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Philip N Sil

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Verified Reviewer
| map-marker Alpharetta, Georgia

They took money from a disability person for over a year and refused to pay claims...3995.00

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Humana - They took money from a disability person for over a year and refused to pay...
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When I sent in claims they denied because I used a repeatable dentist! They never told me I had too use a network...and refuse a cheaper claim...humans uses poor people to advance there profit...sad on elderly don't by there extra coveraged
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Loss:
$3950
Pros:
  • No help
Cons:
  • No help

Preferred solution: Full refund

Anonymous
map-marker Platteville, Wisconsin

Question re coverage

The great service I received so politely conveyeddont hesitate to call with questions. And so knowledgeable.
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User's recommendation: Call, they're great

SteadyPuffin

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Verified Reviewer

Humana's poor customer service concerning Medicare Part D premium

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Original review Jan 10, 2024

The Social Security Administration withdrew last year's premium for Medicare Part D, instead of this year's, but refunded it just recently.

You might be asking, "What does this have to do with Humana?" Explanation coming up.

I decided to go ahead and pay my monthly premium with a credit card, to keep it active, because I know how Humana and other drug insurance companies are. Yes, they did receive the payment.

However, the Social Security Administration, only refunded to me the difference between last year's premium and this year's.

According to Humana's "records," (notice the quotation marks), there is still no record of the SSA doing so, 5 days later after SSA refunded the difference, so I still sadly probably did the correct thing by going ahead, and paying them, even though it doesn't feel like it now.

I called Humana about this, and chatted with the customer service representatives about it too, one woman, and one man.

They not only didn't seem to know what to do about this, just citing what was on Humana's "records," and that's it, but they both seemed very cold and uncaring while doing so, like they didn't want to bother with me, or take any time at all while doing so.

You see, I signed up for SSA to automatically take out the Medicare Part D monthly premium, from my monthly Social Security check.

So now, not only do I have to worry about one monthly premium, but possibly two from the same company. I feel like I'm being punished for doing the correct thing.

I told both customer service representatives about this. They both put it off on Social Security, of course, and refused to do anything more about it, except for me to contact them, even though the SSA clearly states, that it is "up to the plan" to do so. Not only that, but they pretty much refused to do anything more about it, but that.

Neither one of them seem to care either.

Now, I still may have to call the SSA about this too. I've already tried three separate times, only to be told, that I'd have over an hour wait, each and every time.

The SSA apparently didn't update their records until just recently.

Humana still doesn't have any record of the SSA premium (or so it claims), even though SSA refunded the correct amount to me.

I told the chat man, that I felt like I was being charged twice. He flat out told me, "You're not being charged twice." Hmmm...

As long as I receive my $41.60 refunded, plus a guarantee of me not being charged twice, both from my card and from SSA, that's all I'm asking for.

However, I'm not so confident, judging by the way Humana's customer service representatives acted towards me today. They both acted like they wanted nothing to do with this, to just tell me what "the records say," and do the absolute bare minimum required and nothing more.

Humana's customer service is an absolute and complete joke.

Let's hope the Social Security Administration is better (I'm not so confident in it either).

If it tells me that I'll have to depend on Humana to straighten things out, I'm pretty much screwed.

I basically had to sign up for Humana's Medicare Part D too, since it was the best plan for me. I actually liked SilverScript from Aetna, but their premiums and co-pays skyrocketed this year in my local area, because I've had nothing but problems out of Humana, each and every time I've had to deal with them.

Now, I may have two separate bills to worry about, which was not what I was what I had in mind.

Sad but true.

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Loss:
$42
Cons:
  • Poor customer service

Preferred solution: Full refund

User's recommendation: Watch Humana and the way it acts concerning premiums and co-pays, very closely, if you have to deal with it any at all. Sadly, people often don't have a choice, unfortunately.

Joe D Muc

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Verified Reviewer

Worst service reps ever

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Decided to change from our current health provider, which we have had for a decade. I called Humana and got Queen Davis as my rep.

While on speakerphone, my wife and I asked specifically about her 2 Doctors. Queen sounded like she was looking them up and told us both were in their network. The whole time, after many calls that Queen answered and was very friendly and helpful, we decided to switch. Shortly afterward, my wife went to her regular doctor.

She was told that they were not in Humanas network. Then I called Queen and that's when the trouble began. She said that she did not say that her doctor was in their network. I reminded her that she supposedly looked them up, while on speaker, and told both of us that that doctor was in the network.

I told her that was the reason we switched. Since that time, after numerous calls and voicemails as well as numerous emails, and a request to speak to her supervisor, I have received zero response from Humana. I should have done research prior to switching. Humana has one and a half stars from their customers.

Avoid Humana.

They not only have bad customer service, they have NO customer service. I will be switching back next year.

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Cons:
  • Non existent customer service

Preferred solution: Acall from a supervisor and a rep that actually cares about their customer and communicates with them

User's recommendation: Run far away from Humana

4 comments
Guest

Unfortunately they don’t know, don’t know how to find out or lie. It’s always best to print a generic image of the ID card off the internet and take half a day and physically visit your doctor, pharmacy and blood work place and ask if they take the insurance.

It’s even a good idea to stop in local urgent care and hospital ER dept. to ask too.

Joe D Muc
reply icon Replying to comment of Guest-2489020

Who doesn't know what? Who doesn't know how to find out or lie?

And what are you talking about a generic I.D. card.

I have a Humana card. Your comment makes no sense.

Guest
reply icon Replying to comment of Joe D Muc

The Humana rep obviously did not know how to find out, was too lazy or lied just so you would enroll. My point was not to trust them.

Generic card is online as you read the info as you decide.

There is always something that says something like “below is an image of the card you will receive for all your medical and pharmacy needs.” I was saying show all your providers the image before you decide. They will instantly recognize if they accept it or not.

Joe D Muc
reply icon Replying to comment of Guest-2489180

Yeah, too late. Now I will wait until next year and change back.

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Pete C Qzy

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Verified Reviewer
| map-marker Duluth, Georgia

Humana’s Transportation Service: A Disastrous Change

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Review:

My recent experience with Humana's transportation service, now handled by Modivcare, has been utterly disappointing. The transition has been a disaster, leaving me stranded and frustrated.

Modivcare's inability to provide accessible service to all clients, especially those with unique needs like dialysis patients, is unacceptable. Their insistence on extensive notice for appointments, lack of flexibility, and disregard for individual circumstances have left me with no options but to rely on Uber, often leading to canceled appointments and missed healthcare opportunities. Furthermore, their use of vans or buses emblazoned with company logos violates privacy rights and HIPAA laws.

The recent changes, seemingly driven by cost-cutting measures, have severely impacted patient care. I will be switching providers at the earliest opportunity.

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Pros:
  • Of their new transportation provider have always been pleased with their service
Cons:
  • Getting rid of uber

Preferred solution: Change your penny-pitching ways.

User's recommendation: Run!

2 comments
Guest

There is no HIPAA violation. No one is disclosing any of your personal health information.

You do sound like a horrible person. No wonder you have to rely only on medical transport.

I’m sure family moved away first chance and no one wants to be friends with you. Trust me, the only thing people think when they see the van with the logo drive up is “who else would drive him?”.

Guest

There's no pleasing you. Buy a car and please don't use Lyft or Uber as a medical transport.

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Gina P Yoj

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Verified Reviewer

Offshore accounts shady business

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I am disabled. I need a bed.

I called Humana and asked them about getting a bed other than a hospital bed. Who wants to be in a hospital bed when there's no need to be in the hospital bed. I need the functionality of a bed that a hospital bed has. But I do not need rails.

That would send me into a mental. Spiral downward spiral, I reached out to Humana and ask them about this. Oh, all you need is a doctor recommendation once I get the freakin doctor recommendation, then they don't know nothing about how to help me. I'm tired of calling these people about the subject matter, and they always will send the jobs over to offshore people who know nothing.

And then will you ask for orange or people? It's just a vicious cycle. I need a medication for my concuss. Head that has taken many years to heal and answer yet have not so the pills themselves.

Humana will cover. I asked them for the capsules because the pills upset my stomach. I have been paying for this out-of-pocket humanity. Is supposed to reach out to the doctor.

And when I call they have no record of that. Furthermore, when they reach out to the doctor they should let them know that the doctor only has 14 days to respond. Otherwise you're stuck and you cannot do an appeal. They have went downhill.

It's so many negatives, also an ordering there. A supply sometime. You'll be better off instead of ordering from Humana for your over-the-counter. You might want to check out Walmart for some of your supplements.

This is utterly ridiculous and I'm strongly considering about going to another Insurance Company that can meet my needs. Why should I on disability income have to pay for medication out of my own pocket? Because I'm caught up in the red tape of it all, I need Ace O2 contact me when you ask for a supervisor most of the time these people don't know what they're talking about. They transfer you and they don't even tell you they're gonna transfer you.

So here you are having a repetitively. Give your information to 56 representatives only to end up with frustration.

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Loss:
$300

Preferred solution: Help the people more and stop all the red tape in the nonsense. Can't you get people the jobs that are in the Philippines? Something needs to be done.

Kerry A Gus

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Verified Reviewer

They lie

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Eyemed provides vision benefits for humana. They are contracted with glasses.com to provide glasses. The benefit amount is 150.00. I placed order for glasses for 153.00. Was required to enter my card. The site said my insurance was synced. My card was charged for 153.00. I filed a complaint with medicare NM commisioner of insurance. I filed dispute with my bank. This action has jeopardized my appt upcoming with my neurologist. Never thought this would occur. My trust is gone. Does not matter if an error was made. Do not use them. Get out of medicare advantage irregardless of the company.
View full review
Loss:
$153
Cons:
  • This company is morally bankrupt

Preferred solution: Full refund

User's recommendation: Do not use

Anonymous
map-marker Baton Rouge, Louisiana

Humana does not care about their Customer

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I moved from one state to another and kept my Humana Gold Plus HMO. I had to cancel service in FL and start service in LA.

When I called to switch everything over I asked they everything be canceled in FL, as I had an additional dental coverage. They have continued to bill me because they claim no request to cancel was ever made. I have no recourse, every agent I speak to use useless and when I request a Supervisor, I get put on hold forever and then an account Supervisor comes on the line, which is just an escalation associate. They have no desire to resolve my issue.

I am also currently fighting with them over a dental billing issue for a service that was provided in October of last year, they have come back and reissued some charges and took back some fees that they claim they paid in error to the vendor and now the vendor is billing me, and if those charges had occurred in October I could have used my Spending Account Funds to cover it.

Now they just say, tough luck lady you owe us. Nobody is interested in fair and equitable practices.

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User's recommendation: AVOID HUMANA

Laura D Kir

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Verified Reviewer

Insurance benefits not being paid

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Hello, I'm having no success trying to get paid on a claim for a patient in our office. Everything is over seas and nobody can connect me to a US rep. I have 17 Ref #'s of everyone assuring me we'll get our money and the payments will be paid. This has been going on since 2022. I've spoken to supervisors as well who assure me the problem will be fixed and it's not. I'm desperate to reach someone in the US who can look at this and help me get paid. Thank you.
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Loss:
$218
Cons:
  • Terrible customer service

Preferred solution: Full refund

User's recommendation: Don't use

Wilbur K Qha

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Verified Reviewer

Dissatification of call centers and Time for getting an dental appointment

Call Centers we always get sent to a foreign country and cant understand the person. When asked to talk stateside, Slack is given. I speak good English. What a JOKE! Next this is Mid-February and all Human a Dentist are booked up till Mid-October! What good is that to me. Human a suggest I go Out of Network. REALLY! And pay more.
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Preferred solution: Sooner appointment and all calls routed to American Call Center

User's recommendation: Maybe its time to go elswhere. Customer for many years already.

Zacchaeus Uqm

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Verified Reviewer

Customer Service

He kept arguing with me about the date of the month and told him to look at the calendar and he wouldnt do it. I used to be a bank manager and you never argue with the customer.
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User's recommendation: More Customer Service Training g

1 comment
Guest

Nice description of your problem.

Resolved
Leo A Gxl

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Verified Reviewer

Resolved: Haven’t received new card

I enrolled and no card I have been to doctors and I have to provide new insurance helppppp help help me please please
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Preferred solution: New card

Kimmie H Yuu

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Verified Reviewer

Locked out

Locked out of my account been trying to get into my account for 30 minutes now using the same email and the same password that I used in the beginning that now wont work
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Preferred solution: Get me into my account

User's recommendation: Don’t know

Kerry A Gus

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Verified Reviewer

Humana claim denial via AI

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Humana with its medicare advantage members use AI to deny claims. The elderly and disabled. In my research I have found 1 death due this practice. The CMS and senators are after them plus a class action law suit has been filed. Buyer beware.
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Cons:
  • Terrible snake

Preferred solution: Humana ceases to exist

User's recommendation: Do not use or if you do hold them accountable for everything. Document everything. File complaints. Not with them. Go straight to medicare.gov

Insurance Expert Talks

Exposed: Types of Insurance Scams and Fails

Mar 7, 2021

In this video interview, Charles R. Gallagher, an attorney, explains what sort of insurance fraud happens with consumers. Find out more about insurance fraud, the worst cases discovered, and how to protect yourself from insurance scam.

Read full article
Charles
Charles

Charles R. Gallagher, an attorney and managing partner with Gallagher & Associates. His practice focuses on insurance litigation, foreclosure defense and consumer law.

Kerry A Gus

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Verified Reviewer

Cannot trust them

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I have an upcoming eye exam. Probably need new glasses. I did research. Humana seems to have the ability to alter refraction and payment on glasses despite the benefit they say they provide. I am set up for failure before my appoint.
View full review
Cons:
  • Terrible

Preferred solution: Nothing. I want to help warn others

User's recommendation: Do not use eye med. Research potential outcomes first

Patricia L Bny

Customer service hung up on me several times. Placed order for over the counter never got. They mixed up my address with other many times.

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OTC never received Customer service hung up on me several times Never updated my address after I gave it to them multiple times
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Cons:
  • Customer service

Preferred solution: Apology

Resolved
Kerry A Gus

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Verified Reviewer
| map-marker Fullerton, California

Resolved: Terrible

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Updated by user Dec 21, 2023

Company fixed the issue and I have been provided with apology. Humana sent letter saying the provider was in network.

In addition I no longer get my rxs from them. I found an online pharmacy and pay myself

Original review Nov 21, 2023
Never enroll with the worst company ever. 1 issue results in 10 more for you to resolve and the resolutions never materialize
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