SOMEWHEREC, KENTUCKY -- My suggestion is do as I have and email Vikki ** at the Dept of Health and Human Services who is the Director who oversees compliance of Medicare Advantage Programs. I have sent numerous issue emails to her. I have also noted in the past. I believe Humana has been sued. Maybe again? Issues with not following up with faxes to dr, causing a prescription not to be filled before a new PCP chosen. Telling PCP a specialist is not in network and telling me he is. Refusing to post on their website my new ID primary card primary care provider.
Humana pharmacy has miserably failed and wants me to pay 20 percent to get my script at retail pharmacy where they could have filled it for free. They delay to avoid payment and cause more aggravation knowing I am a heart patient on 5 blood pressure meds. Dr ** office another issue.
USA, KENTUCKY -- Supposed to be covered for xrays. Got a bill from hospital saying I needed to pay. I paid because of threats. Sent copy of policy to prove my point. Over period of months on phone and paperwork I get a letter saying I am right, but get my money from hospital. Hospital says they gave Humana back the money and sends paperwork to me claiming it's their proof.
Now again getting letters from claims dept but nothing about sending me a check. I can not tell you how many letters with copies I sent. This started in May 2017 and this is now 2018. I paid that bill in 2 weeks. You think they might do the same. Sometimes I am on the phone for an hour and they hang up. Sometimes I have to hang up because the other person's English whatever kind it is I cannot understand. This seems to be a problem with a lot of companies.
My mother had a Humana Advantage plan in Illinois. We moved here in early September of 2015 to Florida. Because Humana Ins is state/county specific, we enrolled her in the exact same plan for Florida. Her copays were supposed to follow her. However, Humana started them from zero once she moved to Florida. I am her executor. It is now over 2 years since Mom passed away and I am still fighting for the over $2000 she overpaid!
I have all her statements from Humana showing her copay, I recorded all her copays and corresponding documentation and sent them to the person who was assigned to help me in April of 2017. I have all the proof plus emails from Humana's own employees stating we overpaid. Despite many calls on my part to find out what's happening, there are NO responses from Humana. No return calls. Plus they denied payment to the nursing home saying it was yet another copay we needed to make. I wonder how many more elderly are being robbed by Humana.
ILLINOIS -- Humana has been calling my 86 year old mother relentlessly, telling her they are Medicare, in attempts to sell her a policy under false pretense. They are armed with all her personal information which they use as arsenal to confuse.
She called Medicare to clarify what she had been told, and Medicare knew immediately it was Humana. They explained that Humana charges customers a monthly fee, takes possession of their Medicare account, and pilfers from their meager benefits.
This is fraud, misappropriation of government funds, and harassment. How can a licensed company behave so unabashedly unethically? Where are the consumer protections for the elderly? Considering the people at Medicare knew who was falsely claiming to be them, this can not be an isolated incident. No one needs the service this company provides.
LOUISIANA -- My grandfather had Humana insurance. He got very sick and got admitted into the hospital. And with Humana they will only pay for you to be in the same spot for 3 weeks. So he was in the hospital for 3 months and had 3 surgeries, moved to a hospital a hour away then moved back to the hospital he started at. He had to get a trach put in. After he got the trach put in they moved him to life care. And there is no other hospital around here that will accept a patient with a trach.
So 3 weeks after he got it put in the doctors decided he needed a pacemaker. And after he got the pacemaker put in it restarted his 3 weeks at life care. But before we knew it those 3 weeks were running out and he was still on the trach. The doctors started to try to wean him off the trach. Because if he was off the trach he could get transferred anywhere. But it was too much for him to handle not even 48 hours after they started to wean him off the trach he pass away. If Humana would have paid for him to stay in one place for longer than 3 weeks. Just maybe my grandpa would still be here today.
WASHINGTON DC, DISTRICT OF COLUMBIA -- My mother has Alzheimer's and forgot to pay for her Part D one month, and was terminated. After I had found out about her not paying bills I took over all her bill paying. She has many drugs she needs to take for issues she currently has and one being her memory pills which are extremely expensive. I called Humana to explain the situation. I asked to be reinstated due to the issues with my mother. They informed me it was not a good enough explanation for them to reinstate her Part D policy. After giving me the runaround from different people throughout Humana, they sent me a letter stating she was terminated.
Insurance companies seem to be a bunch of thieves and would find any chance to deny you from getting a second chance. This is why we have such issues with heath care coverage in this country. Don't let them kid you. Insurance companies are about profit and could care less about any of the insured.
LEXINGTON, ILLINOIS -- My policy was billed semi-annually (every 6 months) and paid up to the end of November. Humana canceled individual plans effective the end of December. Humana issued an invoice for 6 months (December-May) even though Humana was only providing coverage for the month of December. I contacted Humana via email, phone, fax, and message in November and December requesting an invoice for 1 month (December) for tax purposes.
Humana did not respond to my 4 requests.
My husband's coverage was wrongfully discontinued. The appeal process dragged on for many months despite their written promise to resolve within 30 days. First they turned him down because we didn't provide a document they never asked for. Then they denied him coverage on grounds that were not relevant to his case. We firmly believe that all this was an excuse to deny coverage because he has expensive medications.
FORT WORTH, TEXAS -- I have had Humana Choice PPO for 1 year. I checked my plan summary and the numbers speaks for itself. I am so mad how little the plan pays out and switched to other company. Will see how other company payout next year. Humana Choice PPO denied most of basic medical bills and made me pay 40% of medical costs, 75% of pharmacy costs. See the numbers below and make your own decision. MEDICAL (year 2017): Total bill: $28,914.93, Plan paid: $1,246.41, I paid: $558.07. PHARMACY (year 2017): Total bill: $239.46, Plan paid: $43.10, I paid: $196.36.
LOUISVILLE, KENTUCKY -- I have only had Humana for 3 months now and already they have continued to screw me over on multiple occasions. The first time, I had to enroll because my current health insurance was no longer valid in the state I live in, so they made us switch at the end of 2015. Upon switching to Humana - and only because it was the cheapest - I had e-mails confirming my coverage would begin on January 1 of this year.
When I received my insurance card, it said my effective start date was February 1. Usually not a huge deal, but I was running out of my prescription (which is something that you can NOT mess around with by just going off it, it needs to be consistent), and needed an updated prescription since I was out of refills.
After exhausting myself talking to many "customer service" representatives at Humana who were willing to do absolutely nothing and couldn't have cared less, I finally spoke with someone who actually seemed like he was a person and not a bored robot who hates their job and hates customers. We spent an HOUR on the phone and he came to the resolution that he would call my doctor's office, let them know my January visit WOULD be covered despite what my insurance card said and even gave them a reference number that he said was in the notes on my account in case my doctor needed to call with questions or anything.
I went to the appointment, got my prescription (which I still had to pay for out of pocket because Humana refused to cover it, despite the reference number), and thought it was settled. Now, I can understand making mistakes - I've made mistakes before and I will again; we're human and it happens. If we own up to them, apologize, and do what we can to make it right, all's well that end's well, which is exactly what should've happened here. But since it's Humana, it wasn't that easy. I received a call from my doctor's office the following week letting me know that, despite the reference number given and promises made, Humana had denied the claim for my office visit.
Now, at this point, I was pissed. I had finally found a doctor that worked for me and my insurance company was screwing them over - this was not okay, because they had been so cool and patient about allowing me to be seen and dealing with the issues. Of course, calling Humana 17 times got me nowhere because their reps are absolutely worthless.
That was when I e-mailed the Board of Directors. ALL of their e-mail addresses are on the Humana website. I suggest selecting all of their names and sending an e-mail to each and every one. There is also an e-mail address on their website for someone at their corporate office, if you go to their Contact Us link and look through the tabs on the side, you'll find some people. In fact, I highly recommend using this form of communication as these people deserve to be bombarded with complaints.
I got contacted by one of their assistants within 48 hours and he said he'd be on the case. He called my doctor, had them resubmit the claim, and covered it. He also said he'd reimburse my prescriptions but I hadn't kept the receipts, not expecting Humana to do anything like that, but the more I deal with Humana the more I realize I never would've been reimbursed despite what he said. So, finally, issue taken care of. Naturally, left me with a bad taste in my mouth for Humana but it's honestly just too exhausting to deal with so I dropped it.
Then came time for my next Rx refill. Since Humana only offers me two options for pharmacies and neither are very convenient to my location, I decided to use their mail order pharmacy. I put in my request on March 15th for the two prescriptions I have (again, the one being one that is necessary to take EVERY DAY), since I was running out of the more important one on March 24th and their website said it would be delivered in 3-5 business days. That sounded good, and even though their prices are a bit ridiculous, it's just easier to do it this way with my schedule.
So the one prescription that I just take as needed and wasn't out of yet, shipped out on Friday the 18th and I had it in my mailbox on Monday the 21st, essentially meaning it took just 1 business day to ship. When I logged into Humana to look up the other one, it had been "Canceled" for no reason, then resubmitted. I spoke to my doctor's office - who, at this point, between me and their other Humana patients, hates Humana just as much as I do - said they had sent Humana my prescriptions as Humana requested at the same time.
So if Humana received one, they received the other. I also paid for both of these prescriptions at the same time, but was only charged for one. I called on Monday, March 21st to try to get this fixed by the 24th when it would become a problem. I spoke with Chris. He mumbled and was a complete jerk, offering no solutions, basically saying there was nothing he could do. After I explained to him in a VERY assertive manner that he would INDEED be doing something to fix this and have this prescription in my mailbox the next day, he said he would call USPS and expedite the shipping.
According to Humana, the Rx had shipped out that day, but according to the USPS, they hadn't even received it. He said he had put in a request to process a refund for BOTH prescriptions (clearly too unintelligent to see they still hadn't taken the money out for the second one yet), and that he'd have his supervisor Joanna give me a call back within the hour. I made it clear to him that would not happen, as it was not the first time I'd been told someone from Humana would call me back and it never happened. Naturally, I never heard from this alleged Joanna. The refunds were never processed and USPS was never contacted to expedite the shipping.
On March 23rd, I e-mailed the Board of Directors and corporate office again. I haven't heard back from the BOD, and the person at corporate said she'd get back in touch when "the issue is resolved". Umm, how does that help? When the corporate office isn't even willing to do anything, then there's a serious problem that has made me question if they're even running their company legally. I would love to know who to talk to get an investigation going on them.
Anyway, March 24th, when now it's a real problem, I called and spoke to a supervisor named Veronica. She was a little more help than the others, but still not very much. I told her she could drive to my house - 3 states away - and deliver my prescription herself that night. Naturally she wouldn't do that, but she said she'd call around to pharmacies in my area and see if they'd deliver.
Now, anyone with a brain knows that doesn't happen - that's not how pharmacies work - but I decided Humana had wasted enough of my time and energy, so now it was their turn to waste time and energy, and I let her spend about an hour calling around. I know that's spiteful and I'm not normally that kind of a person, but Humana has lost any and all respect from me so I don't really care what they have to go through anymore. Of course, problem still not solved.
Friday evening, I called again. I had to call 9 different times just to finally speak to a supervisor who was willing to help (Sean was NOT, BTW, if you ever call, do NOT speak to Sean, he was a complete jackass). Her name was Markee (I am SO SORRY if I'm spelling that incorrectly!!), and she is the ONLY one who showed any sort of human compassion or empathy. She apologized and actually, legitimately seemed to care and understand the importance of the situation. I think Humana made a mistake when they hired her because they seem to only hire egotistical self-centered jerks, and she is the opposite of that. She should be working for a much better company.
I told her how I needed the medicine TONIGHT, expecting the same "well there's nothing we can do" answer I'd received from everyone else. I was surprised - apparently, there WAS something they could do, only the other reps were all too lazy to deal with it.
She put a stop on the order that had allegedly shipped out on March 21 but the USPS still hadn't even received by the 25th. She called my local pharmacy who isn't even on my list of approved pharmacies, got them to fill the Rx for me and let me know she'd be listening to the conversation I had with Chris on the 21st since he had given me so much false information and see if there needed to be consequences.
I went to my local pharmacy, got my prescription, and all was good. That is ALL it took - just a couple of phone calls and a trip to the store, which could've been done on MONDAY and saved me (and Humana) all sorts of headaches and stress, but since no one at Humana before Markee knows how to do anything, they've gotten themselves into a LOT of trouble.
I have spoken with many people who have either had or dealt with Humana, and no one has ever had anything good to say about them. Their ads talk about treating their customers like humans, but that has not happened. I am considering whether I need to take legal action for all the stress this has caused because Humana needs to get shut down because they can NOT be messing with people's health like this.
Anyway, PLEASE do not use Humana if you can avoid it, it's worth paying a little extra to get an insurance company who won't screw you over. I STILL have not heard from the BOD and will certainly e-mailing them again and again until they get sick of me and decide to respond.
I know this complaint makes me sound like a horrible person but I'm really quite patient and can understand some human error here and there. What I refuse to deal with is lack of taking responsibility for said errors and ignoring people who pay you a LARGE amount of money per month to do absolutely nothing. Humana will be reimbursing me for my prescriptions, as well as the premiums I've paid them. To the rest of you, good luck trying to get your Humana problems sorted. Hopefully you can get in touch with a supervisor as compassionate and willing to help/find solutions as Markee.