Humana
reviews and complaints

First off, do NOT let them deduct your premium from your social security benefit! You have been warned. When we moved from one state to another my wife could not find anyone to go to in the new state. When we called Humana we were basically told "sorry, tough luck" and since it wasn't open enrollment we couldn't disenroll. They kept taking the premium out of my wife's doc check. When we commented that due to low income we qualified for state aid HUMANA THEMSELVES told us we could disenroll due to "low income subsidy but we had to complete one of their forms, which we did. After that and several phone calls we were told they would stop deducting premiums in Apiril 1st. Imagine our anger and surprise to find it continued through July. We eventually had to call Medicare directly and have Medicare FORCIBLY disenroll us. We had DOUBLE COVERAGE for 4 months and it is clear that Humana is doing everything possible to avoid refunding premium. They go as far to say they can't refund because we "used the plan". EXCUSE ME, But had you disenrolled us when we first requested there would not have been coverage. WE CANCELLED YOUR PLAN BUT YOU KEPT ON DEDUCTING PREMIUM FROM a low income senior's social security check. THAT, is "Medicare Enrollment Fraud".

I got dental from Humana ON July 2016.I had a probelm in my one of the tooth. I went to human net work doctor Mr. Edward A. Mucha on August 1, 2016 .
He took X-ray and found several problems. Humana Insurance needed pre treatment estimate for authorization for any payment.

I called human dental asked me to send the estimate.
On Aug.15 I faxed DR. Mucha's estimate fx no1-[protected] and also mailed the estimate TO .claim P.O.Box 14283 Lexington, Ky...40512
called on Aug.15, they said they never received it. I sent fx [protected] they said never received. I sent again on Aug.24. to Staffeney [protected] and requested to call me as soon as she received it. She did call and confirmed it. I called on Sept.7, 2016 . they said it is sent to system to process. When I call on Sept.16, 2016. Mr. Jay told me sytem never received it and his going to send it today and call me on Monday Sept.19, 2016.
I have spent lots of time on phone . I have all the records. And much more to say

I was seen at the cancer center today my HGB is 7.1 My oncologist gave an order for 2 blood transfusions. These 2 transfusions are desperately needed. I called customer service to ask why it is going to take 48 plus hours to receive approval for these two transfusions. An African American female answered the phone. Her first name is Danielle she was rude nasty and hung up when I questioned her. She stated it was out of network so no authorization. I response you do not have a Cancer Center in network that can provide the treatment needed for my cancer. Her response was you can't have authorization. My response is : so you are going to let a man die because you won't give authorization. I ask to speak to a supervisor she said they are at lunch it was 1:38 PM. I ask for her name she replied I don't give out that information. However I wrote her first name down when she answered the phone. I ask for an ID number then since she refused to give me her last name. She hung up ! WHAT RUDE NASTY PEOPLE YOU HAVE WORKING FOR HUMANA! PLUS YOU WILL NOT PROVIDE NEEDED CARE TO SAVE A PERSONS LIFE! I am reporting this to the federal insurance commission. Plus putting it all over the internet.

Would not pay anything for my sons leg braces and the policy we pay for is a comprehensive commercial policy. The braces were $286 dollars and needed because his knees were out of alignment and he was having trouble walking.
The orthopedic doctor called Humana on my behalf and verbally asked for them to reconsider. A Humana representative said if I could get the doctor to call that would use that as an appeal. Human still refused to pay. The school system (Blount County Schools) in East Tennessee that was using Humana was tired of it's employees getting claims denied and dropped Humana as of Jan. 1, 2016. I think the public should no that there are way better options out there for insurance companies that will pay for medicals services than Humana .

On 3/1/16 a request for LTAC was submitted through the automated system for patient Walter Johnson, DOB:12/31/1941, ID# H48658549.
On 3/3/16 I received a phone call from Devera Ellis who is the CM at THR Harris SW (the facility where member currently is) and Devera stated that she received a phone call from Nelda Bell who stated that the request for LTAC was denied and that the pt would need to go to a SNU.
I had not received a phone call or fax from Nelda Bell or any other representative for Humana to request clinical or discuss patient's LTAC request. I then called Humana's main number and spoke with Marvie, call ref #CDR086126118, who informed me that the LTAC request had been voided by Nelda stating that pt was going to a SNU and that she had a note stating that she had called the number provided for the request (which is my direct line) and spoken to someone regarding pt. This statement is untrue as neither I nor any of my colleagues spoke with her. Because she voided the case instead of sending it to the medical director we do not know if it truly was denied and it took away our right for a peer-to-peer review. A new case can be started but this is also an issue as it is a delay in care/transfer of patient.

In December of 2015 I contacted Humana about clarifying my preferred provider (Dr Ma). The operator assured me that Dr Ma (my primary care doctor) was on the approved list but for some reason she was unable to have her indicated as my primary doctor.

Between then and now I have spent countless (maybe 12-15 hours) on the phone with 4 operators and 2 supervisors, to no avail. I was told (somewhere along the line) that the problem was that my doctor had changed her tax ID # and it had to be corrected by the contracts dept.

Each person I spoke with assured me that they would clarify the situation and that they would call me back. No one did.

I have had scheduled surgery interrupted for over a month because Humana cannot straighten this out. I have travelled to see a Hematologist and been refused service because I was in the wrong "Group" in the Hematologist's computer.

I need to have Humana correct their records so I can proceed with the scheduled surgery.

Paula Shapiro
Humana ID # H45352200
[protected]

I spent 7hours 19min trying to obtain a new pcp today; it took 11 different calls and a supervisor hung up on me. My previous pcp closed his office without warning. My health requires frequent visits and many meds I am 68yrs old and very ill at this time. If could I would immediately change issuance companys rest assured I will the next time we can. I will never suggest for any friends to join humana, this was and is still a nightmare this company should be ashamed of themselves and by the way they need to hire people who are better trained and definitely older than my great grand kids.

Humana Outsourcing all their call reps give misleading info and they haven't processed a claims received 6 month ago with all information needed to process... Manager dont call you back and they never pay what they say... My Doctor office staffed told me NEVERT go with humana again... I called 1/5/16, 12/28/15, 2/8/2016, still my issue has not been resolved and my Doc office called over 10 times before getting me involve they refused to transfer me to the manage who made broken promise in getting me claim processed, ... not a very organized company

Don't let yourself be fooled...they don't payout medical claims.

They cancelled our policy when we paid them with a certified check and proved to them with the postal receipt that it was paid in time.

C Walsh promised to fix it after trying for a year...but she lied and never did.

Gary

I am trying to give the correct Fax number to my Doctor. After years of
being a customer I needed a refill and after a month and a half finally
received it. They had the wrong fax number for order. I am on the phone
now for 2o minutes, been passed around 3 times and had bad customer
service...on hold without being told . Called Humana who wants to send
me back to the pharmacy where I was with a person who did not know
what she was doing. I had to repeat numbers 4 times to her. This is very
poor customer service and in the future I will be leaving.

Renee Hilton

On a recorded line, I was told by a Humana representative that my dentist Dr. Edith Gevorgian, Glendale, CA, was in network and that routine cleaning would be fully covered. After my first cleaning, Dr. Gevorgian received $21 from Humana. I called Humana and was told that she was NOT in network. I asked to have my policy canceled and premium refunded. I suggested that they listen to the recorded line. They told me to write to PO. Box 14729, Grievance and Abuses. I did so enclosing a check for $21. Today I was told that there was no record of my correspondence on June 14 and August 4. After that, I searched my check records. Sure enough, Humana cashed my check for $21 in August 2015. So, they did receive my letter. I was lied to about my dentist being in network, and then I was stonewalled by customer service. Today I also received an E-mail stating that my policy was being canceled effective last August. Seriously, return every cent of my premium and send me a thank you letter for bringing this pattern of fraud to your attention.

I obtained my health plan from Humana with the the Affordable Health Care in 2015. On May 1, 2015 Humana cancelled my policy due to non-payment which was paid by the Federal Government. Of course Humana did not tell me this nor did I get a letter. When I had to pay for my medication HUMIRA which costs 3, 000 per month they told me it was due to a glitch and I would get the money back. I called and called and called and was told so many times I can't count them all that the check was in process and was even given an amount. Finally in October a CSR told me that my policy was cancelled and that no money was coming back to me. I called the Affordable Health Care and they told me to appeal the decision. I did this, won the appeal and I contacted Humana spoke with a supervisor and she made a three way call to the Affordable Health Care office who told her I won the appeal and have coverage. The supervisor told me that she should have the information within 24-48 hours and she would call me back by Thursday. Of course she never did and I called today only to find out that there are no notes and they can't contact the supervisor that I mentioned and not I have to wait another 10 days. THIS IS UNACCEPTABLE I have been waiting for the 3000$$$$ back since May. ALL I WANT is WHAT I PAID... RETURN MY MONEY AS I WAS OVER MY DEDUCTIBLE AND OUT OF POCKET...

Company Humana Insurance gave me wrong details and not full information about their services. After all the problems appeared, I called to the company and asked to explain what they have done, but the reps weren’t talkative and refused to tell me anything. I was so angry and because of their actions I have serious problems and my records were spoiled. Do not do business with them!

I cannot express how disgusting this company is. I was a young college student who was self employed and paid Humana for years! The minute I had any issues and needed help - they canceled my policy and made it impossible without attorneys to get medical bills paid. They should be out of business😔😔😓😓

I have met my deductible for my Prescription Medicare supplemental (Act [protected]-001) in January. Since, I have been paying for my co-payments which have already increased once this year. however I went to pick up my prescriptions for this month and one (Eliiquis) has gone from $79 to $109 and the other (Betamethasone ointment) has gone from $20 to $53 medication. There was no notice and I cannot afford my medication after these additional increases. I need to know why the increases occurred and how Humana is going to help me. I certainly cannot continue next year with a company with such terrible customer service.

L S Lotman [protected]@yahoo.com

I have 2 complaints. The first one being that after calling Humana to get assigned a primary care doctor I then immediately called that doctors office and got an appointment for 30 days out. After going to my appointment on March 10th and being told to see a cardio specialist right away, I then receive a letter from Human the next day saying the primary doctor is no longer in my network and I had been assigned a new one that is 42 miles from my house!
Second complaint is that it is the following business day and I am trying to reach Humana but their website is down and I have been on hold for 47 minutes with no answer.

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 over priced 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.

I am a retired federal employee with federal health insurance. My fed health plan, like most, has a minor dental coverage. I bought regular dental insurance with humana federal advantage dental VAN6 thru the federal health open enrollment . Humana will not pay my common cleaning and cracked filling charges because my fed benifit plan pays $24.00 for these services. I have called humana and talked to customer service and they assured me the problem was fixed. It isn't. For 2 cleanings and a cracked filling repair they have allowed 0 .my dentist has resubmitted all as requested by humana.I have paid a insurance co and the dentist both for these services. I feel cheated by humana.

I bought some oxygen equipment I found out it was out of network it cost me $3, 300 to but them I am on disability so that is a lot if money to come up with Humana will not reimburse me also now they are saying they don, t have authorization to rent me machines now they had already rented my machines but when I bought the other machines they discontinued renting if I don, t get reimbursed I cannot pay the credit cards and might lose my machines please help me

They sold me dental insurance, charged my credit card, only to find out that they offer no providers in my area. The closest one was 75 miles away for a dentist that they would cover. When you go to their website, they list tons of random dentists all over Fort Wayne, IN and the surrounding area. Then, they try to tell you that the $35.00 application fee was non-refundable. When you try to call to cancel and get your money back, they refuse to give you a cancellation number. You are put on "eternal" hold on the telephone, nobody responds back to emails, and it is just hours and hours of endless frustration. DO NOT EVER TRUST THIS COMPANY, IT IS FRAUDUALNT WHAT THEY DID TO ME.