Humana
Reviews and Complaints

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.

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.

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!

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.

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.

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.

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

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.

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.

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.

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).

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 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

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.

This problem of false delivery promises has been going on since the end of June2022. The last recorded conversation I had was on Aug. 5th in which I was promised delivery of my nifedipine 30 mg. XL which was a correction to be sent out urgent by priority mail or fed-ex. Now there has been no delivery and I find it was not sent "URGENT" in spite of two calls in which I had been reassured it would be at my home on Sat. or Sunday at the latest. I find there is nothing I can do to change my service until open enrollment in Oct. I have had this because I need delivery since the beginning of the part D enrollment in 2006. I have a new physician and he evidently sent the new prescription to a local pharmacy back in June 2022. Since I called that drug store & said that I usually had 3 months sent at one time, there would be a correction. Thus far, each supplier has blamed the other and despite the many conversations I have had and promises I have received, I have NO MEDICATION for my condition. Thus I have suffered great anxiety and wish to change my insurance. I find I must wait til open enrollment to change. Why? They have made false promises and broken the trust that I once had in that company. If they break the agreement, must I be trapped with this lying & inefficient firm until Oct?

Humana was acceptable in the past but lately they are intolerable. They pay less and charge more. Higher deductible and now they even to refuse to pay their portion of drugs they have paid for in the past. They won’t even accept my doctor sending them information on why I can’t take another drug on their preferred list. They even tried to get my doctor to prescribe a drug not FDA approved for my condition. They reject appeals for no reason. This behavior smacks of profit oriented vs. customer care. When open enrollment comes around, they are history. Avoid these guys!

Notice given to you is notice to your agents and agencies, and notice given to your agents and agencies is notice given to you.

3 August 2022

Denise Laquay Brooks

C/O 860 Park Place North East

Conyers, Georgia 30012

Bruce Broussard

HUMANA MEDICARE

C/O 500 West Main Street

Suite 300

Louisville, Kentucky [protected]

RE: DENTAL SERVICES THAT HUMANA WON’T PAY

Dear CEO AND PRESIDENT Bruce

My Name is Denise Laquay Brooks and I have changed my status as a Lawful Non-Combatant American State National, who is back on the Land and Soil of Georgia. I am Retired, I am not a State Citizen, a British Territorial Citizen, A Roman Citizen, or any other quote in quote Corporations Representative, that we have in these United States. And that are subject to rules, codes, and statutes. I do still have a CORPORATE Cestui Que Vie Trust in the name of the Trust, but are not under the State of State Corporation who have taken over from the 10 mile square of Washington D.C.

See my Credential Card fMz53-338276 attached from the United States of America and can be accessed URL;https://verify:americaunincorporated.org this is attached. This Status is a Non Resident Alien.

I a woman would like to claim my Exemption stating that The Trusts name DENISE LAQUA BROOKS., is responsible for the fees that your CORPORATION thinks that I am responsible for The Municipal Contract is for you to make sure you follow guidelines to pay this Claim. I am not the woman on the land and soil who is responsible for these FOREIGN ENTITIES that the Cestui Que Vie Trust has acquired. My Identity has been stolen and I don’t know who ordered all of these things and wants the Woman on the Land and Soil.

The above woman has been mis addressed by so many CORPORATIONS who she doesn’t owe and this has been forced upon the Cestui Que Vie Trust for so long I am the woman who has to stand up and tell you among others that I am an original birthright American and with all of the birthright rights bestowed upon the True American State Nationals in the United States and abroad.

I have talked with many representatives from HUMANA on several occasions one woman while I was ordering over the Counter supplies was a very nasty woman. I reported it and nothing happened. I have spoke with several representatives at HUMANA and I know there is a remedy for these bills that was sent to me and they mean nothing. I have a total of $4,000.00 per year from the HUMANA policy saying in Network! I don’t know who told them that my dentist is out of Network. Please show me full disclosure of the premiums paid and to whom for what. This is a travesty and I am not an Employee of HUMANA, or a dependent of HUMANA. Your CORPORATION has made more credit from my only Policy in one year that I can shake a stick at. Please send me information for the Policy how much is on Ledger and off Ledger for this Trust Cestui Que Vie DENISE LAQUA BROOKS. What it has paid for and what in the future it is going to pay for.

There is also a number of Cases that the Supreme Court has stated and I repeat no CORPORATION can tell a the general public to abide by any codes statutes, and mandates Norton v. Shelby, also Virginia v. EPA . Your CORPORATION has the Constitution to follow, and as I have Stated from my Credential Card, standing you have to make sure that the Beneficiary is the one who has the standing to make sure this benefit is to make the Trust run smoothly. Your job is to make sure Trust Fraud isn’t committed., or Malfeasance is not committed by HUMANA. This CORPORATION has committed several violations according to title 18USC § 241, § 242 and other violations.

Humana is a subcontractor to the Constitution and you are not a governmental entity, the only thing we have in common is the Constitution, I am a member of the General Public and you owe me the service member contract just like the $4,000.00 per year Dental Claims in Network. You have not done anything that it says in the HUMANA, Dental portion of the Contract.

interest as well as tell me that my names and CORPORATIONS operating under the name has been cleared and not seen as a driver!

1. Please send me a copy of your FARA paperwork stating your Status and why you have it, So I will know that you are legitimate.

2. Please send a copy of your bonds and who should be contacted for claims on these bonds.

3. Please show me that you don’t have me listed as a DEBT slave and you are hypothecating debt for the DENISE LAQUA BROOKS Cestui Que Vie, Trust.

4. Makes sure you show that no Bottomary Bonds or/have not been insured against DENISE LAQUA BROOKS. If so when was it cashed in and where is the part for the Trust to be sent as soon as possible to the above address.

5. Please show the Beneficiary where you have closed this account and have sent all monies to her attention and understand she is not a Citizen, ward of the State, British Debt Slave, or a Slave of the Queen, Pope, or the Lord Mayor of England, or any CORPORATION.

6. Please show me that I am not grandfathered into any asset and copyright trade mark which has not been in my name and this foreign law does talk to me at all. The CORPORATION has not used my names or Cestui Que Vie Trust and stated which is all bogus. I am not an Actor, or any phony CORPORATION who owes anything. 1860 shows what has to be done I am grand fatherered into the rightful owners of these CORPORATIONS, and sub contractors and is owed all of the rights from all of these CORPORATIONS.

7. Due to 18USC241, 18USC242 I a woman is owed all of these provisions from the above code sections among others.

8. Regulation Z has to be provided for me as a woman on the land and soil. Please give full disclosure of any policies and when will they be cashed in and by whom, proof.

9. Show me that you have not borrowed against my credit with any of my credit and opened any credit or hypothecated any debts with fictitious cards, bearing the Trust Names or identifying factors for the Trust, Cestui Que Vie Trust.

10. Show me that I am a US Territorial Citizen! Show me that I am a British Citizen!

11. Show me that 12USC§95a is not what I am owed as a woman on the land and soil!

12. Show me how many life insurance policies you have in the names of the woman on the land and soil Cestui Que Vie Trust and any other policies in any other names, CORPORATIONS, with the same identifying markers for this Trust!

13. Show me that Regulation Z does tell you to steal from my Cestui Que Vie Estate, and have me as a woman on the land pay again for anything.

14. Show me the on ledger and off ledger of this trust in the DENISE LAQUA BROOKS, Cestui Que Vie Trust Account.

Most sincerely and by my hand and under my seal.

Denise-Laqua:Brooks ©™, beneficiary

Denise-Laqua:Brooks, ©™, Beneficiary

All rights Reserved Without Prejudice

They are total [censored].

Cannot login - their 2FA doesn't work. I have it, it NEVER sends a code.

Cannot order refills or OTC without spending way too much time waiting on phone listening to enraging [censored] from an automated voice that doesn't work worth a [censored] either.

After 45 minutes on phone told they can't help on the weekend...call back Monday. [censored]. What year is it, 1950?

I am not trying to shop for and order OTC products over phone, what the hell.

Oh, and a prescription I am almost out of, Cymbalta, did not come up ontheir automatic refill thing like it should of. This is not a drug I want to run out of, could end up in hospital.

Incompetent unconcerned trash is all they are.

And from what I've seen nothing will change except I'll be leaving Humana.

I am a senior that has paid into Humana Dental for almost 5 years. I made an appt with a dentist and was told my coverage only intitled me to have 1 (yes 1) tooth x-rayed. I couldn't believe what I was being told. But I spoke to Humana and was told the same thing. I still can't believe it. But it was true. Please make sure you check your coverage before attempting to use Humana. I immediately cancelled my plan and will never recommend Humana to anyone.

7/7/22: I was Supposed to be picked up anywhere from 7:15 AM to 7:45 AM for an appointment at 8 AM. I was called last night by a driver who assured me she'd be here. Nada.

I called MotiveCare at 7:45 and after the 5 minutes it takes to speak to a human, I was put on hold and then hung up on. I called back. The appointment was for a lab that could take walk-ins till 10. 2nd call and all the mess to speak with a human and was told it would be 45 mins. No show again. Called AGAIN and was told it would be at least an hour. At which point I got my son out of work to come get me because I needed the lab work done today for an appointment next week that I'm not really sure I'll get a ride for!

I schedule my rides a week in advance & REGULARLY don't get them. And getting home from an appointment can take up to 2 hours.

This would be a great service if it worked! My son lost an hour's wages hauling me and that's not fair to him.