[X]

Humana - Page 2

Star Empty star Empty star Empty star Empty star
56 Reviews & Complaints

Most Popular | Newest | More Options >
More filter options:
Thieves
Posted by Samuelblueshoes on 04/25/2007
KINSTON, NORTH CAROLINA -- I joined medicare part D prescription coverage back in june 06. I signed up with Humana at $69.00 per month. After they sent a letter in November 06 stating they were going to increase the premiums to $85.90 starting in Jan 07. I called them on 11/17/06 telling them to drop me from their insurance plan. I was told they needed it in writing, I send the request that same day also sending a copy to center for medicare & medicade services. I received confirmation they received my request from both & stating it would take place 12/31/06. Since then, Humana has stolen $85.90 each month (jan, feb, march, april) now totaling over $363.00 and a complaint has been filed 4 times with medicare. Nothing has been done yet! I have all ideas that they will again steal another $85.90 from me on 05/08/07 I cannot stop it at my bank as it comes out before my check gets to the bank. I have contacted congressman Walter B Jones office twice in person, Elizabeth Dole, Rep Van Braxton, G.K Butterfield, Senator Richard Burr and all but Elizabeth Dole have sent replies. Medicare has acknowledged that I am owed money but so far nothing has been done. Humana has not contacted me. Please never have anything deducted from your social security check. I am a bi-lateral amputee and had quadruple bypass heart surgery last march06. It takes the lowest form of life on earth to steal from a disabled or old person & from what I have found out this is the norm from Humana. Hope this helps some of you. Try and google humana complaints and know what these thieves are doing to the elderly & disabled.

     
Read 15 RepliesAdd reply

User Replies:Close comments

Posted by tnchuck100 on 2007-04-25:
Since you have proof Humana received the cancellation notice file a small claims case against them. This should be an easy win. Ask for court costs as well. Since this appears to be deliberate neglect on Humana's part I would even ask for punitive damages as well. You may not get it, but you definitely won't if you don't ask. Good luck.
Posted by Sparticus on 2007-04-25:
Thanks for the review. Coincidentally, my wife and I were just talking about possibly switching to Humana. I think I'll do some more research now...
Posted by poppapia on 2007-04-25:
You can stop it at your bank. Simply go to your bank and ask for an ACH stop-payment form. Fill it out, and all future ACH's from Humana will reject.
Posted by Anonymous on 2007-04-25:
Poppapia, you are right but you have to be vigilant about it and stay on it. Some of these companies will change the debit amount by a couple cents once they realize a stop pay is on file. If your stop pay is for $85.90 they will debit for $85.95 and if your bank does not catch it by the company name because the debit amount does not match the stop pay they can and will get money from you. Some sleazy companies will change the amount every month to the point people have to close an account and get a new one.

If you check your account every day you can catch the debit before it posts and dispute it. But that window is very short.

Samuelblueshoes, we wish you well and hope you beat these jerks.
Posted by tnchuck100 on 2007-04-25:
superbowl and poppapia: samuel stated in the post the money was taken out at the medicare & medicade level, BEFORE the bank gets the money. There is nothing the bank can do.
Posted by Anonymous on 2007-04-25:
At some point they must hit his bank account?
Posted by tnchuck100 on 2007-04-25:
superbowl: In this case Humana is not touching his bank.
From the post: "I cannot stop it at my bank as it comes out before my check gets to the bank."
Posted by Slimjim on 2007-04-25:
It sounds like it's coverage with your company's plan and they are deducting it from the paycheck first, maybe?? Why can't your HR department stop deducting it from your pay?
Posted by tnchuck100 on 2007-04-25:
slim: There is no paycheck. There is no HR department. It's social security.
Posted by Anonymous on 2007-04-25:
Tnchuck100, OK, got it. Read the post wrong, my mistake. Slimjimjohnson2000 has a good point, there must be a way to stop them from screwing Samuelblueshoes over?
Posted by spiderman2 on 2007-04-25:
SPARTICUS -- dont' switch to Humana. My mother has had it for her Part D for a year (she just got out) and it was horrible. They kept refusing her prescriptions, saying she didn't have coverage all the while they were cashing her checks. They are horrible. Save yourself the heartache.
Posted by samuelblueshoes on 2007-05-02:
Get this repeated calls to medicare have thus far done no good,I have requested a response in writing from medicare no good they do not give written replies. they also have a new acting director.Leslie v Norwalk(a woman) wonder if the other one was fired or quit?
Posted by samuelblueshoes on 2007-05-13:
update they have stolen another $85.90 on may 9th 2007,filed another useless complaint against humana total now $429.50 anyone doing business with them can look for theivery and denial of claims.
Posted by CrystalSword on 2007-05-25:
since the bank can't do anything for you, did you consider calling social security and going directly through them? tell them everything you have done and the fact that they are still collecting and its all been cancelled and that you have copies of all the paperwork that was requested to cancel by mail. Just a suggestion...its worth a try....then by all means, go to court and sue in small claims...some states even allow triple damages for wrong doing, good luck.
Posted by samuelblueshoes on 2007-05-25:
Have contaced social security 4 times twice in Kinston,NC they put me off(I am the wrong color WHITE should see the way black's are treated over white's. contacted greenville,N.C office total different situation with basically same and it's a medicare problem(excuse me but who issues my check(DUH!)result but lady did contact congressman Walter B Jones office again they called &said they had done all they can do. sent letter to medicare leslie v norwalk acting administrater no reply yet as I mailed it last wed.ourwhole gov't is corrupt let's face.sign up for nothing and espaccaly if they have to deduct from a gov't check because you will beat out your brains trying to stop it and get your money back.social security is bankrupt,medicare and they can't figure out what to do Ted Kennedy done robbed social security long time ago &now we have millions of illegals to add to the mess but our politians need more votes.
Close commentsAdd reply

Medicare Advantage Plans
Posted by Pamelagal on 03/24/2011
In late October of 2010, I was asked to contact Humana, Inc. by my mother and Aunt. My Aunt had been in this particular health plan for three years and seven months and was having difficulty acquiring cataract surgery. For anyone having a complaint against Humana's Medicare Advantage plans, the point of contact is The Center for Medicare Services in Kansas City, Mo. The telephone number there is 816-426-5783.

The two parties that I spoke with by name are Bob and Sue. This is the federal agency over Humana specifically, and they were very helpful in remedying the problem.
     
Read 2 RepliesAdd reply

User Replies:Close comments

Posted by Kurizumaru on 2011-03-24:
I'm confused. Unless I'm missing something, shouldn't this be a compliment?
Posted by trmn8r on 2011-03-24:
Well, it is a compliment to The Center for Medicare Services.

It could be viewed as Helpful to people who have complaints with Humana. So it is technically like an informative, I believe.
Close commentsAdd reply

Say anything to get your money
Posted by Kiteman on 01/19/2011
LEXINGTON, KENTUCKY -- My wife and I both had part D coverage last year through Humana. When the 2011 update book came out it was next to impossible to figure out what if any changes would affect our prescription expenses. So I called Humana customer service. Went through all of our prescriptions one by one with the agent and was told only one of our prescriptions was changing. One of my wife's was moving from tier 1 to tier 2 changing the cost of that prescription from $7.00 to $40.00. Come January What a surprise we got when we went to pick up our prescriptions. The truth was the exact opposite of what we were told. For each of us only 1 prescription was staying the same. so in total 2 prescriptions stayed were they were on tier 1 they other 9 were moved from tier 1 to tier 2 meaning a $40.00 copay for each of those 7 medications. Basically the Humana Agent out and out lied to keep us paying for insurance with them. now we pay them a total of 86.00 a month for prescription insurance and they cover about $70.00 of our prescription costs. When your on SSD income is limited enough without the people who are supposed to be helping you lying to you and adding to your cost of living expenses. When I Filed a complaint with Medicare about this a Humana agent called us trying to tell us nothing had changed in the co-pays. Their only answer was to give us a phone number our Doctors could call an petition for a tier exemption. I think you all know pretty much were that one is going. Now the question we are facing is do we give up prescriptions and suffer the consequences or do we give up eating.
     
Add reply

Lost Teeth in Accident and Humana Won't Pay!
Posted by Toothless on 05/15/2007
TEXAS -- I lost my front teeth in an accident. I had to have implants and a bridge for a total of about $16,000. Humana will only pay $400.00. They say teeth are excluded. If I had a broken bone, they would fix it. Are teeth not just bone? And why have accident insurance if they don't pay the 80%? They made me wait 4 MONTHS before they even admitted that I had a claim! This whole time I was in pain and could not eat properly. I've filed a complaint with the state and I have contacted an attorney. HUMANA INSURANCE SUCKS!!!

     
Read 15 RepliesAdd reply

User Replies:Close comments

Posted by Sarah May on 2007-05-15:
Oh my goodness, I am so sorry to hear that. :( It sounds awful. I assume we're not talking about Humana Dental, right? I can't imagine they would exclude teeth... So it must be health insurance, then. Why $400? Are they covering the cost of different injuries?
Posted by rhondam718732 on 2007-05-15:
I lost my 3 front teeth when I was 12 when I fell on a coffee table. I feel for you. I have had 2 bridges since then (they need replaced every 10-15 years or so), however, $16,000 for the repair is excessive. Maybe that's why they are not paying...
Posted by Pomona Guy on 2007-05-15:
Could you give more details on exactly how you lost your front teeth? This would help us in determining your best course of action. One suggestion would be go to Mexico to have your teeth fixed. They'd probably do it for $400.
Posted by Anonymous on 2007-05-15:
Thats pretty sad when you have to leave your country to get healthcare....Im ashamed to be from the US!!
Posted by Nohandle on 2007-05-15:
Toothless, get back with us. Was this a group hospitalization policy that did not include dental/vision or a separate policy for accidents only with a maximum pay of $400.00? Many companies will cover charges as a result of an accident even though the policy does not include the extra dental/vision.
Posted by jktshff1 on 2007-05-15:
had 4 front teeth, 4 bottom teeth taken out, fitted, replaced with bridges for @ $1,200.00 sounds like he got ripped off by a dentist expecting insurance money
Posted by runaway on 2007-05-15:
Is it dental insurance or health insurance you had through Humana? I know my health insurance will not cover any dental, regardless of the cause. The total does sound unnaturally high, though.
Posted by Anonymous on 2007-05-15:
Under health insurance they consider teeth "comedic". Like runaway says if you want to get teeth fixed, you must have dental. It's just another way they rip you off.

As far ad the price, I have herd implants can cost $10000.00 plus so I guess with all the other stuff they did, well at least you have teeth again.

Sorry you had this happen to you.
Posted by ejack053824 on 2007-05-15:
As long as your alive and ok....thats all that matters partner! :)
Posted by Starlord on 2007-05-15:
I know you meaan cosmetic, lidman, and I think that is ridiculous. When I got my dentures, they took half my teeth each time a week apart, leaving the 4 upper front teeth to hold the shape of the face. Then they said the denture would act as a bandage. I had been living on liquid protein drinks for 3 weeks, and on the way to work, I picked up a big bag of Doritos. Nothing ever tasted so good as those chips.
Posted by CrazyRedHead on 2007-05-16:
I'm not an expert on health insurance but I would think that teeth would be considered cosmetics. But, I am also wondering about the health versus dental thing that everyone else is wondering. You might want to check out the payment schedule for your dental insurance.
Posted by Nohandle on 2007-05-16:
Toothless, you haven't gotten back with us on our questions, but out of curiosity I called our representative from Blue Cross from the office today. We do not have additional dental/vision coverage. She stated if a "natural" tooth (can't be a crown) was damaged due to an accident it would be covered even without the dental insurance. She also stated implants were not covered at all, even with dental coverage.

I'd be interested to know if anyone's coverage includes implants.
Posted by Anonymous on 2007-05-16:
Mine includes nothing to do with teeth (Blue Cross)

Starlord, thank you I did mean cosmetic! Stupid spell checker!!!
Posted by superman15 on 2007-12-19:
That's why theres such thing as dental insurance. It may not be a perfect system, but vision/dental are not part of health insurance.
Posted by Seriously? on 2013-12-13:
My advice is that if you are ashamed to be from the US then MOVE!! It's a shame to have people like you live here and make comments like that just because you don't understand your healthcare. Our laws are changed by guess who? Yep, the man you probably voted for so get over yourself and move on or move out.
Close commentsAdd reply

Seniors Beware of Humana
Posted by Tradewinds on 07/12/2010
Oh my, where do I begin! Words that come to mind - deceive, misdirect, allude, conceal -- a thesaurus may not include all the words! Alluding to drug coverage that in reality is negated simply by the average person's non-medical knowledge. I believe Humana uses this to their benefit. Likely the worst customer service representation in the medicare insurance industry. I feel deceived by Humana's promotion of varied programs that are touted as saving money. Actually, if you become ill most likely you will pay far, far more than you anticipate. Web site and paperwork is over the top complex.

For the most part your annual medical needs change year to year; Humana appears to counts on this by fine lining specific drugs for coverage. Never belief Tier One will cover your new generic drug as most likely it will not! Or that the antibiotic you need will be on their list of covered drugs or that that new drug that has been FDA approved for your new/old condition has any coverage at all even prior to the "donut hole" or with a physician's written, faxed approval in addition to the prescription. Just because the drug company states its generic has no influence that Humana will cover it; has to be on a small Humana 'preferred' generic list that seems to be nowhere out there in cyberland.

I find medicare drug coverage plans in general (other than and including Humana) are no replacement for what you had through your employer or what you became accustomed to with the standard insurance industry.

Humana creates paperwork your physician needs to fax to them to get a basic long time FDA drug approved for you. After that you relax; don't do that! You can never speak with the same person twice as they have no extensions; just a hundred or so phone employees (by their admission) that have a list of rote answers Humana has given to them. You can talk in circles for as long as you desire but more than likely your questions will remain unanswered after you hang up. Humana has surpassed the credit card industry in this tactic.

I thought all I had to be concerned about was the medicare 'donut hole'. Oh my, was I wrong! When the pharmacist stated the insurance carrier said 'no coverage' I was in need of a respiratory drug for a severe case of the H1N1 flu. At $700 I wanted to cry. I changed carriers to Humana to save $20 a month on the premium. Now I have several $45 a month GENERATICS on a Humana's Enhanced PDP policy! I learned today it is far, far easier to get a direct question answered by knowledgeable medicare phone staff than contact Humana. The irony for today is medicare advised me that Humana statements made to me regarding medicare were incorrect; a medicare grievance is being issued! It won't save me from having to continue to pay until I am free to change carriers; however, Humana may be getting their hand slapped by medicare. AMEN
     
Add reply

Next Time Make Sure You Go To The Right Hospital
Posted by HumanaStinks on 09/01/2009
Last month I had an allergic reaction and fortunately the friend that I was with me was able to call 911 and get me to the hospital. To expound on the seriousness, I my blood pressure was 40/20 when I arrived and they didn't think that I would make it. The bills started coming in and I knew I had a large deductible but one of the things they didn't tell me and I have look through my paperwork and still can't find it, I have 2 deductibles, in network for 5k and out of network for 10k. Well to get to the point. No ONE except for my regular doctor is in Humana's plan. The lady I talked to today said I should have gone to a different hospital. We only have one hospital in my town. I guess my friend should have looked at my Humana card to see where I could go. Also, Humana determines how much they are going to put towards my deductible. My ambulance was over 800.00 which Humana doesn't cover so I paid it, they only credited me with 319.00 because that is the max they will approve. The ambulance isn't in the network so that deductible goes outside the network, so actually my deductible just went to 15k or more. The Emergency Room is in the network but the doctors that were working are not so they aren't covered. I am paying EVERYTHING out of pocket. I might as well not have any insurance.

Humana spends a lot of money making great commercials but they sure don't take care of their subscribers.
     
Read 3 RepliesAdd reply

User Replies:Close comments

Posted by JR in Orlando on 2009-09-01:
Thankfully you lived. What a gift that is. It can be very frustrating dealing with insurance companies. When I was hit by a car on my bicycle and hurt, it ended up costing me $3,500.00 in co-pays. That made me really look at the terms of my insurance policy. Like most people, reviewing my insurance provisions is far down the list - maybe even below going to the dentist. Perhaps as a suggestion you need to review your plan so that your town's only hospital is included.
Posted by BEJ on 2009-09-01:
Unfortunately that is the way of medical insurance. Bigger deductibles and copays for out of network. However, there are generally provisions for emergency situations/events--they cover you. Were you admitted? Check it out with the insurance company.
Posted by clutzycook on 2009-09-01:
If you went to that hospital because of a life-threatening situation, I believe that's the exception to the whole in-network/out-network thing. The receiving hospital has to stabilize you and then later send you to a in-network hospital. I would fight this with the hospital and Humana.
Close commentsAdd reply

Non Payment of Pre-Approved Surgery
Posted by Goraceax on 07/20/2008
I guess when you get pre-approval from Humana for a surgery their intention is they approve for you to have surgery but they are not pre approving payment for the surgery.

They have held payment based on not having medical history on file, now is that something you do after you have approved payment of before, I think that should have been before.

Then they deny my surgical nurse claim stating I did not have coverage at the time of surgery. The surgical nurse was the one that contacted Humana for pre-approvals before I had surgery, so give me a break!

I have spent the past 10 months trying doing everything they have requested and although they have not denied my claims they are continually finding excuses to not pay them that cost me my good credit, time, and patience. If I would have known they were not going to cover the procedure and cause me so much stress and time after they approved it I would not have had the surgery.

So to all of you considering Humana, don't, find a good company to cover you. My insurance agent signed me up with Humana thinking I hardly use medical insurance, and Humana was cheaper than the insurance I had at the time. Well you get what you pay for, lesson learned the hard way. Pay a little more to have a good insurance company, do not buy into Humana's cheap policy because you will not get good service when you need them the most.
     
Read 1 RepliesAdd reply

User Replies:Close comments

Posted by Anonymous on 2008-07-22:
On any pre-approval (pre-certification), the message "This pre-certification does not guarantee payment of benefits." The pre-certification only looks at three things: 1) Is this condition covered by this policy?, 2) Does the physical exam show the condition to be sufficient to require surgical care?, 3) Is the surgical care recommended by the physician a covered treatment modality? A pre-cert will not cover any other review of the policy standing (e.g. has the policy lapsed or are some other beneficiary requirements).It's hard luck, but if you had the surgery, you owe the doctor/hospital for the care.
Close commentsAdd reply

Humana rip-off
Posted by Trimoon on 02/13/2008
OCALA, FLORIDA -- Insurance companies are a rip-off.

Last November I started researching prescription drug plans. After speaking with several companies, I chose Humana because it is a well-known company, the premium was reasonable and I was assured that my husband’s medication for diabetes would be covered.

I spoke with Mike, Terry, Ramiro and Jessica, just to name a few, regarding the fact that my husband’s prescription was Janumet. I was assured that while the Janumet is not a generic drug, there would be no problem getting it approved by the company’s Clinical Pharmacy Review Board. What a laugh!

I enrolled my husband the middle of December and received confirmation via a letter dated December 27, 2007. Later, we received a letter dated January 7, 2008 indicating that because we had not had a drug plan before, there would be a slight penalty each month (only for that year). That was something we could live with.

A letter dated January 10, 2008 was received providing details of his coverage.

Now comes the fun part. We started the process of getting Janumet approved. My husband’s doctor faxed the prescription to Humana. On January 9, 2008, I spoke with Brian to set up the information to have the prescription shipped every three months direct from their pharmacy and spoke with Tanieri at Humana regarding the forms to get Janumet approved. Humana faxed back a form to be completed, which the doctor’s assistant did on January 9, 2008. On January 12, I spoke with Deana at Humana to see if the form had been received (no, so the doctor’s office again faxed the form). On January 14, I spoke with Sandy at Humana to determine whether everything required had been provided. I was informed that the form had not been received. The doctor’s office again faxed the form.

On January 22, Robert at Humana said the form still had not been received. However, we did receive a one-month supply of the Janumet with the notation that no more would be shipped until the proper form had been received.

The following people and the dates I spoke with them give you an indication of the efforts I have made regarding getting the Janumet approved: Nicole (January 24) (the doctor’s office again faxed the form after being told it had not been received); Jeannie and Veronica (January 25); Alisha (January 28); Latosha, Donnie, Esther and Deanna (January 30); Francisco (February 4) who indicated the form had been received and was in the process of being reviewed; Danielle, Evy and Tina (February 6) (when I learned that no the form had still not been received despite being faxed by the doctor’s office five times).

I spoke with the doctor’s office on January 30 and was told they would again fax the form and then call to make sure it had been received so there could be no further delays.

On February 12, 2008, I called Humana and spoke with Amanda who transferred me to Sue. Sue confirmed that the form had finally been received but the authorization had not come through. I stressed the importance of getting this done since the medication was running out. I indicated that my husband had taken several drugs prior to Janumet and the Janumet was the one that worked. I told them that he really needs the drug. He already suffers from nerve damage in his feet due to uncontrolled diabetes.

Sue put me on hold for quite some time and then came back to tell me that the Janumet had been denied. She said Humana was not convinced that enough other drugs had been tried. I explained that I had been told that there would be no problem getting the Janumet approved and that that was the only reason I had signed up with Humana. She said this was not the first time she had heard that. While Sue was very sympathetic, there was nothing she could do.

Needless to say, I am going to cancel Humana. Since the enrollment period has expired, there is little hope of getting another plan in place this year, though I plan to try.

I think it is terrible that representatives of insurance companies can tell someone something, have them enroll in a plan, and then completely disregard the information previously supplied. A patient’s doctor should be the one to make the decision as to medication required. Diabetes is a terrible disease. When a medication is found that can control the disease, there should be no question of it being covered. Everyone knows the damage that can result when it is not controlled. Insurance companies are only in the business for the money. They try to push off old and outdated drugs on the unsuspecting public with little regard for the effects.


     
Read 10 RepliesAdd reply

User Replies:Close comments

Posted by Anonymous on 2008-02-13:
Humana was the first for-profit company in the health care field. Nothing has changed. They will rot in hades someday, along with the execs from AOL.
Posted by tnchuck100 on 2008-02-13:
Fact: It's not about you or your health care. It is 100% business and profit!
Posted by Anonymous on 2008-02-13:
Considering that Janumet was approved by the FDA only last April, Humana probably sees it was too new and there;s no generic version. But like stated above it's all about profits.

You might be able to fight their refusal through your state attorney general. An insurance company cannot refuse unless the medication poses a danger.
Posted by Suusan B. on 2008-02-13:
You need to have your husband's doctor fight this one - - he needs to provide information that supports the fact that other, less expensive drugs have been tried and that Janumet is the only one that improved your husband's condition.
Posted by Flute726 on 2008-02-13:
Wow, Humana runs a huge risk of being sued by denying patients medication. You are correct when you say that they shouldn't be making the decision, it should be the doctor who prescribed in the first place. I would have them reported to the state attorney general and get started on court proceedings.
Posted by Suusan B. on 2008-02-13:
Humana is not "denying patients medication" - - they are forcing the reviewer to go through their approval process to receive coverage on this particular medication. Per their website, it's called "Prior Authorization" and it requires the doctor to prove that less expensive alternatives have been tried. Calling the state attorney general or starting court proceedings isn't going to change the fact that it is the consumer's responsibility to make sure they understand what they are signing up for and get the terms and conditions in writing.
Posted by Anonymous on 2008-02-13:
Google "Humana wrongful death" and holly smokes. I certainly wouldn't do business with Humana but then again I value my health.
Posted by legal1947 on 2008-02-13:
According to the above statement, all of that was done prior to joining Humana. I agree that "Prior Authorization" was required. HOWEVER, they obviously denied the prior authorization after being provided the documentation by the doctor. It also appears from the submission above that Humana was playing the FAX "SCAM" by denying receipt of faxes, which they are well known to do.
Posted by Flute726 on 2008-02-15:
Suusan B., you need to read the review thoroughly before you say what you did. She already sent the authorization letter in, and they denied it.
Posted by Anonymous on 2013-10-28:
What a lying thieving scam of a company Humana is!!!!!!!!!!!!! I will stay as far away from Humana as I possible can and will spread the word!!!!!!!!!!!!!
Close commentsAdd reply

StarEmpty StarEmpty StarEmpty StarEmpty Star
Humana One is fraudulent
Posted by RCCC on 05/15/2012
ORLANDO, FLORIDA -- Humana One sold my wife and I a policy that we were told included pregnancy/prenatal coverage. 2 months into it, we find out that NOTHING is covered for pregnancy by Humana One and that they don't even have a contract with any OB/GYN provider for discounted rates.

We told the sales staff that pregnancy coverage was something that was important to us, being in our 30s. They told us it would be covered. Humana One will tell you ANYTHING to get you to sign up with them, and then exclude basic things like pregnancy coverage. Avoid them like the plague.
     
Read 4 RepliesAdd reply

User Replies:Close comments

Posted by Kris10 on 2012-05-15:
Posted by Kris10 on 2012-05-15:
What does it say in the contract which you signed? This is why it's important for you to read every thing before signing up for anything.
Posted by lexophiliac on 2012-05-15:
Take a look at the benefit handbook RCCC. The maternity coverage may not be in force until 12 months after issue, if a woman becomes pregnant prior to that, and the doctor(s) agree to do "global billing", they will cover it so long as the bill is submitted after the 12 month period. The dates of treatment are not considered - only the billing date.

That means that if a woman gets pregnant after the first few months on the policy, and the doc agrees to hold the billing (global billing) until her maternity coverage becomes effective, everything is good with Humana.
Humana One does cover pregnancy, though you may have to pay a high deductible before any bennies kick in, and then it may only be covered at 80%.
Posted by Lisa on 2013-01-20:
I had the exact same issue! I've been with Humana since 2009...became pregnant in June 2012...I now have over $120,000 in medical bills due to hospitalizations and home health care due to a high risk pregnancy and I still have several weeks till baby is born! Humana has refused coverage for other major health issues in the past as well...including chemo therapy...Humana is the worst insurance I've ever had!!! Hope you guys find better coverage!!!
Close commentsAdd reply

I'm leaving Humana / Right Source RX
Posted by Matchbox198 on 10/10/2011
This company needs to be investigated. Humana is more concerned about their bottom line more than anything. I received an automated phone call stating they would not be covering one of my medications anymore. They claimed Medicare Part B covers it, altho I don't have Medicare Part B, only A and I use this medication for a different reason. Doesn't matter to them. They're weeding out people who need a lot of medication so they can make more profit.

They discriminate towards people who need their services the most.

They need to train their customer service people. Their accents are so thick I can't understand them. Humana is one of the death panels we've heard about.
     
Read 6 RepliesAdd reply

User Replies:Close comments

Posted by grandma005 on 2011-10-10:
Medicare part A is for hospital car and Part B is for Doctor vists. Part D is for prescriptions. Do you have Part D?
Posted by Anonymous on 2011-10-10:
Are you sure the message said you had Medicare B? Grandma is correct. Medicare B is for doctors and D is for prescriptions. Some insuarance companies won't cover meds if you have Medicare D. You might want to call Medicare amd confirm if you have part D.
Posted by matchbox198 on 2011-10-10:
Yes, I have Medicare Part D. They said my prescriptions are to be paid by Medicare Part B which I do not have. The medication I'm talking about can be used for many purposes. If it's used for one thing they won't pay for it, if it's used for another they will. I need it for two different ailments but they are not taking that into account.

It's an immunosupressive used for arthritis and also kidney transplants. I use it for both.If it was just for arthritis they would pay for it, but since I've had a transplant they won't. They said Medicare Part B pays for it, but I don't have Medicare Part B.

This is a drug I used to go to Canada to get as it's a fraction of the cost there. Since my arthritis has become more severe, I can't travel there anymore. Besides, you now need to pay for a passport, tanks of gas, Canadian doctor just to save the money.

If they don't reconsider I will lose my kidney. I can't afford the extra Medicare Part B Premiums and co payment for this med. They are discriminating against transplant patients, pure and simple.

Humana is only worrying about their bottom line. Every year it's something new with this company. They are weeding out people who really need this to make more profit.

I'm checking into other Medicare Part D plans now and most likely will be leaving this criminal company. However, I will be appealing their decision and contacting my Senator and Congressman about this also.

Humana does indeed have death panels. They're here.

Posted by LOLASMOM on 2012-09-01:
I find them disgusting. I need to get out of it. Can anyone help me on how I can drop them?
Posted by Moira on 2013-01-25:
They are incompetent and liars. Two months I tried to get one prescription transferred from a local pharmacy to the mail order program. Nine (9) telephone calls later (each took 45 minutes on hold) I finally had to cancel their involvement so I could get the vitally needed prescription. The lie, and lie and lie.
Posted by louis lupinacci on 2014-01-10:
humana agents illiterate and don't know much about any thing. I could not get a supervisor to talk to. Please tell me how I can safelly get out of this company.I never had any of these problems with United Healthcare
Close commentsAdd reply

Top of Page | Next Page >