Humana
Reviews and Complaints

After huge increases in fees I phoned Humana last year during the annual election period and said I was canceling my policy. They suggested that I also inform Social Security, which I did by phone. When they kept billing me I phoned them again and they said they needed it in writing, which they had not told me before. I sent in the form in writing with a letter saying I had previously cancelled by phone. They they cancelled the policy but said I owed them for the first quarter of the next year. I mailed them a protest letter and they advised me my protest was overruled as they had no record of my call, and I still owed them the money. I got a letter from a collection agency. I would never do business with them again!

I know this complaint is true. It is similar to my experience. Humana is the provider for my employer. They are absolutely terrible. They freeze coverage without warning. You can send them a claim via their message system and they will deny receipt of it. They will claim not to be able to read faxes that they request. They assert their 60 day review period in an attempt to delay payment as long as possible. They ran out the clock on my HSA claim effectively stealing almost $400 from me. It was clear to me that what they were doing was intentional. .

My direct experience with Humana Health has been anything but pleasant. Unfortunately for me, Humana is an employer insurance plan. My unpleasant and direct experiences with Humana stem from 2004 and 2010 experiences. In 2004, I had a routine procedure and Humana twice told me over the phone of a lower co-pay than what I was actually charged. Humana then communicated they no record of the calls, and when I communicated my record of the second call, the representative denied she communicated to me the lower co-pay. After a number of exchanges, I finally told Humana the representative and I would have to undergo a polygraph test to get to the bottom of the discrepancy. I then never heard back from Humana. In 2010, I paid out-of-pocket for a claim Humana told me I could get partially reimbursed for. Humana advised where I should file the claim, which department denied my claim because it wasn’t filed with the right department. As again advised by Humana, I re-filed with a second department with a claim form and my receipt. Humana then paid the supplier, whom I had already paid, which was an overpayment. Humana went on to advise I should “contact the provider
for any eligible reimbursement.” Hence, Humana’s advertised guidance in my case has been lies and deception when you need it least.

Conspiracy theorist.

I like that you wish horrible things on representatives who have about as much to do with your insurance benefits as a monkey does. Wishing people death and burning in hell is not a great way to make a change.

God knows I aggree with you. They have stopped paying for the small portion of my medications they used to cover. However, I think the only way we can attack Humana is through getting many persons to "chime in" with us. Right now, I feel like the best thing I can do with my life is devote it to a positive health care system. In order ot do this, we need to find as many persons as we can to take on Humana. I'm trying to start a movement that could eventually be huge. Please help me achieve this goal. Jenny

With Regard to Deceptive Practices:

A few years back I called Humana on an information search to try and find health insurance w/Rx coverage for my 25 year old daughter who was going off of her Dad's policy. I wanted to get info sent to me and get an idea over the phone of their rates range.
They wanted me and her to give application information so we'd already be that much further ahead if she did decide to apply. We did (I gave info first and then they questioned her after me) She had pre-existing conditions and we knew these could cause her some acceptance problems. (She has Asthma and G.E.R.D and a number of allergies and ADD) Before they hung up they told me that she would be denied and they said they'd be sending her out a letter of denial. I said "but she was not applying, yet and they said that she did when she answered the questions for the application. (The one they said they would not process, but just have ready if she decided to go with Humana after my research!) So she's been denied for coverage...single and at the age of 25, w/o intending to apply with them at that time! This means ALL insurance companies know she's been denied and is now as "marked" applicant. Fortunately, she has insurance benefits now thru her employer. I'll NEVER consider going with Humana when I apply for Medicare this year because of their deceptive practice during that information gathering session on the phone. NEVER!

This sounds like more of a rant than a complaint, but in any event, what insurance company doesn't have class action lawsuits pending against them? Frivolous claims are everywhere.

was sent a brochure recently from Humana to let me know they would be in my area and needed to apply between Nov and Dec to change from Medicare to their Plan. Wanted to do this because according to them they offered all my needs which Medicare does not. Well went through the speil of giving them all the information they needed, then they would ask me on a Scale of 1-5 how would i rate them, one was average the other 4 i gave a 5 as they were very knowledgeable, wrong thing to do because they did not follow up like they said they would, they did not call me back so yesterday on 11/13/08 spoke with a Supervisor who had to again do the spiel of needs, she said they would have someone call be back right away, it is now Thurs 11/14/08 and still nothing, well I called their Corp Office listed on the net and could not get passed the operator, she wanted to send me back to the call center Supervisor, i stated no that I want to talk to Corporate she stated I could not, so I said will file a complaint on the net, and that is what this is all about, oh the Supervisor told me to call her back today Thurs and let me know if anyone called me instead of her calling me the Customer back, The first Sales man was to come to my office on Mon of this week, he called on Sun about 6:30 p.m. to let me know he would not be here and would call and interview me on Mon that did not happen.

Read today that they have been double dipping Medicare for millions of dollars and other dipping of recipients.

In short: Customer Service is horrible they do not care about us the Customer, they just want you to give them a good rating so it looks good in the Call Center for them, do not give them a rating, do not expect them to follow up because 5 of them did not do that nor the Supervisor. I would not do business with a Company with a sloppy Customer Service that does not care about the Consumer who pays their salary nor a company that has such negative blogs on the internet which is ripping people off.

BEWARE OF HUMANA HEALTH INSURANCE, ESPECIALLY FOR THOSE ON MEDICARE, IF YOU RECEIVE A BROCHURE OR CARD FROM THEM BE VERY CAREFUL.

Humana will suck the life out of you. They are impossible to work with and will fight you for every dime in your claim.

They are Health Scam experts and have company meetings to see how they can make money off of you.

Just got off the phone with a Humana representative after being transferred 4 times, it is impossible for them to process claims correctly. I'm told processed according to repricing, however when I contact the repricing company, they have confirmed that the correct repricing according to contract, Humana receives it and then from there on it's a hell of a mess...takes them at least 4 months or more to reprocess and mind you does no good to contact appeals or grievances department, they just give you the run around, so next step is reporting them to the department of insurance. Geting to a point where we shouldn't even contract with them but due to the fact we have patient's covered by them, hate to turn them away. Then again, the insured patient's go thru hell with them as well...

Physician Finder Plus - MyHumana

Other Providers:
Physician Details
Perry County Family Practice Inc

Network: HumanaChoicePPO (Medicare PPO)

1625 Airport Rd
New Lexington, OH 43764

County: Perry
Phone: [protected]
Fax: [protected]

This is my Dr's office but Humana says it is out of network?

It seems you have a taste of Humana. It's a bitter taste that lingers forever. Humana has made it darn near impossible to send in claims and get reimburssed. For instance, I fought like hell to get Humana to reimburse me for one appointment. I filed the claim on 2/2/06. I recieved my small check from Humana on 8/27/07. Math is not my strong point, but I believe that is around 18 months and twenty or so days. Every company is allowed to make a mistake. I filed another claim on 3/14/06 in which I was reimbursed on 11/8/07. Again, math is not my strength, but I believe that equals around 19 months that it took Humana to send me a check.
Humana's delinquency turned out to be the least of my problems. Humana finally sent me a check for 339.68. (the check has faded, but I believe that is the correct amount.) Briefly after recieving the check in the mail, I deposited it via the atm machine at my bank. To my complete surprise, Wachovia called me to notify me that the check from Humana that I deposited was invalid. It quickly became the talk of my small town, including my bank, that Humana actually issued an invalid check to me. Although my story must soudn absurd, I'm telling the truth. I should add that I have had to call Humana over 70 times due to problems. I'm begging for other persons who have had problems with Humana to speak out. Humana will continue to run "business as usual" until enough persons speak out about the company. If you don't want to email me I understand. But, if you know of anyone else who is willing to come forward about Humana, please give them my address. jtbirdiusrex@yahoo.com Thanks, jenny schmtiz

I have a few claims still not resolved from June. I had my Doctors office call to see why Humana wouldn't cover my visit. Humana told me it was filed as a sick visit. The Doctors office told me it was filed as a physical.
After the the Doctors office contacted Humana, Humana agreed that they were supose to cover 4 visits 100%. This one would have been viit #2. So back for evaluating it goes.

sick of them never ever in all my years have i ever had an insurance company that calls all the time..i pay my premium monthly and do not need them calling all the time for this and that. I even have gone so far to block calls then they always call from another number anyone else have this problem? There is absolutely no reason an insurance co should be calling all the time. Had blue cross blue shield for 40 years and never a call.. Planning to go with someone else.

Every doctor I select off their website is not covered (in-network doctor and out-of-network-facility) even the PCP Humana helped me select is not covered. There are thousands (perhaps tens of thousands) of doctors listed on their website that they refuse to cover. Even the doctors listed are horrified at this scam after talking with Humana Colorado HMOX. I have two implants that are wired to me. I am a federal employee I am trapped until next open season. I may die without medical care before the next open season in a year. I don't know how the Humana employees sleep knowing their members are dying for want of basic healthcare.

I chose the plan that best fits my needs and am completely happy with Humana Gold Plus. If there comes a time I'm unhappy with the plan I will change it back to Gold Choice.

It is all about your plan, but then some people will never be happy.

Humana sent me a check for monies owed me because they over charged me. When I went to cash it they had cancelled the check and my account was charged $20. Humana refused to give me back the $20 saying that I should have known better than to cash that check.

I have Humana since February I have a Silver Plan HMO and no doctor will take the plan. I was told by a receptionist corporate says to stall with appointment cancellation and rescheduling hoping they will go somewhere else. She did say they would take Humana Gold. So for 4 months now I have no primary care and doesn't look I will find one off there list. There is list is worthless... But they keep taking my money every month

I think the only positive comments are coming from Humana employees. I was blatantly lied to. I specifically went with Humana because I was told repeatedly my very expensive medication would be covered. A med I have taken for over 20 years, it was not, even after several Drs. Said I should take it. Shame on you Humana. I was also told, both my husband and myself, and again this should be in Humana's recoding phone calls to us, that we would have a $4200.00 reimburment after the gap! So my 1st prescription this month was $345.00 the 2nd prescription was 145.00 and now I'm in the gap for $4700.00 and no reimbursement of $4200. Yes I was told of the gap but, I also was told I would get $4200.00 reimbursed. Now they are saying there is no reimbursement!
They are designed to frustrate, confuse and prey upon the elderly!

This is the truth. There is no accountability. Customer service is no more than a game of password. Nobody has the same information. Nobody is taking care of your account. You can't speak with anybody on a higher level than the inbound operators. They have breached their contract with me as far as I'm concerned! Over the course of a year and perhaps a dozen calls not once have I received the same information. There is no continuity. One rep said the hospital and clinic need to appeal, the next rep said my doctor needs to resend in a referral, the next rep said the dates are wrong, the next rep said my doctor called in but they didn't know what she was talking about, the next rep said the hospital dropped the ball by not responding, the next rep said it's too late to appeal. When the hospital called Humana, that rep said the member has to file a grievance. Follow up with her. Impossible! Today's rep said she didn't leave any notes nor did she leave her name. Today's rep also said I'm in a never-ending loop and agrees my next step should be outside the company. They are raising my blood pressure. I need to find a different company.

HUMANA screwed up on my drug plan application and as a result, I am without any coverage.
I signed on as a first time medicare member when eligible in October and subsequently received welcoming emails, notice that my card was in the mail, and then in a couple weeks afterward, the payment book showing first payment due Jan 1 of 2012. (I should have taken this a warning sign then!) Then to my surprise my prescription I went to fill on November 23 was denied and I realized I had not subimtted my "new" card to my pharmacy yet. Then I realized I had not received any new card yet and when I contacted HUMANA the rep informed me I was not covered yet and my coverage was not effective until Jan 1, 2012 as the coupon book indicated. SO, I have NO prescription coverage yet! Just glad I am not in dire need of any meds currently. I now plan is to find another drug plan provider, maybe one that has all coverage in one package but definitely NOT HUMANA! If they cannot even get my plan date correct, how can I be sure they can get anything else right?!

I have been in the insurance business for over 42 years and have never dealt with a company so incompetent as Humana. Every call to this company is transferred and then you end back up in the same place. It is just like the TV commercial I am Peggy which is a man. You never get to have your problem fixed. Also their RightSourceRx lies all the time and does not ship through the postal service as they claim. They use a trucking service then into the postal service so when the prescriptions finally arrive you are past out on the floor if you are lucky. Their prices for mail order many times are higher than the price to buy at a local pharmacy. If I have to pay more the transfer to another company, I will, but the Medicare makes you suffer until renewal date which can be up to a year of pain.

never had a worse experience

I underwent Surgery on 09/24/2017 and was literally thrown out of the Trauma Unit and sent home on 09/27/2017, because HUMANA refused to pay for my care and Physical Therapy! I am a 77 year old woman, now lying at home and cannot move because of this. My family at home all have severe Back Problems and cannot even lift me onto the toilet. So, I have to suffer for the rest of my life because someone at HUMANA made the decision to stop paying. Hopefully, my Hip will heal on it's own, even if it does not heal properly. MY WARNING TO YOU IS TO STAY AWAY FROM HUMANA! They are the WORST EVER.

I used to work for this dismal place in Phoenix. I was fired for using doctor and HR approved FMLA. They fired me shortly after I starting using this allotted time and gave me some ### excuse. Mind you I was always on time, my phone metrics were top notch, and I was on no verbal or written warnings whatsoever ever. They told us not to accept Rx returns even if a customer service rep misquoted a Rx copy. Disgusting company to work for an do business with. Phones rang off the hook due to endless complains and Rx misfills. The day I left was the best day if my life. I now work for an amazing fortune 500 company and they value their employees. Take a page from another company's book HUMANA. IF YOUR EMOUREA ARE HAPPY PROFITS AND BUSINESS WILL PROFIT. All of the customer service reps are ghetto and there is no reprocussions for their crap attitude and work ethics. This company will eventually will crumble. Just look at all the complaints! It doesn't seem like the fat ### CEO wants to take a break from his champagne and plate o'ribs and fix the company. Humana is only making its money because the healthcare industry is a monopoly. Get out people while u still can u will get ripped either way.

HUMANA AND ADECCO AND OTHER AGENCIES! 01/11/09

I can say all of this and I know its true I lived it ! Our family has recently decided to go with another company and has decided to drop Humana Insurance. when the time comes So not only is Humana loosing customers but they are ticking more and more of them off everyday, but they are loosing customers that use to be employees buy screwing them over..! KEEP DIGGING HUMANA ...YOUR TIME WILL SOMEDAY BE UP IN CINCINNATI AND WEST CHESTER AND YOU JUST GOT STARTED.

I can help explain why Right Source Humana Pharmacy is so messed up. I was hired through a Temp agency and I am not the only one. Adecco is going through other agencies in the Cincinnati and West Chester Ohio area looking for Pharmacy Techmicians...SO BEWARE ! And they are taking anything they can find..! Alot of these individuals have little or no experience and some have plenty, but the problem is they have opened up a new facility, and distrubution center using some individuals who have only been with the company for a short time to train the incomming new perm employees and Temps. I personally can't believe they let these individuals train new hires and they don't even know the computer modules themselves. Many of the individuals doing the training have'nt been with the company that long and to get answers they didn't know were Instant Messing Pheniox Az. where the main distrubution center is to get answers. In my training class a Temp who had worked for a small family based pharmacy found a prescription that had been filled wrong 4 times, and no one caught it not even the Pharmacists that work at Humana ... she did..! And guess what she is no longer working there they fired her shortly after that! The blind leading the blind. They should embrace people like that instead they sweep good talent under the carpet to keep from looking bad. She would have been an asset..! Also this new facility in West Chester is having many...and I mean many computer problems, and when you combine poorly trained people and slow bad computers your not getting much accomplished. When I worked there in the morning the computer modules were empty we sat around alot, and it was'nt by choice ! The computer modules were empty and sometime untill 3:00 pm and we got in at 8:00 am. Having to wait on Pheniox is a nightmare in every sense of the word..!

Now moving on ..! Most of the individuals working at this new center have come from various other places. I noticed alot of upper management and supervisors, leads, SME's have come from the same company. I noticed that there were many clicks ...ALREADY and if you were new or a Temp they wer'nt to friendly. Many of my fellow Temp co-workers told me in private that there were several supervisors in Order Entry, Dr Call, Patient Services that were mean to the Temps. Item Entry didn't even have a Leader they took orders from the Supervisor of Order Entry who had no experience with the area...and thats scary when it comes to entering individuals prescriptions..! ...but who cares how you treat people when your getting a good paycheck right! I also found it degrading to be refered to by regular Humana employees as a Temp on Temp Island. The way that Human employees in this new facility put it to us the first week when they did'nt know what department they were going to put us in. Temp Island is, and area infront of the door where all the Temps sit over there away from everyone. Thanks to all the computer issues most of the other Temps I worked with also told me their logins did'nt work form anywhere from 2 to 10 wks. So when asking questions to get help in your module be careful, and don't ask to many questions they don't like it, and to give the Temps any kind of perminent info. What I mean by perm info is when we arrived to start our first day we all met in the lobby. After everyone was present and role call of names was taken this is how it was put to us. A represenitive from Adecco met us in the lobby, and told us point blank. This is a Temp job this is not a Permanent job. If your agency told you that I want to know now ...and usually your agency told you it was Temp to Perm to get you onboard. We were then told it would be 3 to 6 months, and when our time was up we could then if we wanted to apply with Humana ourselves we could...but what they did'nt tell us was while we were being hired, and half @zz trained they were hiring permanent people, and fully training them. I found this out about a week into this what seemed to be never ending job of BS and deceptions. I would have thought Humana the company who suposly got it from what I was told from Supervisors, SME's, and Higher ups... would give everyone the same training to get the job done right. I feel sorry for some of the Temps who are still working there because they are under the wrong impression they are keeping them so they can hire permanent individuals, and your agency told you one thing to get you there, and Humana and Adecco will show you another! SO FOR HUMANA AND ADECCO I HAVE YOUR NUMBER AND I WON'T BE CALLING YOU... AND YOU CAN BET...IF THEY CAN'T GET IT RIGHT ON THE INSIDE THEY WILL NEVER GET IT RIGHT ON THE OUTSIDE WITH THE CUSTOMERS. I had myself removed from this job because I know they don't treat there customers right I spoke with several people who were in my group who went to Patient Services and they told me they wer'nt happy most of them left before or right after me. They had gotten tired of getting yelled at everyday by angry customers. Some not by choice...!
I also wanted to say they only trained most for a week ...and funny go figure then pulled alot of people except for the perms they hired back into the training room again for to many mistakes... and other problems. So I can honestly say GO FILL YOUR PRESCRIPTIONS SOMEWHERE ELSE DON'T WAIT 14 DAYS OR SO, AND DON'T FIGHT WITH HUMANA GUIDELINES... GO GET YOUR STUFF NOW AND BE HEALTHY, HAPPY AND HARASSMENT FREE...! I AM

I agree stay as far away from Humana as possible. They are putting my husband and I through the wringer. They will not pay legitamate claims and they answer to no one.