Humana members reviews and complaints 335
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Telemarketers
I am damn sick and tired of robo-calls and telemarketers.
I have called and complained about the numerous daily computer generated sales calls from humana. In december my ultimatum to stop this harassment went well for three days until december 7th when the enrollment period ended. At this point in time I have no intent of changing my provider. Next october I shall be severing ties with humana.
Dental policy
On october 15th, you withdrew $30.86 from my account. The amount that should have been taken was $28.86. I called on 10/16 and was given a reference number of 252206240. I was then promised a refund of the difference. I was informed my next withdrawal would be in december. On november 16th, you withdrew $19.99 from my account. The amount should have been $18.99. Although the amounts are small, the withdrawals are not what I authorized and not what is on the letter I received from you regarding billing, also, the bill should have been december, not november according to the call placed in october. The letter is dated 9/12/2020.
I attempted to call your 866.537.0232 number to discuss your withdrawals of unauthorized amounts, and sat on hold for twenty minutes, and then was promptly disconnected. I immediately called back and sat on hold for an additional 38 minutes. Then the person could not hear me and hung up. This is also unacceptable. I had given the first rep my number in case we were disconnected, and of course, that was a waste of time, since I never received a call back. Unacceptable. As I write this on hold for 15 minutes and counting. Clearly, you must be understaffed as my time is valuable as well as yours. It appears customers are of no value to your company. It is now 24 minutes and I am speaking to a representative lena now, who is telling me there are fees attached. No fees are listed on the letter showing what my withdawals will be. You have no right to charge me anymore than what I agreed to. I want to see where I was informed that additional fees would be charged, as your letter has no reference to that, and clearly, I have no correspondence stating the payments would be more than what the letter clearly states. I was told on the phone yesterday by lena, that she would research the issue, and call me at noon today to resolve. It is now 3:00pm, and still no call. At 1:30 today, I was tired of waiting and called the number lena provided as her direct line, and lo and behold, it was not a direct line at all. I waited 45 minutes on hold and spoke with keesha.
Keesha could not resolve the issue, so I held another 30 minutes, and was connected to natasha c., who was supposed to be a supervisor. I explained the issue to her, and she proceeded to bold face lie to me. Per the attached letter, my premium is $18.99 per month, but the last two months you have taken more than that. Natasha stated that my bank was charging the additional fee. The bank withdrawal clearly indicates that is not true. I called my bank, and they confirmed that they are not charging anything. The $19.99 went to humana. If it was a bank fee, the withdrawal would so indicate.
I authorized and agreed to $18.99 month, not anything additional. Your letter attached clearly shows that. Why are you taking more money then agreed? If there are fees associated with the payments, the line after the acknowledgement should say plus fees. It clearly does not. What you are doing is wrong, and more than likely illegal.
I want someone in the executive offices to call me or write me with answers, along with a return of all additional monies beyond our agreement. Failure to do so will result in me contacting the insurance board. This is simply unethical. I will also share my experience in dealing with humana with those I know as well as social media so others are not ripped off or deal with a company that lies to its customers.
Paying claims for mental health
I am a provider and have made every attempt to get my clients' mental health claims paid and they keep being processed incorrectly and am incredibly fed up using my time on this and how upset I am that this is now going to affect my client and her care. No one will give me contact information for another department or how to submit a claim. I am so disappointed and ashamed of Humana's service and response for providers and taking care of their customers. Other counselors have said "Human and (another one) are the biggest challenges!" I just sent an email with all the required information on October 6th for this to be investigated through an email for Human and got a response to give them 14 days to reply. Nothing. Emailed them again a few days ago, got an email today saying they can't find my email from October 6th! So fed up!
Application for medicare supplemental insurance
I sent the following email to agent Greg Collins, Humana HealthCare, this morning.
Mr. Collins:
My wife and I have repeatedly tried to get in touch with you these past 24 hours, and you, evidently, refuse to respond to us. A week ago, we spent over an hour on the phone with you, providing all the necessary information to apply for a Medicare Supplemental Plan, High-Deductible Plan G. I originally thought we would make the change on January 1st, but based on your recommendation, we decided to apply for the new policy with an effective date of November 1, 2020, as you said there would be no problem completing the approval process by November 1st. Earlier this week, your underwriter called me to ask a few questions, necessary to approve my application. I asked if my wife would be contacted, and she said it was unusual that both of us weren't contacted about the same time by an underwriter. The underwriter did some checking and told me there was some kind of problem with my wife's application. I called you, and to make a long story short, you indicated that my wife's application had been misplaced or lost. She then had to have another phone interview with you, and re-apply. I have her first Application ID #, and her SECOND Application ID#.
A day or two later, this past Thursday, I believe, you called and said my wife needed to complete and submit a Medical Records Release Authorization. We complied with that request within a few hours, which you acknowledged by email. During that phone call, I expressed my concern that she needed to be approved quickly, as it was October 29th, and I was concerned about cancelling our existing supplemental plans by October 31st, so as not to be Auto Pay charged for that Plan on November 1st. You said not to worry, everything would be taken care of in time.
Yesterday, having heard nothing, we checked on the website and saw that she had still not been approved. We started making calls and sending emails. We got very different information from other Humana representatives, but, in essence, no one would help us. ONE REPRESENTATIVE SAID MY WIFE SHOULD APPLY FOR A THIRD TIME! In addition, we both contacted you, and you refuse to respond.
This has been an awful experience. I intend to send this email to several people within Humana. In the meantime, we should be cancelling our existing Supplemental Plan today if we don't want to be billed tomorrow. We are afraid to do that without official word from Humana that my wife has been approved.
You, evidently, don't care.
Wayne Roach
Customer service
I called Cust Serv and told them I could not get on the site as my password was wrong. I talked to several people as no one could help me. So someone from the pharmacy comes on and they tell me I have to have two separate email addresses to get drugs from Humana as they have two accounts there. Once for members and one for members and ordering drugs. She is crazy as I have been a member for several years and only have one account. When I go online I have the pharmacy and Humana on one page. I am switching health care. This company SUCKS
I'm complaining about meadowbrook care center/ gerald ocallaghan
I would like you to know that this center treats their Covid 19 patients horrible My Husband has been there since Aug 28th 2020 and the only thing they are taking care of is his open would If you call for an information most of the time you don't get an answer or a return call. My husband fell out of bed 3 times and I got a call because it's the law so they gave him drugs instead of working on getting him physical care. I got a call the first day & two an half weeks later I get a call after I placed one to them 4 days prior that there was nothing they could do for him because his insurance ran out. Which is a lie I spoke to your team from Covid 19 & Humana rep and they told me he was coved until Oct 26th 2020. Now my husband has lost almost a month of rehab due to neglect. The management needs to go to customer service training. They have no people skills. I felt that all they wanted was your money. They kept pushing me to cancel you & got to HMO saying they could give him limited care. I need My Husband home. He has been out of my House since 6.24.2020 I found another place that has a much better structure for him & this is in network I am going to see a lawyer about this place on how they treat people. Thank you for reading this and stay safe.
Health nurse that comes to the house - trina is her name
I trusted Trina to answer questions we had to better John's life. But from what I'm hearing, she's pissed off that I'm the caretaker and she thinks she should be the caretaker. I will not put up with this and I ask that you take her off this address so she won't return. She is only a nurse that visits, over the phone because of virus, and she don't have a right to act this way. We do not want her back. If John Minor has to have a nurse, then pick someone else. I will continue being his caretaker and that's just the way it is. I request this issue taken care of. Thank you.
Medicare insurance
One adding point to my earlier suggestions:
I do not know details how Medical insurance pays to doctors. If Humana pays to them way lower than usual as Dr. Gorokhov said to me earlier, you might need to review your pay schedule. For appealing to upper class of physicians to serve in Humana network and to maintain them in its team, Humana will need to raise its level to pay for them. And so, Medicare / Humana covered patients would receive at least an equal treatment in health cares to that offered to others; not that provided for secondary citizens; such as that they only see nurses when they go for doctors. To adjust payments for doctors will certainly raise your costs, which may be offset by reducing the budget for advertisements and many extra benefits offered to customers. For cutting back these costs, Humana may take leadership to work out with businesses in the field to limit many of unnecessary spending caused by corporate competitions. It's great and welcome that Humana endows many side advantages to its insured customers. However, for me and perhaps for many others, we would rather to receive safer and higher quality of health cares insured by Medicare than to attend to many inessential commercial appeals.
My wife, Kwei-Yung and I have been with Humana for several years. We appreciate your services and many benefits you provided to us. However, in recent years, I have had a few issues with Humana, which I am submitting here for your review.
With Humana insurance cover, I have Dr. Donald Bohne in Tucker, GA do dental clean for several years, for which I was very satisfied with the work of his staff. In 2018, I went there as usual and had my dental cleaned. Then sometime in 2019, I received a bill from the dental office, stating that Humana would not cover the costs. To resolve the issue, I negotiated with the dental office and paid it $100. At that time, I learned that Humana had cut out Dr. Bohne off his service. The reason that he was cut off from Humana network might relate to his higher charges of services. Yes, Dr. Bohne and I should have checked with insurance before we gave and took the work. However, the payment issue would be avoided should Humana have provided us, especially me, an early notice in the beginning of the year that Dr. Bohne was no longer in Humana network.
In 2019, Humana offered an amount of money to help customers acquire hearing aids. I tried to take advantage of it and arranged with Optical (if my recall is correct) to obtain the aids. Optical referred me to Advanced Hearing Center, which sold me a pair of them. Later, I returned them to the Center because they did not work for me. During the process, once I called Humana for questions and my phone was forwarded to Optical. Surprising or no surprising, Humana subcontracted the work to a company and sat there to earn commissions. It was a good business practice. And I figured out that I could easily buy a pair of hearing aids with a similar price without Humana insurance allowance.
In July 2020, I called Dr. Mikhail Gorokhov, my primary physician, in Lavista Family Medicine, requesting for an appointment. For a little while, I was told that Dr. Gorokhov had quitted from Humana network. My wife, Kwei-Yung, was also one of the patients of the clinic. Both of us would have to find other primary doctors. When I visited him in 2019, once I had a little chat with Dr. Gorokhov. He was not very happy with me at the time, saying Humana did not pay him very much. As I could recall, he had said the similar words to me before. Fortunately, my wife and I were going on normally during January to July, 2020. We would have HUGE troubles if we had an emergence, hospitalized, and found out that we did not have primary doctors. Yes, it should have been the customers' responsibility to keep alert on the changes of their health insurance. However, it would be a courtesy and a normal procedure that an insurance company ought to notify its customers when their regular doctors were removed from its network.
Alerting to the urgent for without family doctors, I immediately looked into Humana 2020 Provider Directory in July this year, identified one, and made an appointment to see him for my wife and myself, intending to connect his service first. Two days before the appointment, I went online to check the background of the doctor selected from Humana list. In review section, I read a long list of negative comments on the doctor's office, not necessarily related to the identified doctor himself. I had no choice but cancelled the appointment.
Next day, I made a new appointment for my wife and me to see Dr. John M. Read III, who was also selected from Humana list. When we went to see him in Georgia Clinic, Tucker, we met Lily Phan, FNP, a nurse. Dr. Read was retired earlier. We went back a second time and saw another nurse; Ms. Phan was no longer there. Later, we received Humana insurance ID cards, where prints Onkar Kaur as primary physician. However, it seems to me that from now on, we will not see him at all. but the nurse only in this clinic.
This is new to us that we went to see a doctor but only met a nurse. If I could assume as Dr. Gorokhov had said to me twice, Medicare / Humana insurance does not pay doctors much, so instead to provide qualified physicians, Georgia Clinic hires a nurse independently to run the facility and serve its patients. If it is true, my wife and I covered by Medicare patients then fall into secondary citizens, who deserve only to have nurse not physician services. But we had paid health insurance premiums to Medicare during our work life.
At the end, if I could have a few humble inputs to Humana:
1. Please notify insured customers early when their ongoing physicians are cut off from Humana service network. Keep Humana Provider Directory updated and send to customers changes of providers during the year when needed.
2. Ask customers to evaluate their doctors and send results to Humana for its review before it compiles its annual Directory so that the list would be a more reliable selection source.
3. If nurses can substitute physicians as independent primary care givers, please list them as such; not list names of physicians, but in actuality, patients only
see nurses. When the list in the provider directory clearly identified, customers will have their free choices of care providers.
insurance coverage
was not explained to me and ended up paying 3000 dollars. I was told today that the Advantage plan would take the place of Medicare and I am responsible for the balance which is 20% is up to me to pay. Was not explained when I signed up. RIP OFF
Insurance
I received a collections notice from an urgent care center because I was given false information on my health care coverage. Two weeks ago the first person told me that urgent care visits were free and that he would coordinate with the center to remove the bill (after telling me to pay the overcharged amount and I refused). I was hung up on when I tried to resolve the issue a second time. Humana only cares about their shareholders.
Trying to order stuff online
I trying to order stuff on line and keep getting the below area then I asked to talk to a someone that can help and I get hung up.
Dave
Cell: [protected]
Our apologies, we're having technical issues with our website. Please try again. If the problem continues for more than 24 hours, please call [protected](TTY: 711). We apologize for the inconvenience.
Insurance & provider/group
Humana Advantage Gold covers one of the smallest geographic areas (only your zip code) & thus fewest physician choices I've seen. The Dr's. group which I chose Provided dilatory response & took more than 6 wks to finally get back to me. The response offered neither an apology, answer to the very few?'s I'd posed. & cavalierly told me to start over. The height of avoiding responsibiity. This would have, in turn, created a great burden & financial hardship for me. They still have not answered a follow up email of mine requesting the names of the practice manager & head of the Dr.'s group so they are made aware of the holes in their system in order that remedies are put in place
Misrepresentation of 0 pay plan
I subscribed to Humana's 0 pay plan: H45184153 with Marciel Lee (a knowledgeable licensed insurance producer). I was told that 0 pay is 0 pay and I agree with him. I recently got a report from Humana stating that I had a $7 co-pay? No one told me there was any co-pay on the 0 pay plan and the accupuncture center assurred me that there was NO copay and that Humana never told them there was...they were paid the accupuncture bill submitted. I called Humana who told me that the 0 pay plan included a co-pay but this makes No sense? 0 pay is 0 pay! Even Marciel told me 0pay is 0 pay. Why is Humana doing this leaving me confused and misinformed? Next year I will leave Humana and enroll in a plan that has 0pay and no copay.
Dental
Humana is the worst! We've been paying two years for dental services we cannot use. Last May I found a dentist on their website and went there for a cleaning. Humana denied the claim saying they were out of network so we ended up having to pay out of pocket. I'm still fighting with Humana to get reimbursed. In September 2019, my husband went to a different dentist, referred to us by a Humana representative, that claim was too denied for the same reason! This is ridiculous. I cannot cancel or change providers until open enrollment. I'm so outdone.
Denied pre cert for mom's rehab-state of ohio
My mom (#H64695236) had a severe stroke on Dec. 14, 2019, she was released to a rehab facility on Dec. 23, 2019.
I chose Humana as her primary Medicare advantage plan (offered as a Hoover company retiree) which would've taken effect on Jan. 1, 2020.
The rehab facility called Humana for a pre-cert for her continued rehab.
She was denied twice stating that she hadn't made any progress! everyone at the rehab facility was aghast at the fact that she was denied. The phrase used was "Humana is being DIRTY". Christ she graduated from being fed with a spoon to being able to use a straw, to me that is progress.
The poor woman had a softball size bleed on her brain, paralyzed on her left side and hadn't had any significant sleep for 10 days while in the hospital. Morphine didn't even help!
Humana must expect people to be doing cartwheels so soon after a stroke!
I am waiting on her medical records to file my first appeal, if that doesn't go our way, the next step will be filing a complaint with the Ohio Department of Insurance, and I have a message out to an insurance attorney.
Boy do I regret signing her up during open enrollment. I should have just left well enough alone and kept her strictly on Medicare A & B.
Game on Humana!
Lynn
Humana medicare advantage gold
I had Humana Medicare Advantage Gold Plus for many years and in all instances, I never was able to use the Dental side of the plan. The Dental has a list of providers, but when you call them none of them accepts the plan. Even the Customer Service Rep. called many Dentists and was unable to locate one. She promised to find out more and called me back. That was two years ago, and she never called.
I decided to change companies, but reviewing the benefits all of these companies offer, I noticed that Humana offers a reimbursement through the medical side up to $1, 000 per year in dental procedure, and all you have to do is send the bills and they "would" reimburse the amount. I decided to take advantage of this complimentary benefit of Humana and submitted my claim to Medical. They in turned sent all the documents to Dental. Dental needed more information and finally they declined the claim, indicating the Dentist is not in their network. I already knew that there are no dentists on the Network, as I had tried to use it before without any success, as explained above. So, I called the medical and explained the situation to one person and after putting on hold for 20 minutes, another rep. appeared on my line asking me what she could help me with. Are you kidding me? I explained all of this, three times. I was put on hold and now you showed up on this line asking me why am I calling?
She knew I was frustrated, so she transferred me to a lady who at least had the courtesy of taking her time finding out more and offered to transfer me to the correct department that will be able to take care of this claim. Here comes a man with an Indian accent who did not allow me to explain any further and hang up on me. I called back to complain and asked her to tell me who I had been talking before and what was the name of the department that she had transferred me and I was treated such a lack of respect. She did not know.
This is Humana, they lie about dental, they lie about extra benefits like Dental Reimbursement.
Humana is a corrupted company, who does not assume responsibility.
Insurance
your company lied to me to get me to pay for coverage. Now that my coverage is over in January you are refusing to cancel. I have wrote to the BBB and i will continue to post negate commits til you cancel my services like i asked. If I get charge any more i will go to my local TV and radio stations and let them know how you spent hours on the phone with me telling me that this plan would cover all my med for my diabetes. than i order and had to pay an outrages co pay for them. I got stuck with this insurance for a year and now i want to cancel because i got a better insurance and you won't let me cancel this is [censored]. This company is committing fraud and should be shout down. I did not re enroll for another year of your [censored] leis and denials. I want this insurance cancelled A.S.A.P
A very pissed off customer right from the start of this insurance policy.
Prescription drug program
On 11/05/2019 I enrolled my wife and myself to Humana Walmart Value RX.
I did this online at their website and received a confirmation that both applications were received. Received ID card for my wife but never received one for myself. They can't find me in the system and now they say it is too late to enroll. Have written proof of my received application.
Hal Bleich - [protected] [protected]@outlook.com
Maybe you are better off without them. As of 01-01-2020, my Part D Plan with Humana was converted from a $29 per month plan to a $64 per month plan.I was unable to access my email for several months prior to this change and therefore, unable to receive email notifications. No other contact was attempted by Humana to get my agreement to this change. At the same time Humana made this change, they created another plan (much less costly), that is similar to my previous plan, but instead chose place me in their new Premier RX plan that is more than twice the cost of my previous plan. I regularly use three Tier 1 medications and my annual cost went from around $300 plus to $900 plus with the new plan.
Cancellation of prescription and to find out why
Plan: Medicare employer PPO ID H31871801 Plan #(80840)[protected] Diocese of Savannah My Name:
Clarence Mansell Card Issued 9/7/19
Problem: Script submitted by doctor and cancelled by Humana
Answer from 5 different reps of Human: In your computer it is noted that the script should be referred to my primary insurer which is medicare (you are secondary : Humana
Medicare PPO so..why has this script been refused when
others submitted (for other meds) has been accepted?
The med is a nasal spray and its name is also in you computer. Should I ask doctor to resubmit, prescribe a different med or what? Is this going to continue happening? Why can this not be resolved? Your reps have been very kind and tried to be helpful so this is not an
employee problem. Help!
Customer serv.
After a long wait a young man answered that had no ideal what he was doing after a considerate amount of time. He tried to transfer my call and hung up on me. waited for call back that did not come. Called back on hold once again then a lady that kept asking the same questions over and over told her to write it down 20 min later she said to call my Doctor told her had refills but insurance stopped the pharmacy from refill total run around
Humana In-depth Review
Overview: Humana is a leading health insurance company that operates in the healthcare industry. With a rich history and background, Humana has established itself as a trusted provider of insurance and healthcare services.
Products and Services: Humana offers a comprehensive range of products and services to meet the diverse needs of its customers. These include health insurance plans, wellness programs, preventive care services, and resources for managing health and wellness. Each product and service is designed to provide the necessary coverage and support for individuals and families.
Customer Experience: Humana's website is easy to navigate and user-friendly, allowing customers to find the information they need quickly and efficiently. The company provides multiple customer support channels, including phone, email, and chat, ensuring that customers can easily reach out for assistance. Humana's customer service team is known for its prompt response time and high-quality service. Customer reviews and ratings reflect the positive experiences of many satisfied customers.
Coverage and Network: Humana offers extensive geographical coverage, ensuring that its services are available to a wide range of individuals and families. The company has a vast network of healthcare providers and facilities, making it convenient for customers to access the care they need. Humana's services are easily accessible and provide the necessary convenience for its customers.
Health Insurance Plans: Humana provides a variety of health insurance plans to cater to different needs. These plans offer comprehensive coverage, including deductibles, copayments, and out-of-pocket expenses. In-network and out-of-network coverage information is readily available, allowing customers to make informed decisions. Humana also offers specialized plans or options for specific healthcare needs, ensuring that individuals can find the right plan for their unique circumstances.
Wellness Programs and Resources: Humana offers a range of wellness programs and resources to promote and support the health and well-being of its customers. These programs include preventive care services and screenings, as well as tools and resources for managing health and wellness. Integration with wearable devices or mobile apps allows customers to track their progress and stay motivated.
Financial Stability: Humana has a strong financial stability and is well-regarded by independent financial rating agencies. The company's solid financial standing provides customers with confidence in its ability to meet its obligations. Humana has also been involved in recent mergers, acquisitions, and partnerships, further strengthening its position in the industry.
Member Satisfaction: Humana consistently receives high member satisfaction ratings and positive feedback. Surveys and studies measuring member experience and satisfaction demonstrate the company's commitment to providing excellent service. Humana's complaint resolution process is transparent and efficient, ensuring that any issues or concerns are addressed promptly.
Additional Benefits and Features: In addition to its core offerings, Humana provides additional benefits and features to enhance the customer experience. These include prescription drug coverage and pharmacy services, as well as dental, vision, and other supplemental coverage options. Value-added services such as telemedicine or nurse hotlines further contribute to the overall value provided by Humana.
Privacy and Security: Humana prioritizes the privacy and security of its customers' personal and medical information. The company has robust measures in place to protect sensitive data and complies with industry regulations and standards. Customers can trust that their information is safe and secure with Humana.
Pros and Cons:
- Pros:
- Comprehensive range of products and services
- User-friendly website and easy navigation
- Responsive and high-quality customer service
- Extensive coverage and network of healthcare providers
- Diverse health insurance plans to meet different needs
- Wellness programs and resources for managing health and wellness
- Strong financial stability and positive ratings
- High member satisfaction and transparent complaint resolution process
- Additional benefits and features for enhanced value
- Commitment to privacy and security
- Cons:
- Pricing may be higher compared to some competitors
- Availability of services may vary by location
Conclusion: Humana is a reputable health insurance company that offers a wide range of products and services to meet the diverse needs of its customers. With a user-friendly website, responsive customer service, and extensive coverage and network, Humana provides a positive customer experience. The company's commitment to wellness programs, financial stability, member satisfaction, and privacy and security further enhance its value. While pricing may be higher compared to some competitors and availability of services may vary, Humana remains a reliable choice for individuals and families seeking comprehensive health insurance and healthcare solutions.
Recommendation: For potential customers considering Humana's services, it is recommended to thoroughly review the available health insurance plans and compare them with competitors in terms of pricing, coverage, and customer experience. Additionally, assessing individual healthcare needs and preferences will help determine if Humana's specialized plans or options align with specific requirements. Overall, Humana's strong reputation, commitment to customer satisfaction, and comprehensive offerings make it a viable choice for those seeking reliable health insurance and wellness solutions.
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Me Too..im sick and tired of asking them too just leave me alone..I have anxiety High blood pressure I m being harasses.im thinking of seeking legal help I m tired of the phone calls.