DENVER, COLORADO -- Four and one half hours on the phone to convince Humana that when an eye surgeon schedules cataract surgery a week apart and writes two separate prescriptions, both of which state “no refills” and specifically states right eye and left eye respectively means I have two eyes and the two separate sets of eye drops are required so as not to cross contaminate.
Nope, Humana did not put two no refill Rxs in their system, they put only one Rx in their system with a refill in three weeks. What happened to the second prescription? Did Humana violate the law by deliberately changing the Doctor's orders? Does anyone know if I can register a complaint with the FDA? The weird part was that when I tried to explain to the agent who denied the second Rx for my other eye he seemed confused and replied “Huh”.
LEXINGTON, WISCONSIN -- In 2016 we had Humana as primary insurance and another secondary insurance through my children's mother. Humana used the "date of insured" to determine they were not Primary. I provided my divorce decree stating I will be the primary insurance for all claims. We have an insurance claim with Humana since 8/29/2016 where again Humana claimed they were not primary.
The primary insurance carrier issue took place in 2015 and took nearly 4 months to fix. Then in 2016 Humana somehow again forgot their own policy, my legal documents and prior information that they were primary carrier. Since 8/29/2016 Humana has denied the claim, paid the claim, asked for a refund for payment. They have been reported multiple times to the state insurance board and as of now it has been 22 months since the initial claim and Humana is still playing games.
I'm disgusted at what they are doing and how they are treating their past customer (we moved to a different insurance) and how they are treating the Dr. they rightfully should have paid. Did I mention how they sent our private information to a 3rd party? Somehow they used our divorce judgment to pull my attorney's name and she was sent our insurance data. How this isn't a breach of ethics is beyond me.
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.
MACON, GEORGIA -- I was with Humana in 2017, paying nearly $200 a month above Medicare. I had 2 generic meds (thyroid and cholesterol) that were always covered by insurance UNTIL 2017, when Humana told me my cholesterol generic med would cost $8. I called and asked why. Humana said that the generic med was "reclassified" and no longer fully covered. I went online and found a website that charged $10, and ordered from them so that my money would not go to Humana.
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.