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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
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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
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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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AWFUL and Stressful
StarEmpty StarEmpty StarEmpty StarEmpty StarBy -
Rating: 1/51

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.

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Humana Rating:
Star Empty star Empty star Empty star Empty star
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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