Humana
Reviews and Complaints

Worst insurance experience ever. Humana denied Medicare prescription covereage in 2019 for the only Med I was using. After a 6 month internal appeal process was unsucsessful Humana was overruled by an outside Medicare appeals board (Maximus) and Humana was directed to cover the Med. The policy I had in 2019 was replaced in 2020 with their "Premier" plan with no input from me whereby my monthly premium went from $20.27 to more than $57 dollars. In June 2020 after covering the subject Med under the 2020 policy, Humana again denied coverage from the same Med with a mini 3 page "lecture" on why I shouldn't use the subject medication (Keep in mind Humana had no access to my medical history and chose to ignore MD prescription form two separate MDs.) Their internal appeal process is a "kangaroo court" where it's a virtual certainty they will not reverse an intial coverage decision. My 2020 policy was cancelled 3 months before expiration based on an out of state change of address. I sincerely believe that Humana looks for ways to avoid coverage and relies on that most insured will eventually accept their decision.

Humana now look like don't want to cover for name brand medications, I'm having a problem now Humana don't want to pay my Pharmacy for my medication filed of Neurontin, My Neuroscience Doctor order it name brand. yesterday (/10/21 I call my Pharmacy few days ago for a refill and they told me To call Human for a problem solve on this medication, What seem to be the problem with you people? now I'm going to be with out my medication and you all are going to ruin my health, over 1600 people I have on my Internet list, I will pass this around so they know the real Humana Insurance is.

1. My husband and I are both Humana Gold Plus members. We've been waiting for a reimbursement of $179 for services rendered 12/15/20. Spent countless hours on the phone, wrote a letter, still no reimbursement or satisfaction.

2. Cannot log in. After spending an hour with your team, I still can't login. May not be signing up with Humana again when open enrollment opens up.

I need s as compound prescription my doctor sent for nerve pain to a specialty pharmacy that does compounding on 8/25/2021. Drugstore called me and told me Humana stated not covered snd I can pay if I want the drug. I paid. I called humans numerous times toddy and yesterday, went in their website to ask why. No One was able to answer me. They, mis inform, transfer you to various departments or just hang up on you. My name is Karen Silbowitz

I have lupus and have taken hydroxychloroquine for years. The product I have always used that works with my lupus is manufactured by Watson Labs. Humana is now using another manufacturer to supply hydroychloroquine. The product must have different ingredients because it does not help with my lupus flares. I have contacted Humana pharmacy and asked for the medication with the same ingredients as Watson 698 200
but the pharmacists insists that there is no difference. This is not true. Plaquenil is the patented drug and in order for another manufacturer to produce a generic version the ingredients must be different. I was on automatic refill with Humana sending a 90 day supply. I called 2 weeks ago and asked them to cancel the automatic refill and received an email today that they are again sending me a 90 day supply of hydroxychloroquine that I will throw in the trash. I am still without the medication I need to treat my Lupus and no one in Humana that can assist in finding a pharmacy that can provide the hydroxychloroquine Watson 698 200 pill which is now manufactured by Actavis.

Date of incident: August 5th 2021
Member ID : H31652665
Resolution : Cancel my coverage please

My copay was $1.40, then I get a letter that said my claim had to be re-processed and that I owed them $28.43. I had auto-pay on so I expected the payment to be that. Then I look at my bank account and they took out $51.60 with no letter telling me their was additional charges. I got a letter today (August 14th 2021), telling me my co-pay is now $17.20. I immediately turned off my auto-pay and now I have no money.

Humana pharmacy uses highly inflated drug prices to put customers in to their insurance coverage gap (donut hole). When I tried to refill my prescription for two inhalers while in coverage gap Humana quoted a price of $523 and if you walk in to any pharmacy in the Midwest without insurance it would cost you no more than $120, Humana is blatantly ripping off customers that have have Humana drug insurance.

I don't appreciate Dr Gopez calling my office and telling my office manager I am not qualified to diagnose and treat orthopedic condition because I'm just an internal medicine physician. I have been doing this for 25 years and I believe if Dr Gopez will think about it, I'm quite cost effective. What kind of business would make such a call to a doctors office and belittle the physician in such a manner.

Please remove my mobile phone number from any calls or text messages. These are SPAM and I am not a member of any Humana plan and never was: [protected]

Example:

"HUMANA FREE MSG. Earn $20 in rewards through Go365 after getting your COVID-19 vaccine. Learn more: mp0.co/FloridaGo365/NJ5Da
Reply STOP to end, HELP for help"

Sincere Thanks,
Terry Trost

Order number [protected] was not received. Phone support put me on hold forever. It was employee sweet, xot2477
Missing shipment.

I want to thank the people responsible for denying my procedure. You'll did a great job. Now I being seventy years old will have to wear toe socks and gloves in ninety degree weather for the rest of my life. Thank you very much. If my doctor didn't think I needed the procedure he wouldn't have ordered it. And I pray that the ones that denied me have the same problem with their circulation so they will know what it's like to live with their toes and fingers feeling like they are in an ice bucket all the time. Thank you again from herbert w. Dance jr #h64839537

My husband is due heart surgery necessary before having a mytral valve repair. Today is 7/22/21. The surgery is scheduled for 3PM tomorrow. Humana has insisted on a peer to peer review, resulting in the hospital saying we will be responsible for all charges if Humana does not come through. A cardiac surgeon from the University of Colorado Medical has requested this surgery. What right does ANY insurance company have thinking they know more than the doctors who are personally involved with the patient? A mitral valve regurgitation of 35% (which my husband has) is over 50% fatal if not treated. Not only is Humana playing games with my husband's life, but the "peer-to-peer" practice itself is detrimental to ALL patients. It exists ONLY to save money for the insurance companies.

Good Afternoon, My name is Tyshondra Barnes I am writing a letter of compliant in regards to my dental plan in addition, I being this dental plan for quite some time now. I have received the proper service under this dental plan and they have provided no information. The dental plan / under Dentaquest provided with three dental offices and there services was horrible moreover, I had to file a compliant '' Aspen Dental Dr. Trambas Constantine DDS, Brite Dental. There services were ruled I addressed this several times with Humana within this year 2021 about the problems and to this day nothing has being done

I tried to order on June 30th 2021, 3 items. 1 #362 nasal strips, 1 #471 Water Jet teeth cleaner and 1 #472 Water Jet tips. I had a $75 allowance for the quarter. I was unable to place the order online because when I tried to finish your website read having problems and saying it would be fixed and try again. I tried 3 more times and it was still down. I chatted online to report the problem and your rep. said she would order for me. She texted the Water Jet, the nasal strips and the water jet picks. I checked my order Jul 1st and found that she had mistakenly ordered me 3 sets of water pick replacements instead of 1 and 4 sets of nasal strips instead of 1 and did not order my Water Jet machine. I called the OTC dept. and was told pretty much that there was nothing I could do even though your chat rep. grossly messed up my order and depleted almost all my allowance on extra items I didn't order and now I can't get my Water Jet machine but I have alot of extra water jet replacement tips I don't need. And nasal strips. This is insane that you would screw up my order so badly and then tell me there's nothing you can do? Please respond ASAP. Catherine McClendon Humana # H04574646

My name is robert t. Alpha sr. I have experienced poor response from humana complete dental ppo. My first issue related to questions I had with a claim for service on 12/14/2019. The price I was charged and the pre treatment was never responded to in spite of phone calls, etc. Fast forward to 04/02/2021. I called humana to get a contact to send a pretreatment to. A gentleman akeem answered and gave me his direct fax number to send my information to; #[protected]. After waiting for two weeks I called to check on the estimate. After a tedious search my paperwork was located and I was told a pretreatment estimated would be mailed nlt 05/22/2021. I did not receive so I called on friday 05/28/2021 and spoke with karen phone number [protected]. She was unable to locate my paperwork. She asked that I resend which I did at 12:55 pm 06/01/2021, today. If past experience is any indication of what to expect i'm not holding my breath. It would be nice though to see improved service from humana.

Ongoing issue since jan 2021. All avenues lead to no solutions. Have had automatic debit since 2014 but all of a sudden it doesnt happen. Why? Since 2014 I have to call every month to get the debit done. Every one has the same comment — I dont know y it is not debited as file says to auto debit each month on 4th but never happens! Am very much to my limit on dealing with humana incompetence! Not a very pleased customer at this time as if anyone will listen or get back with me on this

Good morning. I am not sure this will even help me. I have been diagnosed with breast cancer. Her2 3 positive to be exact. One of the drugs in my chemo treatment is giving g me severe diarrhea. I am meaning all day every day. My oncologists sent over a script for a powder medicine for me. That wad on monday the 17th of may. The pharmacy called me on wednesday to tell theynreceived the script but had to order it. Said it would be that thursday the 20th. My 85 year old mother hug as to drive me now. So, we get to the pharmacy which is inside intermountain. She goes in for me and waits 29 minutes only to be told, its not ready as, the server has not put the correct t bottle size on for us. What? It is now friday may 21st. My suffering is beyond words right now. I don't understand why this pharmacy is playing with me like this. What kind of person intentionally withholds a sick persons medication. Can you help me please. I can not bare to think I will have to go the whole wee in end without this medication. Kind regards, michelle pedro. Pahrump, nevada

I am the legal guardian of Sammye Wood. I received her forwarded mail on May 14 stating pending changes.
The applications was filled out by MIRANDA JENKINS. She works for Health Insurance Associates. She stated that Sammye told her she had missed her enrollment period. Sammye is extremely deaf, & does not answer unknown numbers, and she loves her current insurance which she has had for 15 years. I feel this is fraud and I am filing a complaint with Medicare, Department of HHS, AARP, COUNCIL on Aging etc. etc.

Your staff resolved the issue when Sammye said she did not want Humana. How devastating for an Elderly person (86y/o) to lose their established Providers and starting over to make new appts, Pharms, Drs, clinics, and hospitals. Luckily she had someone watching over her. Not all elderly people have that and it would a nightmare to resolve after the fact.

Sincerely
Deborah L White (Legal Quardian)
Sammye Wood

Please forward to Health Insurance Associates as their website had no contact phone numbers.

I have a provider whos claims are being processed by Humana under someone other than the provider's tax ID causing claim payments to be issued to the wrong address. We have been calling Humana for 2 years trying to get these claims processed under the correct tax ID ( the one listed on the 1500 form). Each time we call we are told the claim will be reprocessed under the correct Tax ID. This has been going on since 2019. We have 14 outstanding claims still waiting to be reprocessed. All out new claims that get sent to Humana continue to process under someone else's tax ID. Please tell me how this is legal? Shouldn't Humana process a claim according to the 1500 form being submitted? We reached out to credentialing but because the provider is out of network they will not help us. This is ridiculous! Under no circumstance should it take 2 years to get a payment to the provider. Oh and it that wasn't enough, the provider also received recoupment notices for the checks that were made to the other provider! I'm so over Humana and I've advised the provider to not accept anymore Humana patients.

I have called Humana Pharmacy several times about my cost for certain prescribed medications. Each time, the Customer Service Rep did not know how to spell or pronounce the drug. Even after I spelled it several times, told her how it is administered etc., the person could not "find" it in her online list. The most recent call was about Epinephrine injectable to be used in case of anaphylactic allergic reaction. I called to get my cost for the drug if submitted to Humana Pharmacy. I called on March 25, 2021, March 31, 2021, and on April 22, 2021. I spoke to a different person each time. The only one that could find epinephrine in Epi Pens was the woman I spoke to on April 22 (after 20 minutes of spelling it and explaining several times how & why it is administered). Eventually, she told me that my total cost would be $47; and, to submit a check with the prescription in the mail. I did exactly that ; and, I received the Epi Pens in the mail with a bill for $131! I now owe $84. If I had known that, I would have bought the Epi Pens at a local pharmacy with my Good Rx card, saving time and money. So much time has been spent with customer service reps who have no idea about what they are doing! I have wondered if some that I talked to could even read. Another woman to whom I spoke could barely converse with me due to her poor English grammar. Another time one told me that I would have to pay full price for Zetia from Humana Pharmacy; so I got it from a local pharmacy with my Good Rx card for a greatly reduced price. Later I learned that the rep misinformed me; actually I could have gotten it from Humana without paying any co-pay! I paid the local pharmacy for Zetia for 1 year!