CINCINNATI, OHIO -- DO NOT BUY HUMANA RX INSURANCE! Humana has a cheap monthly charge that they use as a come on. However, there is first a $320.00 deductible to be satisfied. Then, their drug costs are way out of line. For example: I've had to pay $22.00 for a 30 day supply that my previous carrier charged $4.00. I've had to pay $117.00 for a 30 day supply that my previous carrier charged $40.00. They move what are Tier 1 Rx with other carriers to Tier 2 to be able to overcharge for what is clearly Tier 1.
I suffered a complete breakdown in communicating with them. They tried to contact my MD using the wrong phone and fax numbers. Both correct numbers were clearly written on the Rx. Furthermore, I was given two different fax numbers that my MD was to use to contact RightSource. Again - DO NOT BUY HUMANA RX INSURANCE!
AUSTIN, TEXAS -- My Humana policy became effective February 1, 2015. I've been using Beconase since 1989 for my allergies. Each year, I get samples and try the new nasal sprays on the market, but I always go back to the tried true nasal spray that works the best for me. I live in Austin, Texas, the Allergy Capital of the World, and I have pollen allergies. We are currently in the worst season with cedar still going strong and elm and oak starting up. This is the most difficult time of year for me as far as my allergies.
1) Humana Step 1 STALL TACTIC - Decline the request immediately and ask for additional info. Then, when the doctor responds to the request (my allergist submitted the information they requested, explaining why I need this drug I've been using for 27 years).
2) Humana Step 2 STALL TACTIC is Rejecting the information and closing the claim.
I am not clear how many times Humana will decline and reject before they will finally do the right thing - not even sure they will ever do the right thing. But it means that me and my doctor are in for some truly frustrating periods while we continue to try to get this eHealth company provider to do what they're supposed to do for their insureds - to fill the prescriptions the doctor prescribes and says are needed.
Today's Humana can't hold a candle to the old Humana... That company provided healthcare coverage. Today's Humana works very hard NOT to provide the coverage they're contracted to give. Please don't make the mistake I made. Humana is not the company you want or need. Choose Blue Cross or UnitedHealthcare instead!!!
LAS VEGAS, NEVADA -- A CLASS ACTION IS OVERDUE AGAINST HUMANA. They fail to honor approved services and/or agreements. On April 2014, my Dr.'s office requested additional trips for me so that I could see a physical therapy in addition to my primary care.
These trips were approved and I've been going to my appointments, however, I called the transport co. on 8/12 and was told that Humana voided all trips for the rest of this year. I called my Dr.'s office and was told by the nurse that trips already approved are good until the end of the year. I have sent 3 e-mails to Humana and all I get are evasive responses.
In addition, on 8/12 I rec'd a Notice of Denial of Payment from Humana for my transport to the therapist even though they have the order for this service from my Dr. Because of the numerous complaints from thousands of patients, I ask that an attorney files a class action on our behalf. In the meantime, I reported them to the BBB.
AUSTIN, TEXAS -- Spouse moved this year to Humana HMO over the newly renamed "AARP" plan provided by PHC/UHC. Got to be better, right? Wrong! Precious few providers will accept this HMO, mostly with long unpronounceable foreign names, and terms dictate that you cannot go outside of network. So Humana issued HC card and 8 months in, we try to look up the assigned doctor. No answer! What is wrong?
We got to the bottom of it: Humana assigned a RESIDENT who sees only patients already in the hospital. No new patients, no well-care visits. Yet this is our defined PCP! Yes of course dear victim you can change your PCP but it will not take effect until next month! Needless to say we hit the roof after paying monthly premiums and finding the PCP assignment to be a fraud.
FALLS CHURCH, VIRGINIA -- The Humana One plan is junk. Do not give them your bank account information. They will keep pulling random charges out of your account. I would give this plan negative stars if possible. I enrolled in this plan through eHealthInsurance and was not informed of some of the basics. First, I went to get my teeth cleaned at my regular dentist only to be informed after that Humana One would not cover the basic cost of cleaning my teeth because I was outside of the network area that they covered.
When talking to the insurance representative I had been assured that they would pay this cost or else I would not have selected them. After being charged an additional $54 enrollment fee on top of the $20 I had to pay monthly, I found that I could not cancel the contract because I had signed a one year agreement. Upon attempting to terminate after one year because they had automatically re-enrolled me for another year without my permission, I was charged a $21 cancellation fee, of which I was not informed. All in all one giant rip off.
LAS VEGAS, NEVADA -- I reviewed the 2014 provider's list for my current Humana HMO plan. Mirroring the 2013 provider's list, the "Comprehensive Cancer Centers" is listed in the 2014 provider's list as of 11/6/2013. This cancer center is one of the top notch, if not the only significant cancer treatment center in Las Vegas, NV. There are other oncology centers, but in my opinion the CCC is the best. I talked with Humana's representative and she told me that my HMO for 2014 will include the CCC. I asked her for how long. She replied “13 days”. Coverage will end January 13, 2014 -- WOW!!!
It appears Humana is less than truthful. A consumer signing up for the Humana HMO plan expecting that the CCC will be included in his or her plan may be disappointed. I understand providers come and go, but in this situation, Humana is aware today (11-6-2013) that the CCC will be excluded in their HMO plan after January 13th, 2014, even though the CCC is listed in Humana's HMO providers list for 2014 without exceptions.
KENTUCKY -- My story is very long and I will log it later. My mother had two strokes and required 3 hours acute rehab care and Humana Medicare denied our choice because they told us there were other facilities (1 and 2 star rated) that could do the same. No thanks. So we fought back and are still fighting.
What I wanted to get across to all of the Humana screws is to lodge your complaints with the Better Business Bureau. The BBB must answer all complaints and currently Humana has an A+ rating. That's right AN A+ FRIGGIN' PLUS. That's got to change and with the help of all of us and by spreading the word, it can quickly change to a C or D and then, they will be in hurting status. PASS IT ON.
WEST PLAINS, MISSOURI -- I had Bypass Surgery and my wife thought we "Had" to have a prescription plan. She purchased the Humana Plan. They did not inform her that there was a $300.00 deductible. We do not use $300.00 in prescriptions a year and, we had a drug plan with the hospital where my wife works. Asked Humana for a dis-enrollment. They agreed to dis-enroll us on 07/31/2012 and sent us a letter of confirmation. Approximately 1 and 1/2 months later I received a phone call from a "Collection" agency, stating that Humana had turned us over for collection.
We had NOT received any statement, bill, or any correspondence from Humana since the letter of confirmation. We never used their plan and paid 9 months plus 2 more to the collection agency. I did complain and got a phone call from Humana, apologizing for the mix-up, but the damage to my credit was already done. I had prior to this a 780 score. Don't know now.
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.
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.