visit.
I sent an appeal based on the information that Humana had provided to both my myself and my provider. After reviewing the appeal, Humana agreed to pay in network benefits based on providing erroneous information on multiple occasions. They paid for the first visit. however, they failed to address the payment for the second visit. I followed up with multiple calls to Humana and a supervisor agreed that the second visit should have been paid and he escalated with the Grievance and Appeals department. After receiving no response another supervisor advised that I should file another appeal addressing the fact that they failed to pay for the second visit. My second appeal was denied because they considered it a new appeal which was past the 60 day window to file appeals. I called Humana again and another supervisor told me to file another appeal and she told me how to word the appeal to ensure that it was tied to my original appeal and it was not considered a new appeal. Today I received another denial stating that there had been a decision on my original appeal and they once again did not address the payment for the second visit to my dentist.
Desired outcome: Humana agreed with my original appeal and they agreed that the dentist should be paid in network payment. . They should be paying for both visits as we received the same erroneous information two times.
Humana Gold Plus / Center Well OTC offerings
On the vitamin and supplement page, you offer many useful products but one cannot see a proper picture of the product which indicates the brand name, nor does it indicate the number of pills or the contents of each. Take Century 21 Senior Sentry for example. Even when enlarged, one cannot read how many tablets are contained in your container for $10. Upon calling your customer service number, I discovered it is 60 tablets for $10. A quick internet search indicates that I can buy 220 tablets of the EXACT PRODUCT for $8.09. This indicates to me that your pictures of the product are being blurred intentionally so the unsuspecting buyer cannot see that they are being screwed royally. It is also obvious that because of this pricing practice, your customers will very quickly use up their $125 per quarter allotment while only costing Humana a fraction of what they are representing as a "benefit". If I find an honest value in any of your offerings, I plan on buying only those every quarter, and if I need to buy pills costing $10 for 60, I will instead be buying 220 pills out of pocket for $20 less. What your policy dolts fail to understand is that it is insulting that you would do this to many who are in their final years and on fixed incomes, and that you people think they are too stupid to see what is happening. News flash... many of us are proficient on our laptops and this kind of policy might make you a few bucks in the beginning, but over time we will be sharing this information amongst ourselves, which doesn't bode well for your reputation. I am open to commentary regarding your policy, and in fact I know people who could do a whole lot better setting up your Center Well web page regarding the supplements being offered, the pricing and the presentation.
Desired outcome: Honesty. Pending..... John MacNaughton [protected] Illinois
Humana Services
I called Humana yesterday to inquire about the Freestyle Libre 2, 14-day Sensor kit. I was disconnected online with your Chat option multiple xs as well as I called and was disconnected at least 4xs while speaking with HUMANA representatives who NEVER called back even after they obtained my phone# just in case we were disconnected. When I initially obtained HUMANA, I clearly told the Ensurem representative who signed me up for HUMANA, told me HUMANA covered the sensors. Unfortunately, I am being told now that HUMANA nor Medicare part B does Not cover the sensors. While speaking with the CSS Pharmacy representative, he too disconnected and Never called back even after I discussed and notified him of the issue with acquiring the sensors. I have already acquired the CGM / Freestyle Libre 2 system out of pocket, so I am only attempted get the Sensors. I also submitted a pre-authorization form with HUMANA to try to get Approved for the Sensors ONLY! I am also a 100% Disabled Veteran which I am also receiving Healthcare through the PVAMC / Philadelphia VAMC. My Primary care Provider @ the PVAMC is Dr. Rottenberg. He submitted the Prescription for the Sensors to CVS Pharmacy here in Dover, DE. But I cannot pick-up the sensors because HUMANA / Medicare part B does not cover them. Please expound asap! I am contemplating not continuing to use HUMANA so please respond asap!
Desired outcome: I need to be Approved for the Freestyle Libre 2, 14-day Sensor kit immediately! I have provided my PCP's Name and contact info to include his NPI
Humana medicare advantage prescription drug plan
My husband received a letter from Humana dated November 19, 2022 (Reference Number: [protected]) requesting further information to have him enrolled in the Medicare Advantage Prescription Drug Program. They requested he supply them his Medicare number AND proof of his Medicare Part B entitlement. It was indicated the information was needed by December 10, 2022. We emailed, and subsequently faxed the requested information (and I have printed confirmation the fax was sent successfully). We sent a copy of his Medicare card, as well as his application for Medicare Part B. My husband, when he initially signed up for Medicare, did not need Medicare Part B as his part-time employer, UPS, provided medical coverage for him. As he was going to be retiring from UPS in February of 2022, we applied for Medicare Part B enrollment (under special circumstances), to be effective December 1, 2021 (which his enrollment was effective that date, December 1, 2021). The Humana Medicare Advantage Prescription Drug Program was to be effective January 1, 2022. Humana, IN ERROR, signed my husband up for Medicare Advantage and NOT Medicare Advantage Prescription Drug Plan (which is what we requested, per your own letter dated November 19, 2022). We have tried, repeatedly, to have this corrected. We have spent HOURS on the phone trying to get resolution (most of it on "hold," waiting for someone to try to help us). That has not happened. We cannot continue to wait and wait until someone assists us. I am tired of hearing, "I understand" and "I'm sorry." Confirmations and apologies are not helpful. What I want is for my husband to receive the prescription drug plan coverage that was applied for. I want that NOW. I do not wish to keep discussing it (starting over each time a call is made and a new person gets involved); I want the situation remedied. This is clearly Humana's mistake, not ours. Please make it right, right now.
Desired outcome: I want a prompt response. I want my husband to have the correct coverage so he is able to get the prescriptions he needs. This was Humana's mistake (or their agent). We want you to fix it. We want it done right away.
Failure to delivery my Xarelto pills
I ordered my 90 day supply of Xarelto 20 mgs on Sept 7th and paid for the express delivery. I did not receive the order even after several calls. After speaking with a pharmacist and another person on the 16th, the original order was canceled, and another order was made on the 16th, that was to be overnighted to me that wasn't as I am still waiting for that order. It was suppose to come in tonight (Monday) before 8:00 pm. Still waiting for it.
I have checked with FedEx on both orders and checked the tracking numbers on both the new order and the original order that was canceled and both of these were never picked up by FedEx. They told me to check with the shipper, which is Center Well, and I did and they said that FedEx has the package. That is incorrect on both orders. Center Well made the label and got a tracking number but never got package to FedEx. I have been waiting for the Xarelto pills for over 2 weeks. Not sure what the problem is and why no one there can get the package to FedEx. I have made several calls to Center Well as well as the corporate office to complain about this poor service. I would appreciate someone explaining to me why this is taking so long to remedy and why this is happening. This is unacceptable. I have paid over $600 for these pills and extra for express delivery.
Desired outcome: I would like to get the pills I ordered in a reasonable amount of time. These are very important pills for my health. This should never happen.
Movicare transportation
I made a reservation for a medical transportation to my primary physician dr. Oshea wilk in hazel crest for 12:15pm pickup on september 2, 2022. This was a no show. Nor was i informed that the service would not be provided. This is the second time this has happened. I had to order and pay for uber for transportation the following day.
The confirmation # 84787.
I am an 80-year-old elder and no longer able to drive. I depend on this service to transport me to medical appointments. I live on a fixed income.
Please advice me what are other options so that i can avoid this from happening again.
Desired outcome: PREVENTION FOR THIS NEVER TO HAPPEN AGAIN. PROVIDE OTHER OPTIONS UNDER MY PLAN WHICH PROVIDES MEDICAL TRANSPORTATION WHEN NEEDED OR REFUND FUTURE COST I INCUR WHEN SERVICE FAILS TO SHOW UP.
Hearing aids purchased Ithrough HUMANA and hReceived from Truhearing and shipped to HearingSolutions
Year 2021 Contacted Humana several times on Humana's new hearing aid program trying to learn as much as possible on purchasing my first set of hearing aids, I spoke with a Lady Name T.J. who was very nice and answered my questions even helping me pck out the hearing aids that were supposed to be the latest and most up to date hearing aids pair Humana had. I was given a provider to contact HearingSolutions of North Carolina, Salisbury, N.C. (only9mi.from my home) these folks did a well geting me started.
Number one (1) problem: HearingSouloution dissolved there relationship with Humana-Tru Hearing after I had purchased my hearing adis . This left me with out my 3-year warranty supposedly I had on the hearing ads. I was informed that at the one-year anniversary i would be given a hearing test and as i thought adjust my hearing aids. It was at this time 5/4/22 I was informed that Hearing Solutions informed me they had separated there relation from Tru Hearing. I did need some adjustments but was not offered any adjustments or was I ask if I needed any Adjustments. the Hearing test and and a cleaning kit which i did not need because I had been given one at purchase time.
the Hearing test and the was $120for exam and the cleaning Kit (one toothbrush) was $20. At this time, I did not have a mechanical problem, but I also did not have a warranty provider and I still had 2 years left on the warrantee Left hearing aid ui working and after several phone calls ot Humana-
tru hearing to get another provider to warranty my aids with a o co pay. I can't imagine tere being a Co [ay on warranty work on $7000 set of hearing aids, My co pay on these Hearing aids was $2000. the appointment i was given was exactly 3 weeks, Here in lies the problem My $7000 hearing aids would be dormant for three weeks which is absolutely un-acceptable If the warranty in case I would need it future is almost useless which breaks any kind of agreement we had , you are not going to keep my hearing aids out of commission that Long It has taken me almost two mo to get anywhere with you folks and I a am still waiting on the Aids to be repaired. I purchased these Hearing aids because I was purchasing them, I thought until later that Humana was the seller and put my trust in Humana never dreaming that HUMANA was just a Wholsaler for Tru-Hearing. I would have never purchased these Hearing aids If I had not though tha Humana was not backing the warranty. I am sorely disappointed and feel very deceived with this purchase.
I would like my co pay back and cancel this whole transaction. I never dreamed that I would have to go through this kind of action on a Humana backed person need. I expected the best from the best of care givers.
Jack Callahan Humana Member Number H48815413
Desired outcome: a cancellation of this entire transaction and a complot return of my co pay of $2000.00
Payment not received for Step 365
For the month of August 1 - 16, 2022. I have not received the $70 for the step program as promised. Why is it that everytime I have to contact Humana it turns out to be a hassle. Humana needs better customer service. To resolve this matter, please send me the $70 as I have completed the step program for August. I reported the step completion on August 16, 2022.
Desired outcome: I would like the $70 sent to me as promised.
Meds delivery assistance
Meds were previously delivered here upon my report of new address. Call received here about 21Aug22 wanting to inform of order receipt per meds ordered 8Aug22 & wanting address confirmation. Was transferred to a woman who got the address 2x. Another call today 26Aug22 wanting same. Complained to male that the info was previously given multiple times that’s why the question arose but something clumsy within company prevents progress toward receipt of meds-weeks later.
Got unordered, 3 month supply of meds when corporate name changed. Another unordered supply went to former address.
Best to move on especially upon seeing so many other complaints online about this company.
Well care or care well I cannot remember the name that has taken over for you
I have had nothing but problems with this new Company that has taken over that is only trying to switch my Insurance and then cannot find my RX on file that I had to spend over 15 minutes on line with a representive while her kids were screaming in the background. Humana thank God was there to help me on the COPD team when I called. I placed my OTC order weeks ago received 2 items only. If I have to put up with this I will have to change from Humana.
Desired outcome: Get Rid of this new Company
Noncoverage of services at skilled nursing facility
8/16/2022 Northwoods Care Center, 2250 Pearl St., Belvidere, IL 61008.
My elderly father, 93 yr. old, has been an inpatient since 8/3/22. We were told the insurance would cover 20 days of services 100%. Yesterday (day 13) I was informed by the DON that they had received a "notice of Medicare Non-Coverage" with the ending date of 8/18/22 (day 15).
Desired outcome: Insurance to cover 3 days a week. I need to time to figure out discharge plans.
Customers/patients: Please discontinue your relationship with Humana if you want coverage/care when you need it; it is most unfortunate that this company specializes in denials of all kinds; God forbid the deniers have their mother on Humana and she gets ill and needs to go the hospital and needs rehab; I was on the phone with a provider at Humana who admitted they denied skilled nursing even though it was recommended by physical therapy because the patient could walk more than 40 feet with a walker !? The provider stated that most do not need to walk further to get around in their homes or apartments !? 40 feet! Hello! Is this not a fall risk waiting to happen! 40 feet WITH a walker that is!
paid bills and service
To whom it may concern,
My name is Thomas S Cohoon. I have been a Humana customer for 3-4 years. My member number is H56402097. I have Medicare also and VA service. My permanent address if 7304 Jewel Ave S, Cottage Grove Minnesota. So I have Humana, Medicare and am a US Army veteran so I can go to the VA for medical service also. I am 84 years old and live alone. When I quit working almost three years ago I bought a motorhome to get away from the terrible winters in Minnesota. I go back and forth from Minn/Wisc to Nevada every year spending my summers in Minn/Wisc area and winter months in Nevada or some warmer climate.
I am very dissatisfied and irritated by the service I have received from Humana this year.
I got sick in Nevada and saw a doctor there and also went to the ER room and was hospitalized. In Minnesota my bills were always paid with a small co-pay.
When my Nevada bills were not paid in full like they are in Minnesota I called your claim department and was told I'm not fully covered in another state. This makes no sense to me. I'm fully covered in Minnesota but if I get sick down the road I'm not covered? What kind of crap is that? My body doesn't know where I am when I get sick. I was not informed by Humana of this out of state B/S. When Humana saw bills coming in from my winter home, why wasn't I contacted and told of this problem? If informed I could have gone to the VA free of charge.
I have a bill at Family Doctors of Boulder City and one from Boulder City Hospital. They total almost $2,300.00, and I don't feel I owe these bills, and if we can't work it out I will contact an attorney and we will end up in court. I don't owe for these charges.
Sincerely
Tom Cohoon
I want this to be given to management so that they can see how their company is being run.
I called [protected] at 8:50 Monday morning August 15, 2022. I was connected to a gentleman with an extremely thick accent. When I asked to be connected to someone in the United States without an accent he was offended. I explained to him I couldn’t understand his thick accent on the phone and once again asked to be connected to an onshore customer service person. He refused and from what I could understand it sounded like I am not allowed to do that. After repeated requests I asked to be put through to a supervisor. He said hold on. Well I held on for 30 minutes no response from either the agent or the supervisor. This is extremely rude and bad customer service. If they ever come back on the phone I will let you know who I spoke to and where. Finally Mark (40 minutes) in the Philippines came back on the line and said that April (supervisor) would be assisting me. Well I waited nothing no one came on the line. Then I was put back on hold or at least the hold music came back on again. Waiting. Then Mark came back on the line with a supervisor that I couldn’t hear because the call was breaking up. I asked multiple times to be connected to the United States and nothing. I could not hear them on the phone at all and they refused to connect me to the United States an on shore operator. Then they hung up on me after 45 minutes. This was rude and I’m very upset
Desired outcome: Please give me a number so that I can contact someone in the United States at Centerwell
CenterWell (formerly Humana) Pharmacy compromises our identity
Humana (now CenterWell) prints the customer's Date of Birth on one of the papers it includes in the package with the prescriptions they send out. Many companies (including CenterWell) uses our Date of Birth to prove the customer is who we say we are. There is no excuse to print our Date of Birth on a paper they mail to us. Those papers just might be seen by the "wrong" people.
Desired outcome: CenterWell needs to stop printing the customer's Date of Birth on papers they mail with prescriptions.