Humana
Reviews and Complaints

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.

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.

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.

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

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.

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.

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

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.

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.

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

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.

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.

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

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!

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

I called on 10.23.2019, and was assured that my order for Metformin 1000mg, placed on 10.21.2019 was being shipped out on 10.23.2019.
When I called today a representative, a supervisor, and a manager attempted duplicitous excuses and was unable to give me an assurance that the medication would be shipped out today.
Is Humana Pharmacy so inefficient that they are unable to process an order where there is a prescription on file, and a valid Credit Card on record, without having to make spurious excuses for delays?

I moved to Delray Beach, Florida 5 years ago, since my time here I had 8 back surgeries and 2 total knee replacements, I have been on medication since then. On March 5th 2019, my younger brother died, I went back to Pennsylvania to take care of the funeral and his estate. Came back 2 weeks later. In June I get a call my parents (both in their 80's) needed some help. My father had fallen and my mother tried to catch him, he fell on her and broke her hip. Now I have to go back to Pennsylvania to help them for 3 weeks. So I call humana and they give me something called a prescription override, so I can have enough medication until I get back, great. Fast forward to October, I decided to move back to Pennsylvania to look after my parents. Bought a house, have closing on Oct 15th. I get a rental truck for Thursday Oct. 10th, leaving early Saturday morning for the long drive back. Problem, my medication will run out and humana will not give me a vacation override, they say they will not do it more than once in a 12 month period, which was never explained to me before. I will be here on Oct. 11th, I cannot refill my prescription until the 14th, 3 FREAKIN DAYS! I was on the phone (over 4 ½ hours) and went to the local humana office to straighten this out. Their solution as told to me twice. On Oct 15th, after closing on my house in Pennsylvania, I should fly back to Florida just to refill a prescription. Are these people crazy? All I wanted was to have my prescription filled 3 DAYS early so I can move, they denied it. I even went as far as to call ahead in Pennsylvania to a pain center, but could not get an appt. until Oct 30th. So from the 15th to the 30th, I will have no pain medication. Pleaded with humana a for the 3 day override, they will not budge. I do not know what to do, I cannot have a script written in Florida filled in Pennsylvania. I will be without meds for 15 days and humana does not care! This is why people turn to getting other forms of help, weather it be legally or illegally. Humana is a heartless company and this is just a warning to whomever uses them, be careful, they do not care if you live or die.

I am steve hagerman member h59711166-00 humana insurance company
Group x2550001.
I have made repeated requests by phone for my february 3, 2016 — eob (explanation of benefits). I first asked on july 3 — then august 14, then september 4 and 9. each time they tell me they will mail it in 2 weeks. the last time I got a reference # for our conversation which is: [protected].
I need humana to provide this record for me.
The va hospital has requested this information from me. it is unavailable on their web site and I need it. can you help me obtain this? I tried to attach the transcripts of my chats but the form will not allow. pdfs

We are having issues with claims denying stating no referral is on file.

However, dr. Janis fowler-gulde is showing listed as the patient pcp, but claims deny stating services not authorized by network/primary care provider.

If dr. Gulde is not in the same network as the member's plan, the patient should not be allowed to select dr. Gulde as their pcp. We do not request a referral because dr. Gulde is showing as the patient pcp or authorization. Dr. Gulde effective date with humana is 01/01/2019.

Please advise how to get issued resolved, patients are getting upset and it's causing a financial hardship with the practice.

Thanks

Before I booked an appointment for dental services, 11/13/2018. I called Humana for provider directory and verified benefits for the routine cleaning and filling that I would be receiving. Then almost a year later I get a bill from the dentist stating that Humana had denied the claim saying the dentist was not on the list. Of course, he was...I have the list they emailed me and he is on it. I spoke with Humana and they had the nerve to ask me to file an appeal, which I refused to do given that the dentist was on the list. Sent them the list they sent me just to prove it and did not hear back. Second visit to the same dentist a year later, and another bill. The dentist assured me before the work they were on the list as they had been before. Now I am billed $500. The short story is that now I filed a complaint with Medicare, Humana does everything possible to dissuade you from getting a claim paid. I don't get mad anymore...I file complaints, write scathing reviews and finally get resolve. Enough of this crap,