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Humana Consumer Reviews - Page 3

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Seniors Beware of Humana
By -

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. Website 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 GENERICS 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.

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They'll Cheat a 70 Year Old Grandmother.
StarEmpty StarEmpty StarEmpty StarEmpty StarBy -
Rating: 1/51

They do a good old fashioned switch aroo every year. A 70 year old GRANDMOTHER needed DENTURE care. So she calls in and the salesman says she has denture coverage in November 2018. She says she never got anything about any changes. So they changed her coverage and she had no idea. Then, today, she calls in wondering about what amount of coverage she has, and the tell her she has NO COVERAGE FOR DENTURES. She's had false teeth since the 80's.

She believed she had paid in enough to get something going on her some new false teeth and they say, "Well, we changed the plan on you. You didn't know. But we don't give two shakes. We aren't going to refund your money, nor will we credit you the amount that we (STOLE) from you and too bad for you"! Whatever you do. DO.NOT.USE.HUMANA.THEY'LL.STEAL.FROM.A.GRANDMOTHER.

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Deny Rehab for Hip Fracture
StarEmpty StarEmpty StarEmpty StarEmpty StarBy -
Rating: 1/51

CORPUS CHRISTI, TEXAS -- My 80-year old mother broke her hip, otherwise strong and pretty healthy. Docs and PT agreed she was capable of full recovery and ordered transfer to rehab hospital three days after surgery. Humana denied. It's now 10 days after surgery and the appeal is still pending. My mother is making very little progress as the hospital does not have enough PT nor rehab facilities. Both the hospital case manager and the rehab hospital said Humana is the worst and that they deny everything other insurance companies allow. The woman in the next bed - 10 years older and in much worse health - is getting transferred to the same rehab hospital after 3 days. Thanks, Humana, for jeopardizing my mother's health and ability to recover. Your Ponzi scheme is alive and well.

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They Deny What Medicare Covers
StarEmpty StarEmpty StarEmpty StarEmpty StarBy -
Rating: 1/51

SEATTLE, WASHINGTON -- In one word: terrible. They talk the talk, but do not walk the walk. I am in the Seattle area and needed hand surgery, there is only one surgeon in a dangerous area of downtown that takes Humana. Seattle's metro area is nearly 4 million. The medical office I was referred to reported to me that they have nothing positive to say about Humana, specifically they state poor billing issues, difficulty getting scripts filled and inability to find a human to speak to. They denied my carpal tunnel surgery which is covered by Medicare, I can't use my left hand at all.

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Annual Cost Tripled Without My Consent
StarEmpty StarEmpty StarEmpty StarEmpty StarBy -
Rating: 1/51

CALIFORNIA -- As of 01-01-2020, my Part D Plan with Humana was converted from a $29 per month plan to a $64 per month plan. I was unable to access my email for several months prior to this change and therefore, unable to receive email notifications. No other contact was attempted by Humana to get my agreement to this change. At the same time, Humana made this change, they created another plan (much less costly), that is similar to my previous plan, but instead chose place me in their new Premier RX plan that is more than twice the cost of my previous plan. I regularly use three Tier 1 medications and my annual cost went from around $300 plus to $900 plus with the new plan. How can they do this without my consent.

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Rare Approval of Recommended Post-Acute Rehabilitation Services
StarEmpty StarEmpty StarEmpty StarEmpty StarBy -
Rating: 1/51

I am a healthcare provider. I work in a large hospital and I work with very sick patients. I am directly involved in a patient's discharge plan. The patient's that have Humana Medicare has the worst and fewer choices of approved skilled nursing facilities. If a person requires post-acute rehab services, they get the cheapest and more sub-standard choices of facilities (in my opinion and experience). Humana rarely approves patients for inpatient-rehab services (aggressive post-acute rehabilitation). I have been a healthcare provider for 9 years and this is my experience with Humana. Most patients with multiple co-morbidities that suffer a fractured hip are denied for aggressive post-acute rehabilitation or by Humana regardless if they required no assistance prior to the injury.

I was inspired to write this review because I've been treating a patient who has progressive Parkinson's disease, he suffered a hip fracture from a fall in the hospital with surgical repair and he also has movement precautions to follow to avoid hip dislocation. This patient is in his mid-70's and active prior to his fall, used no assisstive device with walking. I just believe if multiple healthcare professionals are recommending a specific setting for post-acute rehabilitation for a patient, then the insurance company should respect and support that recommendation, not make your own without laying eyes on the person.

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Humana Health Insurance is Absolutely Horrible
StarEmpty StarEmpty StarEmpty StarEmpty StarBy -
Rating: 1/51

WASHINGTON -- Please do NOT spend any $ with Humana. This has got to be one of the most horrible insurance places in the U.S.

I will not go into the detail of what has happened to our family - but Humana is evil. They do not provide any coverage when you need it. What in the world are we paying for every month, to then be denied.

Our doctor at our local Evergreen Hospital had to argue, debate and even yell at the the Humana contact who was not listening to her plea to help get them to cover and get our family member the proper care. Humana covered NOTHING.

Sent our family member home when they were just in the ER and need rehabilitation. The next phase will be long-term care and good luck with getting them to help with this - when they wouldn't even cover 1 day of rehabilitation. What an absolute joke.

I will continue to write on sites and post to where I can in hopes of helping at least one other person or family who is looking for true help and coverage. Please avoid Humana!

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Turn Down Almost Everything and When Approved, My Cost Is More Expensive Then if I Pay a Cash Price at Pharmacy
StarEmpty StarEmpty StarEmpty StarEmpty StarBy -
Rating: 1/51

Recently, I get turned down for almost every prescription my eye doctor, dermatologist, and regular doctor prescribe. So if there is not a generic, I have to buy it myself. Additionally, when they cover it, I find (at least at CVS), that my cash price with the coupons they find is always cheaper than my share of a drug they approve. Again, their approval rate for me is around 30%. I am glad I have some resources, or I would not get medication I need. They used to be a good company. Now, I cannot wait until December to change. On their last statement for example, they said I paid $187.69 and they paid 49.10. That is so not true. For all the drugs they denied, I bought them myself and they don't list what they turn down.

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They Fight Every Claim no Matter How Simple
StarEmpty StarEmpty StarEmpty StarEmpty StarBy -
Rating: 1/51

NEW YORK -- They are openly stealing. Stay away. They fight every claim no matter what. They have no shame. If everything is correct they say system problem. OR I don't see your doctor in the system. I can't believe this is legal.

They couldn't find the doctor I claimed that I received a claim just the month before. After an hour on the phone they "found" the doctor. When I asked why they couldn't find my doctor in the computer the customer service explained she's in Texas the person before was in Florida!?

Then they said the code wasn't correct. The same code and doctor I got paid on last month. After one hour and forty five minutes on the phone a supervisor found the code. (You can Google it). She said she will take care of it and call back.

One hour later they say my claim, the same exact doctor and code they paid last month, will go to disputes. One month when I will find out.

Wow.

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Part "D" from HELL
StarEmpty StarEmpty StarEmpty StarEmpty StarBy -
Rating: 1/51

LEXINGTON, KENTUCKY -- Humana is a firm you do not want to do business with. I have a part "D" drug plan from Hell. Every time I order, a refill there is a problem.

Last night I spent 95 minutes with (3) different people, all unable to resolve a problem. I have a tier reduction and every time I order, they want to collect a co-pay, without resolving. Past issues were supposedly fixed. I regret renewing with this firm who is set-up in silos. The pharmacy people are un-trained. They pass calls to a Benefits department, who cannot seem to resolve anything, despite agreeing there should be no co-pay with the tier reduction. A Critical Pharmacy Review team is unreachable every by the other departments. (They call it CPR department, but they are already dead or should be!!!) Today I have been on hold today for more than 50 minutes. Past complaints to their corporate executives go unanswered.

DO NOT DO BUSINESS WITH THIS FIRM OR SUFFER AGGRAVATION.

You will note the other reviews say a similar thing. Humana should have their pharmacy licenses revoked.

I would suggest their senior management are fat cats, who are raking in the $$$$. No inkling of care about their customer (patients).

I have yet to get a call from those I have reached out to from Humana in the past, on the same issue last year & earlier this year.

Chris D
Cheshire, CT

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Humana Rating:
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1.1 out of 5, based on 85 ratings and
122 reviews & complaints.
Contact Information:
Humana
500 W. Main Street
Louisville, KY 40202
1-800-4-Humana (ph)
www.humana.com
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