Humana

I was duped by 2 insurance agents into joining humana gold plus (hmo d-snp they did not check to see if my medication was on the formulary I did not receive any formulary from humana. There is a life sustaining breathing inhaler tudorza pressair 400mcg which humana filled 1 month when I joined I went to refill this medicine they refused they require a prior authorization by my pulmony doctor which is a 5 star doctor on the board of a very big hospital, he sent in 2 prior authorizations humana said they did not receive one which they did I then spoke to someome else who took notes I got no response my doctor then semt another p.O. In after I spoke to a grievance person last saturday she sent this as a life threatening emergency which I should have heard from them within 72 hours again I did not hear anything. I was our of this medication I tried a medication spriva which they recommended I could not function I had so many adverse reactions I could not think, walk and passed out completely. When I woke up I called an ambulance the paramedics had to administer oxygen in my home to get me inyo the ambulance to the hospital, many negative tests were done the only problem is I did not receive an answer since january about authorization to refill this medication which is medically necessary the reason I did not die I somehow dragged myself to walgreens because the emergency doctor would not prescribe any other medication because he saw the side effects I had fromspriva they recommedned I am 71 years old on social security and disabled I paid and it is a extreme hardship $400. For this medication as I left the hospital and would have died without this medication this last for 2 weeks then I have to pay the same again and I cannot afford it this is why I am reporting humana for ignoring, lying and getting hussled into their plan any help you can extend or advice will be appreciated as when I call I am blocked from speaking to a supervisor or appeal board. Thank you, sincerely camille fletcher tel #

I am upset with Island Doctors lack of understanding the importance of filling prescriptions. This is the second time in two months that I cannot get my medication. I am talking about anti-depressants and anti-anxiety meds that I need daily. I called my prescriptions into the wal-mart pharmacy on Friday February 18, who informed me they need to contact my doctor. I followed up on Tuesday February 22nd with Island Doctors who said they had the request. It is now Thursday February 24th 4:15 PM and I have not heard anything from the pharmacy.

I went through exactly same thing in January I am done, done, done with Island Doctors, and I need a new doctor if you cannot provide me a doctor that is not part of the socialized medical group that Island Doctors is providing. If you cannot help I understand but I will be changing my provider.

Thank you

Glenn C Barnes

Im soooooo sick and tired of humana calling every day! Almost every 2 hours to tell me something. They call from different states. The left hand and the right know not of each other. I have asked them nicely to stop it. Its stops about a month and they are right back at it. Today 2/15.2022 they have called five times from different numbers to tell me same thing. Really makes me want to drop them. If you have humana you know what I say is true. Complain!

I had total knee replacement 8/18/22. Humana denied my doctors claim. Now I am repsponsible for $3331 Humana refused to pay. I was told the doctor didn't get pre-approval.I have the letter stating the surgery for the doctor was approved from 7/13/21thru 9/1/21.I have called several times and appealed the decision twice. Why have Humana if they won't pay.

I am new person under Humana Health Care Plan. I was getting my Freestyle Libtre 2 Sensors direct from a pharmacy diabetes medical company. My existing insurance covered the cost. Now I find out Humana will charge me $185 dollars per sensor. Since one sensor last two weeks, I will need 26 of them for this year. So much for trying to retire at 75. This is what I get for being a USMC Vietnam Combat Veteran? Completely forgotten by USA.

I saw my doctor on Dec.13th, 2021 and he asked me to get a Drug formulary book to find a drug I could use instead of using the more expensive Drug Xarelto. I have called my Humana Drug plan company since Dec.14, 2021 After being denied a drug I need. I asked them to send me a Drug Formulary book so my Doctor could find another drug that I could use to keep my cost down. Humana has done nothing in response to getting me a book. They tell me when I call "it was sent out last week". Well that has been their response since Dec. 20th, 2021. As of this date 1/14/2022 I still have not received a book.
Thank-you,
JoAnn Ramirez
[protected]@tampabay. rr.com
[protected]
Member # H49524546

Since August 2021 we have called and the dental practice has called too many times to resolve the coverage for Linda Clark who is the spouse of the primary holder Peter C Clark. We have sent and resent the bills from the dental office and have been assured the payments will be made and the corrections made to the account.

The claims have either been filed on an account that is no longer active even though the current plan information has been provided. The claims have not been paid and no matter how many times we sort it all out with Humana and Humana assures they have fixed the issues on their end. Attached are the documents and bills that are past due and need to be paid.

I have had Graves' disease for eight years. Within this time I have seen numerous physicians. Non of them requested a MRI. I was told by doctors the first surgery is called decompression, which requires MRI. Decompression relieves eye pressure on the nerves behind the eye. Second surgery, straightens the eyes sight, this is what I received and now I see double. My complaint why no one did decompression surgery. I have had Graves' disease for eight years. Within this time I have seen numerous physicians. Non of them requested a MRI. I was told by doctors the first surgery is called decompression, which requires MRI. Decompression relieves eye pressure on the nerves behind the eye. Second surgery, straightens the eyes sight, this is what I received and now I see double. I have had Graves' disease for eight years. Within this time I have seen numerous physicians. Non of them requested a MRI. I was told by doctors the first surgery is called decompression, which requires MRI. Decompression relieves eye pressure on the nerves behind the eye. Second surgery, straightens the eyes sight, this is what I received and now I see double. Why have I received this treatment. Thank you Lynn zubal Kozs

This web-site must have been designed by idiots. It is extremely bad and on top of that doesn't work properly. I tried 3 different browsers and an android app. I had issues with all of them. When you call them you get a message to try the web-site since they have very high volume. Of course, they have a large volume of calls since their web-site is screwed up.

I went to the hospital because I had bloody diarrhea all after noon. i did not know what was happening. i used the ambulance because I live alone and was scared to drive, They kept me in the emergency room until the 12th when I finally got a room and I was discharged the same day, I did not know what was wrong until the nurse told me. I feel I should not be responsible for the balance of $42868.93 as I did not know what was going on. There is no way I can afford to pay this amount.

Log in attempt goes to page that reads "Humana does not offer products or services outside the United States" --- Have tried several sites with identical results - provides no information that a problem exists or how to resolve the multiple blocked sites - we have been Humana participants through Medicare for nearly 10 years - can we be provided with explanation?

After many times of having the mail order take ten days to get from wherever they send it to Atlanta (one went to Atlanta, then to Memphis, then back to Atlanta, passing my house twice) my doctor put one last order in. It was a refill for a medicine prescribed on 12/2 for 30 pills. So it ran out the end of December. They rejected the refill as being too soon to refill it and held it till 3/22. I needed it the end of December. They have no concern for their customers and obviously cannot do math. Very dangerous company.

dec 6, 2021
re: Confirmation number: [protected]
Today's date: November 27, 2021
Plan start date: January 01, 2022

I want to cancel this application.
I want to continue with my current Medicare plan for 2022 and i have an application with humana that is pending and no one will cancel my application. I had an agent hang up on me because i did not want to review any other plans.
I just would like someone to simply cancel my application that was filed Nov 27, 2021. It has only been 1 full business day.
Thank you
Christi Dostal
[protected]

Called to have a rx reversed for a patient that was already reversed at our corporate level. Took an hour and half of arguing with the tech stating they don't reverse claims, refused to get a supervisor, and then transferred to another department that had nothing to do with prescriptions. After being on hold another 15 minutes, they hung up on us. Called back and within five minutes the new tech Ashley got it taken care of. I don't understand how after two hours it took one tech less than five minutes to take care of the problem but the other refused to figure out how to do it and just kept putting us on hold. I should not have to be on hold for almost two hours while trying to run a pharmacy.

Various humana departments insist on leaving messages on voice mail. I am a registered pharmacist and not interested in medication management, as I have explained to Humana. I have tried to text the various Humana accounts but am unable to get any responce.

Never get my hole order if I call they put u on hold for a hour and come back to say sorry we can't help u. If u try to talk to a supervisor u just get a run around until your disconnected. I can understand a mistake ever now and then, but have been ripped off for a benefit that I was told I would get and trying to tell these people it's very misleading to tell people you'll get 300. Per quarter for OTC needs and never get full amount, they will tell u it's not like u played for these item's. Lol

While living in Miami Humana offered me a $75 a month OTC card I can use in any of my local pharmacy and even allowed me to use it in Walmart since I moved to Gainesville, Fl. the allowance dropped to $125 every quarter and I can only order via a catalog which takes forever to arrive.

I called Humana pharmacy dept to complain. The first time I called the agent said they mailed the order I placed on the 19 of Oct but was mailed to an incorrect address (at the beginning of the call she verified my correct address so how was this mailed to an incorrect address?) she told me she would process the order again, I asked for it to be shipped next day and was told she couldn't do that (as of today the order is still just being processed and not shipped. She then said she will look to see if there is another plan that would get me a OTC card to use but all she did was transfer me to a sales person without letting the sales person know the reason.; I called again Tuesday and asked to speak to a supervisor, after waiting close to an hour the agent got back on the line and said she would transfer me to a supervisor but only disconnected me (hung up)

I called again Wed. Asked for a supervisor they finally connected me to a supervisor who, of course couldn't help me, I asked to speak to her manager and was told she couldn't do that but finally did. When her manager came online I asked where she was located and was told the Philippines (OMG) I asked if I could speak with a manager in the U.S. and she transferred me to a sales person in the U.S. who after explaining every thing again the U.S. sales person told me a supervisor would contact me later that day. I'm still waiting to hear from that supervisor or manager a day later, still no call no response NOTHING is this how Humana helps their customers?

I signed up with Humana Medicare PPP with the understanding that I could get a special authorization to use my current Pulmonologist at PCCC of Volusia LLC as in-network due to continuity of service and the fact that he provides services that none of their other pulmo's provide. After, a long, drawn out process that included an appeal, I was finally authorized (Auth# [protected] for $45 co-pay from
4/11/21-4/10/22 Case #[protected]) to pay as in-network specialist rates.
However, Humana continues to say that my share is the out of network rate of $65.
I have called them SEVERAL times and spent numerous hours on the phone with them to try and get this sorted out. They now say that I need to file an ‘Appeal and Grievance' request. This is ridiculous. They need to get their claims processing straight. I already have the authorization to pay as in-network specialist rate. It is unreasonable for them to require that I file a review and then an appeal for every claim that is filed from my doctor. It seems that they are trying to discourage me from seeking necessary medical care by making it a hassle to get the claims processed properly.

Policy Ref; [protected]. This policy was purchased for what was meant for temporary coverage in 1992 when I was unemployed and was mistakenly not terminated when I got coverage with a new employer.

No claims were made on this policy and payments have been auto-deducted from my bank account for now 30 years. Humana has not corresponded with me in all that time...no notices of any kind.

I first discussed the problem your dental department back on September 23 and requested a refund from 1/1/95 (just picked a date that seemed fair). And, have made several calls since then trying to follow up.

My complaint...there has been no response either written or oral that leads me to believe that my claim is being processed. On each follow up call, I am told it is waiting for a "Supervisor" to approve.

All I am asking is that Humana acknowledge my claim and keep me informed as to status of my claim now and going forward.