Humana was founded in 1961 by David Jones and Wendell Cherry as Extendicare. The company was originally a nursing home company.
In 1972, the company began investing in hospitals and eventually become the largest hospital company in the world.
In 1974, the company name was changed to Humana Inc.
In 1978, the company acquired American Medicorp Inc. This acquisition doubled the size of the company.
In the 1980s, the company began to offer health insurance.
In 1993, the hospital division of the company was spun off as Galen Health Care.
In 2006, the company launched RightSource, a mail-order pharmacy business.
Today, Humana is one of the largest health insurance providers in the US. The company currently serves over 11 million customers.
In September 2022, Morgan Stanley stated that Humana could be the top retail Medicare Advantage Prescription Drug Plan.
In October 2022, the company announced that it would donate $13 million to improve mental health services for veterans, children, and the elderly.
Humana maintains a corporate office in Louisville, Kentucky.
Humana was founded in 1961 by David Jones and Wendell Cherry as Extendicare. The company was originally a nursing home company.
In 1972, the company began investing in hospitals and eventually become the largest hospital company in the world.
History
In 1974, the company name was changed to Humana Inc.
In 1978, the company acquired American Medicorp Inc. This acquisition doubled the size of the company.
In the 1980s, the company began to offer health insurance.
In 1993, the hospital division of the company was spun off as Galen Health Care.
In 2006, the company launched RightSource, a mail-order pharmacy business.
Today, Humana is one of the largest health insurance providers in the US. The company currently serves over 11 million customers.
In September 2022, Morgan Stanley stated that Humana could be the top retail Medicare Advantage Prescription Drug Plan.
In October 2022, the company announced that it would donate $13 million to improve mental health services for veterans, children, and the elderly.
Humana maintains a corporate office in Louisville, Kentucky.
I have had Humana for many years. So has my husband. We are extremely happy with Humana finding them very easy to do business with. The clinical nurses go beyond to help people obtain a job all they need to improve their health. They are kind, compassionate and thoroughly knowledgeable. Their first interest is your health success.
The premiums and out of pocket is very reasonable. All the customer service people are so helpful. We will have Humana for life.
Kind a compassionate?? lol that’s a joke! They have ZERO compassion, hopefully you won’t ever have to experience what so many others have by their incompetence.
Todays date is, February 18, 2020, I joined Humana back in December 2019, every since then I have had to call to request a copy of my billing statement. The first one was in December 2019 in the amount of $5.07 which was paid on 12-24-19 for the month of January 1, 2020, it was paid by my bank through my bill pay. I then had to call to see why I had not received my statement for February 1, 2020, they finally sent it to me, my bank made that payment on 1-28-2020 to make sure it was there by the 1st of February. On 2-18-20, I received my March statement which was for a double payment in the amount of $37.98, it stated that I had not made my payment for the month of February. I then call Humana at 5:12 p.m. and spoke to an employee by the name of James, he ask me to show proof that a payment was made by my bank for February, he gave me his email address to send him a copy of bank statement which I did. His email address is: rbarnaby@ humana.com, never heard back from him, I then called back and spoke to an employee name David, at 5:19p.m., I was told by him the same thing, he also stated that the payment my bank sent on 1-28-20 for the February 1st payment had not generated as of this day 2-18-20, really,,, it takes that long for a payment to post. I then insisted on speaking to a manager, he first gave me the run around then said he would have a manager to call me back within the HOUR!!!!, I was on the phone with David for about 25 minutes, ME,,, not knowing they closed in an hour, at 6:00p.m., never received a call back from a manager, but he did give me a confirmation number,,22911035, this number I guess was the number to either give the manager when they called, because he said he sent an email to a manager to call me. As of this day I still have not received a package from Humana explaining my plan. What is going on, have I chosen a bad company, especially with me being a Veteran.
The most ignorant and stupid people work at Humana. I plan to write about my experience with Humana customer service and all their other employees in all social networks and you should too because this complaint is not read by anyone to prevent them from falling into Humana trap. As you can see many people have written their complaints here and no corporate responsible person(s) has solved their issues. At least if you write about it on social media you do a favor for other people to avoid facing the same issues.
The customer service is atrocious. No one can anwer questions correctly. It is the worst customer service of any insurance I have had in 50 years.
I recently filed a greivance due to unavailability of a doctor in network to do cataract surgery. The reply I received stated there was no denial of service and so no appeal could be made. The reply indicated I should have the primary refer me and submit a pre authorization, after which they will decide if cataract surgery is covered. First, it was not an appeal; it was a grivance. Second I am on a PPO and do not need an referral. Third It is VERY clear that Medicare (and Advantage plans) do cover cataract surgery according to Medicare guidelines.
Next I filed a complaint with the State Insurance Dept. Humana distorted the facts and said that I was being helped by Clinical Access ( a RN about 1200 miles away) in finding a provider. The clinical access RN was absolutely no help.
Humana engages in chicanery to attempt to cover up their unprofessionalism, lack of facts, and avoid providing needed service.
If I go to the Humana Find a Doctor web page and put in “cataract surgery” it comes up no providers available.If I query Ophthalmologist it brings up 5 in my general area. Out of those 5 one no longer accepts Humana, and the remaining 4 do not do cataract surgery.
I was offered to go “out of network” with a 50% co pay. I will not do this as Humana is bound by regulations to have availability of providers which they do not.
I also filed a complaint with Medicare, however, I am sure Humana will not be candid or truthful in their response.
I am not sure if they are attempting to avoid paying a claim, or are they simply that incompetent. In any case ALL of the responses thus far have been little more than out and out prevarication of the issues.
I will be dropping Humana at the end of the year and going back to BCBS where they actually do what a health insurer is suppossed to do.
Unfortunately, since the insurance system was changed, by the government, I have had 2 different companies, Aetna, which I changed only a few months after signing up, because I called Medicare and got a “exemption”, so I changed to Humana, which has been an absolute nightmare!
Humana’s website is a HORRIBLE disaster! They kept assigning doctor’s to me that I would never go to and they didn’t even have my REAL doctor anywhere on their website! Searching for a doctor is a nightmare! Ordering my prescriptions is another nightmare! Their website keeps switching to other websites for everything. My diabetic test strips have be ordered at a different site and I was forced to CALL them every time I needed my syringes, which is another nightmare, because they have the phone system from HELL!!!! When I had BCBS, years ago, everything was on the same site!
Humana has the nerve to say that they are rated wonderful by the dishonest company, J. D, Powers, that is used by almost all disreputable companies, like the auto industry, to rate their company falsely, as being wonderful! IT IS NOT!
Humana tortured me by forcing me to jump through their proverbial hoops, making me see a physical therapist to assess the fact that I am REALLY handicapped and I had to pay a co-pay for that, even though I own a handicap equipped cargo van with a lift, with handicapped license plates! Plus they insisted that I had to deal with an outside company to have them order the replacement wheelchair that I needed, so that added to the cost!
My yearly deductible also had to be met and it is an exorbitant amount!
When I had BCBS, I paid $166.00 a month for insurance and a co-pay for doctors, but EVERYTHING was covered at 100%! Medicare covered everything else, except 20% for braces, etc., so I only had to pay 20% for my first wheelchair, which was about $700.00! Humana expected me to pay over $2600.00 for the exact same make and model, which was #1 rated, that I could have ordered for $3300 delivered! I refused to be a victim of Humana’s greed, so I didn’t order it! So now I don’t have a wheelchair; instead I only have a walker, which was donated by a generous organization! To clarify: my lift is for my scooter and the wheelchair is for my home.
Now, since I am still forced to have an insurance company, I decided to renew with Humana, only because I had to have major surgery and was in the hospital for 16 days, under my Humana plan, which is subsidized by Medicare, I only had to pay $1800.00 of a $76,000.00 bill. Without insurance I would have had to pay over $60,000.00!
After signing up over a month ago, I never received my new membership card and I need to see a doctor, so after I tried unsuccessfully numerous times to call the Humana 800# and kept getting a busy signal, I found the corporate phone # online and called it!
The woman I spoke to was very nice and is sending me a new card.
i was enrolled with humana in medicare advantage PPO plan with CMS H 5970-022 in this the out of pocket expense is 3500 and copayment of a medical specialist is $16., Humana changed my plan to CNS H5860-021 in which out of pocket expense increasesd to $ 6.700 and the medical specialist co pay was $35. I have been struggling to get back my old plan, some reprentatives say yes you are in old plan then the other gave verdict of under investigation.Customer service enrollment and sales department have been giving me run arround. I find it disgusting I have written letter to CEO and hope he will resplve the problem. Dr. Kumar
My wife and I are both members of Humana Gold Plus (Medicare Health Plan). We have been pleased with the healthcare coverage of the plan but are very disappointed with the customer service and the poor assistance received to resolve an issue concerning my wife’s maximum out-of-pocket costs for 2018. Due to health problems, my wife quickly met the $4500 out-of-pocket costs as reflected in the Smart Summaries for Aug, Sept, Oct, and November 2018. On December 19, 2018; Humana decided to request and review the medical records concerning a radiation claim (820181590203204) they had paid previously on June 21, 2018. In doing so, they coded the claim status as “ADJ” which automatically removed the cost share of $1614.14 from my wife’s accumulation of out-of-pocket payments showing that she no longer met the $4500 limit which is “not” correct. Since my wife had medical appointments on December 27th, she has been billed for cost shares concerning those services. I do not have a problem with Humana reviewing or auditing claims, I do believe to place an adjustment code on the claim file when it is pending a review is inappropriate since amounts are totally removed from the claim’s data file.
I have spoken to Humana staff members in Member Services, Provider Payment Integrity, etc. who do not either know what is going on or do not have the authority to do anything. Numerous times the Humana response has been this does not fall in the scope of this department. I have requested to speak to someone in claims processing but cannot since my communications have to be funneled through the Member Services Rep. When the communication is funneled to the claims processing dept. they respond back that since my wife had not met the out-of-pocket $4500 on December 27th, we are fully responsible for all out of pocket expenditures. (Case#1000076319395 and #001413004316).
With a background in healthcare finance, compliance and a CPA, I have found the Humana customer service very frustrating.
After talking to four humana customer assistants, three supervisors, a supposed referral to a corporate manager that was, never allowed, proof of my cancelled checks, my account stil shows past due. They tell me all is resolved but my account still shows past due. They claim that they cannot send an e-mail showing that the matter has been resolved. 2019 and they cannot send an email conformation. Really Humana. Very disappointed.
READ my previous comments! Vote for someone who supports Medicare for all!
Not impressed when I cannot email the company.
On 12/28/18 I made my Rx and supplemental payment via credit card—NOT debit card.
On 1/19/19 I receive a past due notice for my Rx coverage that I paid. I called and talked to Jessica, who assured me she would get things looked in to for me. She stated Payment returned 1/3/19. I told her it was not showing up in my credit card account that I could see online.
She gave me refernce # 1000071423488
I called 1/22/19 for update and talked to Jessie who transferred me, where an answering machine answered. I called back again and talked with Sharon.
Later that day I called back & talked with Shay 12:35pm. I reported that I talked with my credit card people and they saw nothing of a charge being returned/refused. It was not on this side that my payment never showed up with Humana. Humana was suppose to have been investigating the matter so this issue did not occur again, payment for 2/19 is coming up and wanted to be assured nothing would go wrong.
Today I called and talked with JaQynn who was not able to help at all. I would like this issue resolved as soon as possible.
Humana: I did not give you my banking information. How did you get it-Jaqynn told me that. Everyone there thinks I paid by check and I have to correct eadh one. No it was a credit card I pay with.
I would like to speak or email the CEO. Please send his info.
Sincerely, Judy Taylor706-436-XXXX
READ my previous comments! Vote for someone who supports Medicare for all!
The meanest customer service and replaced my info on their computer with a totally unknown name and address then argue with me when I gave them correct that it states different YET
I’ve gotten my member card and correspondence .
The last letter was I have to pay $ 5,100 before they cover and my monthly has gone up.
I just found here to call and as it’s been all day..
Recording.
READ my previous comments! Vote for someone who supports Medicare for all!
You have reach a new low. Your customer service is much worse than Xfinity/COMCAST. Please have a Corporate Manager, Director or Vice President of Customer Service call me at 817-715-XXXX. Thank you.
READ my previous comments! Vote for someone who supports Medicare for all!
drugstore is incompetent. No communication. Do not return calls after stating they will do so. Close out your request without telling you and without resolution. 3 meds I can buy cheaper at the drug store than the mail in drugstore. Took 3 months to resolve my issue. Had I not stayed on the issue, it never would have been resolved. I am changing companies in 2019.
Terrible customer service! Beware. It’ll send your blood pressure soaring!
Humana is the worst customer services sucks corporate office this people are rude. I’m getting with some people to do a class action lawsuit against them.
I have been denied a hip surgery stating that it is not medically necessary. I have missed two surgery days due to this denial. I have also since fallen and am in severe pain. The appeals process is quick to deny but refuses to approve the appeal, or even deny it so I can use pos benefits.
Shannon, you now qualify under the American Disabilities Act. Go to the accessibility or disability section of their company online. The 10 or so pages that you will see did not exist before I clued the executive office with 15 or so statutes that they were violating. I told them to go to the American Disabilities website to find out how many huge corporations go down the toilet cuz they have nobody to represent their company under the American Disabilities Act and the California Unruh Civil Rights Act. I do these things for free 4 all of us that are disabled. Send me an email and I can show you that all you need is 10 statutes.Charles
People who ever you are do not sign with HUMANA they don’t pay claims.
I have a huge concern that is detrimental to the company i have tried multiple times to contacty someone in human resources. i need for someone to return my call 252-218-XXXXX
I am a retiree enrolled in Go 365. Last 10/3017. I redeemed 6000 points for Walmart gift cards which I have not received after waiting for a month.
After talking to customer reps for 7 times lasting for 1-2 hours. I was told that the gift cards were sent and could not be replaced. From their “investigation”, they said one of the cards was used which was impossible since the said card was still in my possession st the time it wss supposedly used.
Very frustrating and I hope you look into the department in charge of processing orders since my my case is not isolated. Some customers also claimed the same problem.
Thank you
H 78403538
This was my first experience with their Part D plan. Pitiful! disgraceful, in-human and I could go on. These creeps held back an anti-biotic from me for two full days because they decided that I was on a medication that needed to be stopped before taking the antibiotic. My doctor called and was told they had no profile on me. The day before I picked up thyroid medication at my drugstore. I called and they tell me that they have the right to determine if I should be prescribed the medication, and overrode the doctor’s order. Two days later and hours of fighting with people both from my end, the doctor and the drugstore these losers finally approved the antibiotic. First time with them and I’m out as soon as my enrollment time is up. The Customer Service is horrible, when I asked for Names of CEO or COO they said I needed to hold, so I asked for headquarters address they said they don’t know. Next move calling my State Representative about this PHARMA practice and then the local consumer TV person at ABC news. These people picked the wrong person to mess with.
I have advance aortic/arterial stenosis and my doctor urgently changed my prescription from a calcium channel blocker to a beta blocker. He called in the new prescription on September 3. My son and legal guardian received notice that because the new medication was non-generic, it was not covered by my HMO plan and therefore there was an expensive out-of-pocket cost. My son submitted my credit card info through Humana drugstore’s automated system and received confirmation. 2 weeks went by and nothing came in. So my son decided to register me through their website to check the status of the order. He found out it was still pending payment, so again he submitted my credit card info and the site confirmed payment. More time went by and still no medicine. Finally, he just called them and spoke to a live person who informed him that the order had been canceled because no payment had been made. No one from Humana drugstore bothered to follow up about this matter. For the third time, my son provided my credit card info to make payment for this order. They confirmed payment and informed him it would be another 2-3 weeks before it arrived. You would think with the incompetency, negligence and inconvenience Humana drugstore has caused me they would have expedited deliver of my heart medicine by offering to pay for overnight shipping as a courtesy. Instead they charged me for the expedited delivery. Very, very poor customer service and if they don’t change their company policy, one of these days they will receive a backlash of legal repercussions and lots of bad press from the news media.
claim # 327539057 dated 05/02/2016.This claim was billed on 05/02/2016 and paid on 05/04/2016 as it should have paid per contract with Humana. On November 2016 an out bound call from Humana to Aetna states that I did not have Aetna as primary insurance. Aetna then reprocessed this claim and recouped what they had paid. Now my Cardiologist is wanting payment for total charges. After sever hours and several calls to Humana. the claim was sent back to be reprocessed only to be denied yet again for other insurance as primary. I have only been covered by Humana since 02/2014.
In this day of mega-billion companies, Humana is fast emerging as one of the worst. Big enough to pass people around so as to NEVER accept responsibility for their failure to provide the services they are paid for. I have been promised, in writing, twice, by Humana to provide me with required in home care. I am 75 year old and have multiple disabilities. Since moving to FL in Nov. 2016, I have not had any help whatsoever except that which I have had to borrow over $300 to pay for myself. I have not had a shower in nearly 6 months, I have been forced to sleep in a filthy bed. My life has been seriously shortened because of this lack of care. It is absolutely criminal that Humana is able to get away with this. The state of FL has paid them through Medicaid to provide services, but they have not done so, although they have had no trouble accepting the money
I have been in public service as a nurse and social worker for over 50 years and do not deserve this treatment. I would appreciate a phone call at 612-816-1670 from someone in the Corporate Office as I cannot afford internet service. Given that I have been waiting several months I would appreciate this if this would happen by 5pm Mon. 4/3/17. Thank you for your prompt attention to this matter.
Sincerely,
Penny Fisher
I sent a message to corp office a lady from corp called me back. Because I told them that any meds that I pay full price for humana can’t use it for deductible since they pay nothing her response was this drug is a covered drug but we pay. Pay nothing on it .so this year I will not be with humana they are crooks
I mistakenly paid Humana drugstore $460.00 on March 2, 2017. The payment was actually for my Blue Cross supplement. I noticed it right away but because it is an electronic payment I could not stop it. So I called Humana drugstore Customer Service. They told me it would be 30 days to get the money back. I told them that I cannnot wait 30 days. This payment does not belong to them. They said they have to wait until it clears. I has already cleared because it is electronic. I have called several times and all they tell me is that the billing department has to work on this. They cannot give me a number for the billing department. I cannot afford to be out $460.00 that I have to pay Blue Cross. Help please. I need them to reimburse me now..
On July 4, 2004 a young lady was in a terrible and deadly accident. Two weeks previously she had made the decision to donate her organs. On that same day I was given the gift of a new life – I received her heart. Now we all know that there is a cost to life – food, clothing, housing, etc. In addition to these costs my life has an added one – the cost of drugs to enable this new heart to exist in a strange body (mine). The two drugs critical to my continued existence are tacrolimus and mycophenolate – BOTH OF WHICH HUMANA DECIDED TO MOVE TO LOWER (AND MORE EXPENSIVE) TIERS. Imagine that, two GENERIC drugs essential to life which I, and others, must have and all of a sudden become significantly more expensive. Looks suspicious to me.
Has Humana discovered an insidious way to increase its profit and avoid the scandal suffered by Mylan? ‘We’ll just place the drug on a lower tier with a higher copay.’ Ingenious, too bad Ms Bresch hadn’t thought of it. ‘But we didn’t increase the cost of the drug.’ The spin doctors would be so proud.
Oh, you say. ‘The cost of the drug has gone up.’ Prograf has been around for over twenty years and its generic for the last several. Surely, the manufacturing protocols are well understood so there should be no unforeseen costs. So what caused this dramatic change? Did your supplier jump their costs? If so, did Humana investigate those costs or did Humana act like a politician and just increase taxes?
I have asked for a review of the tier assignment for my tracrolimus and was denied. I know tacrolimus is used for other things (even in an ointment for my dog’s eyes) but when it is necessary for a person’s life the considerations are vastly different. I am retired on a fixed income (social security and a small pension) so any increase is dramatic. I was given the gift of life by a young lady and the honor and responsibility to continue that life. Now Humana is placing that gift in jeopardy. I am doing my part. What is Humana doing?
I am a retiree of the state of Louisiana. I have been enrolled into Humana upon retirement and have been enrolled since that date. One Exchange is the agency that oversees all health plans and is responsible for our medical reimbursements. We are not reimbursed if we are not officially enrolled in one of the approved providers the provider, in this case Humana, Our problem began on December 22, 2016. Humana erroneously notified One Exchange my wife had changed agents, which we did not. Humana;s actions nullified our agreement thereby cancelling our reimbursements. Trying to get Humana to correct their mistake has been very frustrating and time consuming. We began our quest January 9, 2017. Today is February 7, 2017 and we are no closer to resolve the problem then we were on January. I have caled Humana daily, I talked to Paula, Wilson, Stafford, Nyliesha, John, Julisa, David, Laquita, Taylor, Olivia, and Terrance, all proved to be futile.. I faxed two requests to Humana’s Agent Support. I e-mailed Agent support, nothing. I am very disappointed with Humana. Their action has put a financial strain on my wife and myself. HUMANA HAVE TO OWN UP TO THEIR MISTAKE AND CORRECT THE PROBLEM.
Please contact Medicare and ask for filling a Medicare complaint. They will have a lot to answer for. Also contact your state representative and senate representative.. This year the state gave them a special program for diabetics and cardiac patients; complain there too. You should also if you have costs involved in this mess save every receipt and for 50 bucks sue them in small claims. Since your health is not in jepordy you should be ok.
Rob (Verb)
Definition: To deprive (someone) of some right or something due.
Synonyms for rob:
Bereave, cheat, defraud, divest, hijack, loot, lose, ransack, strip, abscond, appropriate, burglarize, burgle, con, cop, dispossess, embezzle, filch, heist, hustle, liberate, oust, pinch, pilfer, pillage, purloin, raid, requisition, rifle, roll, sack, swindle, swipe……….
My wife, love of my life, high school sweetheart since 1982 and mother of my 3 children purchased a Humana (HMOx) plan which we paid premiums throughout the policy period. My lovely wife, unfortunately has a pre-existing condition, type 1 diabetes. When we requested her insulation she has taken for years and has physically become accustomed to Humana would not provide it, they just said no. We paid out of pocket for this. Later in 2016 we had to admit her for hospitalization due to excessive bleeding during menstrual cycle, she almost bled to death and needed 3 units of blood. Ultrasound found that she has an inoperable (extremely large) fibroid cyst. After going to doctor visit medication was prescribed to shrink the cyst (Lupron). What do you think happened next? Humana said no, you cannot have the prescribed medication requested by your physician. The prescription was requested in December (during the paid policy period). Humana did not recommend an alternative medication, we would have taken it, her situation is bad, she bleeds every day. Its too late now we are told due to our policy expiring the end of December, we upgraded our insurance for 2017 (Florida Hospital Plan) to get what we need to support a quality of life because you say no. How can the Health Care provider override the prescribed medication from a licensed physician, one wonders??? This plan can only be described as a benevolent dictatorship by the provider, how can this be???
This is like Dorthy on the Wizard of OZ with burnt broom stick in hand, the little dog pulls back the curtain and the whole thing was simulated. I made it through the haunted forest, fought the monkeys in suits, melted the nasty green witch, brought you the burned up broomstick (premiums) but in the end got nothing!
There is no happy ending like the Wizard of Oz, I have to pay for the medication now. Her condition is serious and needs attention now. I will not see her turn grey again due to blood loss and run her to the hospital for a transfusion because you won’t send the prescribed medication or equivalent. Anyone who cares for their loved ones would do something for them as I have to, but Humana wont. I WANT MY BURNED UP BROOMSTICK BACK!
For 50 bucks to file sue them in small claims for her insulin and add thousands for suffering.
What a mess this company is. I called to try and find out why a referral was denied. 3 transfers, 38 minutes later, disconnected. Called again, 28 minutes later, no help. Passed the buck and told me to call another number. People on the phone told me contradicting things over and over. Nobody seemed to know what the heck was going on. Pathetic company. Need to switch.
They all know what’s going on and could care less make sure you sue them in small claims court for anything you have had to pay for they should. Don’t forget to add thousands for pain and suffering.
Good job I l learned a lot about your program put more out there. thank you. Rick
Thank for the help to learn what to do have a good day.
Where is Mr Bruce D Broussard, is he scared to talk to customers so that we can tell them how lousy of service his company is providing? They have scammers working for Humana.
Hello Ma’am and Sirs,
I have reviewed my checking account and I have been charged by my bank Georgia’s Own C. U. $18.00 nsf due
to this debacle caused by Humana’s associates. Also, after talking to the bank assoc there is a $25.00 more to be
debited from my account due to this debacle caused by Humana’s associates. What is going on!!?? It
started with my ordering OTC a Qty of 2 (_ACID REDUCER -OMEPRAZOLE 20MG) at $11.00 each = $22.00
thinking I had a $15.00 credit leaving owing you $7.00 well $7 was debited again.
I was told by a Humana Assoc that my bank is to release a hold for $18.00 where did that amount come from (who
knows) all I owed Humana was $7.00. Well here goes, Georgia’s Own C. U. says they would have to received a
letterhead with your name to do anything and I say Humana need to straighten this out, not Georgia’s Own C. U.
I am not rich and this mess is costing me money this is why I thought changing my healthcare to
Humana in 2015 was the right thing to do.
I am owed FROM Humana $18.00 + $7.00 + $6.00 nsf + $13.00 nsf = $44.00
then I noticed an offset of $7.00 from Humana a deposited then a withdrawal so I still have not paid you,
what is going on?
Please straighten this mess out before I pay my rent.
Rosie Walker H41364917
404-600-XXXXX H
404-357-XXXXX C
rlwburks at comcast.net
Rosie never leave your health I’d number on here. Also sue them for 50 buck file fee in small claims add up all it cost you to fix this mess. All receipts and add thousands for pain and suffering.
I’m so angry, I could bite a nail in two! I worked as the Director of Business Services in various hospitals for over 35 years, and dealt with Insurance Companies on a daily basis. Before now, I thought United was the worst, but Humana has displaced them and is now number ONE! NEVER have I been unable to contact the office of one of an insurance companies CEO’s. But not with this cesspool of crooks! Obviously you know that your policy holders will soon realize we are being ripped off and want to talk with Bruice Baby, (aka CEO of Humana drugstore, aka Bruce D. Broussard), and so the switch-board operators have been instructed to tell callers that they “can not put a call through to that office”. Really! What a chicken s**** Brucie must be! Well guess what? I’m retired and have much more time than money on my hands. So Brucie, take warning. I will continue my search on line, and I DAMNED well WILL find a way to get your number. And though I don’t really expect to talk directly with you, (not that I’d really want to talk with a chicken s*** POS like you, but I will talk with your AA. And he or she will hear my story of what it’s like to deal with your (dis) organization).
And oh, by the way, come open enrollment Humana will loose yet ANOTHER customer. Not that you care, because you continue to raise your rates and deductibles and lower your benefits sufficiently to offset the loss of old customers by lying to and signing up new customers. After all, the “bottom line” is all that matters. Right? Brucie, you’ll never know what it’s like for those people from whom you are affectively stealing. After all, you have your six or seven digit salary, annual bonuses, (based on how many of your “customers” you can rip off), and your golden parachute. Right? So what do you care? But you’d better enjoy your life of luxury while you’re here in this temporary stop over. We all pass from this earth, in our allotted and due time. And for you Brucie, I can easily imagine a special corner in hell reserved just for you. The only thing that truly puzzles me, because I am well aware of your every waking moments motivation, ( $$$$$$$$), is, how you sleep at night. Or are you completely without any conscious? It would take a total sociopath to hold Senior Citizens hostage, with the threat of withholding the medications they need to live if they don’t pay more & MORE), just to pad your annual bonus. What do you care if we have to choose between our medications or groceries? Right? I’m sure you’re eating well. You’re a real work of art, aren’t you? (Dante). You think this review is scathing? Just wait till you read the blogs I’ll create about my experience with your criminal organization and your personal insulation behind the corporate veil in which which you hide. Coward!!! And I will spend my every waking moment exposing you and Humana drugstore as the crooks you are. Count on it. I don’t expect you to ever see this. and if you did, I have no illusion that you would take the time from your busy, money-grubbing day to reply, but if one, JUST ONE, potential new victim of your corrupt organization should read this and reconsider being the next contributor to your 2016 annual bonus, then it would have been worth my time. Brucie, I’m calling you out! Grow some nads and reply to me. I challenge you!
Robert, May I please post this on my Facebook? I am having a severe problem just getting one medication lowered by one tier so I can try to get my Diabetes back under control and I have had so much of a run around that I am ready to sue Humana for attempted murder.
Make sure you complain to Medicare as well. Let them know your experience. Remember they get money to care for Medicare pt. From Medicare. please file a complaint and what ever the costs save receipts and sue them in small claims court lets get them. Out of the Medicare busines
no one will give you the phone number to the corporate office, as the company does not want to talk to you. no matter how sick you are or your question. they don’t care they hide behind their doors on their high salaries they are as bad as government employees. they are in the dark
My experience with Humana mail order service has been unsatisfactory. They can not tell for days whether they have received a prescription or not. So you don’t know if they received the prescription or if the doctor did not send. Quoted 7-10 days can extend to weeks. Totally unacceptable!
I agree humana sucks!! They won’t ship my pills and will not copay discount at my drugstore. Being on 550 dollats a month on SS, I now cannot pay for any of my prescriptions. Dr. says if no medicine I will die. Humana does not care.
Thank you,Sean,for the phone number. Huge help to me in resolving my issue with Humana.
I am an insulin dependent diabetic. Tried to refill the last prescription for 2015 yesterday and was denied. I had prior authorization for the insulin for 2015 and had the one last refill for 2015. I was bounced around to 12 different people, last person was someone in Jamaica, I ended this call very abruptly. I filed a complaint with the Missouri State insurance regulators, sent a copy to Humana and guess what, next person I spoke to said I see you have filed a formal complaint, yes, well I think we can issue an urgent authorization.
Stop the jerking around Humana….. This type of action and customer service is unacceptable!
I do not know why I was referred by telephone to Humana, 500 W. Main ST, KY to enroll yesterday.
I do not want a Humana policy.
PATRICIA PM SMITH
ALBUQUERQUE, NM 87107
You know your MANY MANY LONG commercials are SOOO annoying!! Couldn’t you cut back on them and save some money for your members???? Like maybe charging less for the premiums and paying more for services provided!! Please…. Give us a break.. lighten up!
I received a tetanus vaccination from my doctor. It’s been 10 years since I received last shot (hurricane Katrina) Everyone here in Louisiana were encouraged to get vaccinated. Recently I received shot …now Humana sends me a denial of payment. Unbelievable. Was told that if I had gotten shot @ drugstore vis a vis doctor’s office they would pay for it. Does that make sense? NO! Then when I speak w/drugstore, they’re experiencing same thing! Guess who’s caught in middle of this mess….ME!
Humana needs to get its act together and begin treating patients/clients better! I rank this denial of preventive service up with denying a mammogram!
Mr Bruce Broussard CEO pay attention!
I have lymphadema in my right leg and was prescribed a pump to help get the fluid out of my leg . HUMANA DENIED IT!!! They said it wasn’t medically necessary although my physical therapist and doctor says it IS NECESSARY !!! They are crooked. They stand to loose slit more than the amount the pump cost because I am also the business owner that purchased the insurance package. I also will talk to a lawyer.
Forgot to mention it was denied TWICE . I would gladly include a picture of my leg of that would help.
I now am convinced that Humana is way to big to even keep track of itself. As noted in other reviews I am saddened at the level of non respect given to the membership.
Those ads playing over the phone, while on hold, can really get your blood boiling and if anyone at Humana cares…play those taped calls from patients right next to those ads and…well, you get the drift.
I was calling Corporate with the hopes of finding someone who cares and again those other reviews stopped that.
There are major issues down in Orange County FL where the Durable Medical Supplier for CPAP is not capable of taking care of their requests, many are without any idea of what is going on and when speaking with customer service, the issue continues to grow. Humana is not policing their DME’s to insure proper response time, patients as well as PCP’s are both stumped to the idea of what to do and so far with all my investigating don’t believe upper management cares or may not even be aware.
As for those Customer Service Reps and Humana,s training of said Reps, way too many times explaining over and over the issue…no effective record keeping of said calls,,and still left in the dark with no solution! In fact I am sitting here typing to no avail……….
M Snyder
Humana gold plus plan problems I have are that then dental plan is not very good . Only 1 vision provider with satalite offices and over priced. Next all the primary doctors and dentist listed as doctors for Humana gold plus plan are not in the plan. They are in other Humana plans, this is misleading to the people interested in Humana gold plus plan. I just wish they were more honest.
I filed 3 claims with Humana. I was told they went to our old address and we had not been there for over 15 years. I’ve been dealing with this situation since 2/10/2015. I’ve spoke to Eric on 3/18/2015 ref nbr064327277 state the checks would be re-issued and I should have them by the next business day, because I had spoken with DJ on 2/18/15. I called back on 4/8/2015 spoke with Maria (supervisor) ref nbr 3304475210 stated I should have the checks in 7 to 10 business days I also, spoke with a Romeo ref 180367165709 and a Jon on 4/13/2015. All promising I should receive a check within 7 to 10 business days. On 5/05/2015 spoke with Mel ref 356748394615 she stated the old checks had been cancelled as of 4/17/2015 and I should be receiving the checks 7 to 10 business days. I told her I wanted to speak with a supervisor she put Jordan ref 356748394615 on the phone and he stated I should have the checks in 5 business days. I’m not sure about anyone else, but we gave a service to a patient who has Humana insurance. We have done our part why cant HUMANA DO THEIRS!!!! we can not run a practice by giving free service.
Take your receipts and sue in small claims court do not forget to ask the judge for pain and suffering for thousands.
I was unfortunate enough to select Humana as my medicare advantage co insurer. I say this because recently I was scheduled for a heart catherization. Luckily the hospital callrd to let me kno that they were now out of network, that at a minimum my co-pay would be approximately seven times more than if I was ar an in network hospital. I live in a populous county in Michigan with three major hospitals. Humana suggesteg my cardiologist use one of the hospitals. First my cardiologist does not have priveleges at those hospitals. More importantly neither of the other two hospitals are in network either. Why didn’t Humana customer service tell me this originally. I called Humana back went over all of this and was told to go to another city where another in network hospital is and find a new cardiologist to do the work. I should tell you that I have been with my present cardio doc for six years. It was then that I was told to have my docs office call and talk to the humana people. My doctors office did that and more or less was told too bad send your patient to the other city and to another doctor or let him pay whatever the costs are. I should tell you I am on SS disability and it isn’t much. I had open heart surgery five years ago, luckily humana was not my insurance company at that time. aaaaaaaaafurther I should tell you that when I changed to humana I checked and my hospital and doctors were all in network. I will be dropping this joke for an insurance company come the change period for medicare holders. Hope I don’t die berore then if I do I have left written instructions to my survivors that they should actively look at suing this company. Maybe from the comments I’ve seen here it should bea class action.
Please make sure you complain also to Medicare call and ask for a complaint to be filed under medicares assingment of benefit. Under the assignment if you cardiologist excepts Medicare assignment they CANNOT exclude your doctor Medicare sets the rate for dr payments for Medicare not an hmo or any other Medicare contract provider. Lets get them off of their Medicare contract.
Recently I had to have a mammogram for severe pain in my right breast, under my arm pit and down my arm. After the mammogram they did a ultrasound on both breast and under both armpits. The radiologist came in while I was still on the ultrasound table and asked me if I had any history of Lymphoma in my family. I said yes, and was told to see a specialist. My primary care doctor received the report asap and ordered blood work asap.
The next day we left for vacation in Ventura, CA. My doctor from GA where I am from called me right away and said for me to find a good surgeon in CA and have a biopsy done on my lymph nodes under my arm pits which are profoundly swollen. NOW THE PROBLEM. Speaking with benefits specialists on the phone; I told them I needed a good surgeon in Ventura, CA to have a biopsy done on my lymph nodes. They wanted to send me to a ENT doctor, a plastic surgeon, an oncologist, and a hematologist ….
FOR REAL???????? Do any of these doctors do biopsies on lymph nodes (HELL NO).
They might as well send me to a Veterinarian!!!!!! They might be able to do the job better than the other suggested doctors. Are you kidding me???????? Now, I have had to find a general surgeon on my own to do this biopsy to rule out Lymphoma! And I spoke with 6 different reps from Humana and even called Home Office to no avail.
WHAT KIND OF PEOPLE ARE WORKING FOR THIS INSURANCE COMPANY AND WHAT THE HELL KIND OF INSURANCE IS THIS???? They have uneducated and un-informed employees working for them. It’s like they suggested I go see a foot doctor to have my breast removed!!! REALLY? ARE YOU KIDDING ME??? My husband and I will be switching back to Kaiser Permanente when we can. At least they were efficient and did their job well! ALSO, our agent lied to us and said we would be covered all over the USA because we travel so much. NOT TRUE!!!! We live in GA and anything out of GA is considered OUT OF NETWORK ~ Which means more money! As seniors we really appreciate the scam that was pulled over our eyes!! I hope the big wigs at Humana can sleep well at night. Mad as hell !
Complete incompetence
I just want you all to know that I signed the draft to fight in Vietnam and thought that the Communist Vietcong were the American’s enemy. That if they took over, that the communist government would take all our companies monies and run them under government control robbing us of our Freedom. Instead it turns out that it’s the American companies that lie, steal, and rob Americanans out of their money like Humana has done to me by promising me to max-insure me for $521 a month ($25 co-pay, $1,500 deductable, along with any doctor I want to use), and then literally the very next month, Humana increases my payment over 42% to $759 a month. Humana couldn’t even make good their word for a month, much less a year. Isn’t that usesury or something illegal like that? I mean gas has gone down, more people are back to work again, taxes have slowed down – where does Humana get an excuse to increase my monthly payments more than 15 times the rise in the cost of living? Were the Communist Vietcong really our enemy or is it companies like Humana here at home in the Good Ole’ USA that they think they have the right to lie to and rob Americans and stick it to us without grease – it’s Humana and companies like Humana that are our enemy like the Vietcong? And you know what else, I’ve heard that Humana uses our Health Care money not just for our Health Care but also to pay their Lobbyists to get Congress to approve this kind of crap – taking our money by lying to us as long as they tell us they have the right to do so. Yeah, that’s right, I believe that Humana uses their cost increases they charge us to pay their lobbyists in Congress to secure their right to lie to us and rob us with use off their one line sentence in our contract we have to sign that says: ‘they can increase their prices at any given time whenever Humana wants to’ even if it is a month after they agree to do busines with you and took your money. Who’s really the ENEMY of the United States of America folks?
Take your recipts and any doXXXXents showing your payments and what you paid in the past. The legal term is medical billing Fraud. For 50 bucks add all that you overpaid and ask in the filling for small claims court for thousands for pain and suffering.
I’ve spent 5 days (appx 15 hours on HOLD), trying to arrange transportation to and from an orthopedic surgeon for my nephew. Humana says he has coverage, however, the Logistic Care vendor who provides the services says he is not eligible because he is not on Medicaid. I’ve talked with dozens of folks within Humana and all I get is that I need to call back. Some of the folks have tried to be helpful, but they too were unsuccessful and don’t know how to resolve. They just tell me to file a complaint. Meanwhile, I have to arrange/pay out of pocket for Wheelchair transportation for Monday’s doctor appointment. Very unhappy with the whole situation.
Good keep all recipts and for a filing fee sue them in small claims court do not forget to ask the judge for thousands for pain and suffering.
Moved from Erie PA to Cornelius NC November 2014. Could not get meds. to NC. Called Right Source to correct and was sent to Humana to correct (Humana received an invalid address message) and could not correct. US Postal forwarded the meds. Called and recalled to correct address issue but no help. I suspect that the computer was trying to tell customer service that the address was out of area. Customer service never mentioned we needed another contract. When we got the 2015 contract it stated that if we wanted to retain Humana nothing was needed. We got zero help from Customer Service. They referenced us to Grievance / Appeals. The short with them is we have to file a written appeal even though they were wrong. Then we had to apply for new contract since ours was cancelled and it will take effect 2/1/2015 so we have no coverage until then. After all of this I find out Right Source (Humana) did not change my address and sent my meds. to Erie PA. Also on a closing note I processed online request for two additional meds. in Dec. (Humana still under contract) and was told nothing was in the order queue even though I knew the expedited shipping charge. I never expedited before. Having owned companies in the paste, if I ever treated my clients this way my company would have gone out of business. I’m going to proceed with the President of Humana, Better Business Bureau and Secretary of State for NC. I hate doing this.
Keep recipts and sue them in small claims and add thousands for pain and suffering
DON’T waste your time with these incompetent clowns !! They boast about being in the health care business for 50 years but are obviously nothing but bean counting profiteers. THEY COULDN’T EVEN GET THE selected doctor for a PPO assigned. The card I received has the WRONG doctor, who wasn’t even listed in their provider brochure.
WE ARE SORRY TO KEEP YOU WAITING and other $&*$*#@ is what you will listen to for 10 minutes when calling.
THESE clowns are the epitome of incompetence !!!
What happens when you call corporate, after being disconnected while holding on the “customer care line”. Those buffoons are trained to simply put you back at the beginning of the wait line.
letter/email sent to CEO Bruce Broussard on 10/10/14
Worst Customer Service Experience Ever
Please Help
October 10, 2015
My Broussard,
On June 23rd, my Humana PCP referred me to an out-of-network cardiologist due to heart irregularities discovered during my physical. That referral was to a cardiologist in the same building and I went there the same morning. Humana denied the claim because the referral was out of network.
I now understand Humana is not liable for this claim but do fault the PCP and cardiologist (both of which belong to the same clinic) for in-house not in-network referrals. I filed grievances with Georgia’s Insurance and Consumer Affairs Departments, both of which are still active.
I also talked with Humana’s Grievances & Appeals Specialist Sarah E. Miller and asked her if she would provide me the in-network pricing for the services I received so that I could pay the cardiologist at that level, not the un-negotiated prices they are attempting to charge. She agreed and I sent her the service codes to look up in-network rates.
That was on 9/30/14. Since that time I have not heard from Sarah. She has not responded to any of the voice messages or emails I sent her. I informed the cardiologist’s billing department that I would pay once I received in-network pricing based on Sarah’s commitment to help but they are starting to doubt my word and press for payment at the higher rates.
Frustrated, on 10/9 I called Humana customer service and talked with a Corey Hidel. He instant messaged Sarah and found out she was in the office. She told him to tell me she would call by day’s end. That didn’t happen.
I want to pay the cardiologist for services rendered but not at triple the price it should have been. I am paying Humana $1,000/month for health insurance for me and my wife. I am not asking Humana to pay this claim but to simply provide me with the information they committed to providing.
I am writing you in hopes that your office has a higher commitment to customer service than what I have experienced so far.
Thank you.
Cc: Georgia’s Office of Consumer Protection
Georgia’s Office of the Commissioner of Insurance
I have had Humana PPO since 2008, having enrolled in the program via the internet. Last year, 2013, I had a Humana agent contact me and suggest that I switch to the HMO since I only have 2 doctors and both were on the HMO plan. I did what he suggested. In September of this year I am notified that my primary physician is no longer on the plan, and I am issued a new ID card with a doctor’s name I have never heard of. I called Humana to see what could be done because I had been with my doctors for years. Worst customer service, no pertinent information given, attitude of the reps was “take it or leave it”. Please, whoever is considering changing their coverage, read all the customer comments about this company, and stay away from them.
Do you want to experience the worst Obama Health Plan. Try HMOx from Humana you be in for the ride of your life.
America can invade a foreign country quicker than they can settle a claim. The Corporate officers afraid to even take a call. Catherine at the switchboard for the corporate officers was one of the worst customer service people I spoke with.
Eight months later they are still working on the same claim for only $570.00. I have been told every story you can imagine and have spent over six hours on the phone, customer service supervisors are argumentative and difficult.(Robert RXE3521 and Brittany VHC1907 supervisors) Today I spoke with 5 people three supervisors and two customer care people. Customer service has one story and supervisors have a another. Who telling the truth! who knows anymore, I cannot decide.
Bruce Broussard (the President) could turn this into a great company, that was efficient and a lot more profitable, if he could learn to listen to his Clients.
Sincerely
Scott Miles
Same crappy insurance they sold me that isn’t worth the paper its written on. MY policy was changed to a POS on for them to start and cancel it all on the same day. I totally and disgusted.
I called and he is out of the office and I asked for a meeting with him I am sharing this number for ya’ll Peace Be With You I was told he does not have an open door policy.
CEO: Bruce D. Broussard (502) 580-XXXXx
Kay, do you have the complete phone number for Bruce D. Broussard? I am receiving ZERO follow through and multiple road blocks to getting a perscription filled. I have talked to 5 Humana / RightSourceRX people this week and 3 of them have talked to my Doctors office. Now they have a new road block.
Thank you.
phone: 5025803660
email: bbroussard@humana.com
Thank you
Thanks for the info. I was attempting to try the contact the CEO rout but guess I should have known, these people are crooks and are not about to respond to you. They know they are shafting people and the only reason they get away with it is they have enough customers that they can F*%# over a couple of thousand of them with no unaffordable repercussions.
I hate that I am paying so much every month and receiving such awful service I keep receiving a letter saying I am past due on my payments. The letter doesn’t say what beyond my monthly amount I am past due for and when I call they say it is for some lack of prescription coverage or late enrollment fee. Totally ambiguous as to why or what. I tell them that when I signed up with the assistance of Erica Holleran 866 211-7443 X6932 I informed her that I am a disabled veteran and have been covered through the VA for a long time.
A red flag goes up when you are not able to reach the ceo of Humana or even his assistant.
what are they hiding ????????
Ha! Phooey on trying to communicate with another Humana incompetent. I am writing a long, snail mail to the CEO tonight. And I’ll bet I get action!
My mother is writing this because I died in July 2009. Humana sends marketing materials several time a week to her address even though she has asked many times that they remove my name from the mailing list. I never was a subscriber and I was only 38 when I deceased, but they even send adverts to me for Medicare which is ridiculous, too. Humana is the insurance company of zombies I guess, because they don’t care if you are alive or dead and after reading all the other problems of people it makes my issue seem insignificant except it is painful to my mom because she can’t get my name off their list so they just keep abusing her with their invasion of her privacy.
Humana is denying me benefits based on where I live.
Humana, sold me a policy and after 7 months I received a letter stating the insurance was not available i my area. Yet they took my payment each month. I transferred to another plan they have which was to go into effect Sept 1st, however, when I checked back to confirm I was told they started and terminated my insurance on the same day..
I am writing the President and CEO, but based on what I am reading it is and will be a waste of time and energy.
February 4, 2014
Dear Humana Customer Service,
This letter is in regards to Kansas Eergency Services PA, a billing provider for the Emergency Medical Doctors associated with Saint Francis Health Center,located in Topeka, Kansas.
Saint Francis is an In Network provider approved by your company. However, Kansas emergency Services PA is listed by Humana as an OUT Of Network provider.
I called Saint Francis Health center today and asked why the Emergency Service Doctors (ie Dr James Lasseter) associated with Kansas Emergency Services PA are deemed as an OUT Of Network provider. I was informed by the Saint Francis Health Center this was a mistake and to call 888-952-6772 and inform them of this error. When I called the number given to me, also said this was a mistake. Kansas Emergency Services PA is an In Network provider.
Medical Claim:
Service Date 06 28 2013 Processed Date 08 01 2013 Paid Date 08 05 2013 852250714 Kansas Emergency Services PA OUT OF NETWORK
is an example of this error. This is the claim where my Emergency Service Doctor was Dr. James Lasseter provided by the In Network hospital Saint Francis Health Center.
The information for Dr.Lasseter , an Emergency Service Doctor accepting Humana as an insurance company and also associated with Kansas Emergency Service PA., a group associated with the Emergency Service Doctors billing can be found at the following websites.
https://www.healthgrades.com/provider/james-lasseter-yvg5r/appointment
https://www.ehealthscores.com/providers/izd-lttclstlpf/JAMES-LASSETER.html
This should be corrected. Please call the telephone number given above to verify that this is a mistake and your medical claim receipt form needs corrected to reflect this as an IN Network provider.
Thank you,
Feb 3, 2014
Dear Humana Customer Service,
The following medical claims need to be corrected. The provider American Medical Response DBA says it is Humana that codes the service. I have contacted Humana Customer Care numerous times to have the problems with these claims corrected and I am told to go to the provider. I noticed today that the new Claim Receipt form does not have the B for Medicare Part B after the service code for the claim dates of March 9, 2013, July 22, 2013, Dec 19, 2013.
The Mar 9, 2013 medical claim has the reason code 96/23F which is for service provided to an inpatient. This is the mistake. Also, this claim does not have the B for Medicare Part B in the service code column which the old Claim Receipt form had.
Service Date 03 09 2013 Processed 12 19 2013 Paid Zero 12 20 2013 898591009 American Medical Response Coding ERROR
The July 22, 2013 medical claim was denied for reason code 96/04@ SERVICES OR SUPPLIES WHICH ARE NOT CONSIDERED REASONABLE OR NECESSARY UNDER ORIGINAL MEDICARE PAYMENT STANDARDS ARE NOT COVERED UNDER YOUR MEDICARE ADVANTAGE PLAN, This code is a blanket code. The reason codes need to be used for each service or supply provided. Also, the medical claim does not have the B for Medicare Part B in the service code column which the old Claim Receipt form had.
Service Date 07 22 2013 Processed 07 27 2013 Paid Zero 07 30 2013 851306935 American Medical Response DBA
The Dec 19, 2013 medical claim was denied for reason code 96/04@ SERVICES OR SUPPLIES WHICH ARE NOT CONSIDERED REASONABLE OR NECESSARY UNDER ORIGINAL MEDICARE PAYMENT STANDARDS ARE NOT COVERED UNDER YOUR MEDICARE ADVANTAGE PLAN This code is a blanket code. The reason codes need to be used for each service or supply provided. Also, the medical claim does not have the B for Medicare Part B in the service code column which the old Claim Receipt form had.
Service Date 12 19 2013 Processed 12 25 2013 Paid Zero 12 27 2013 902485796 American Medical Response DBA
The medical claims for the dates of July 22, 2013 and Dec 19, 2013 should also be 100% covered for NO Co-Pay because I had met my out of pocket expenses by May 10, 2013. Listed below is the medical claim that was paid at 100% as I had met my out of pocket maximum.
Service Date 05 10 2013 Processed 05 20 2013 Paid 05 21 2013 828041235 American Medical Response DBA NO Co-Pay.
I look forward to your reply.
Thank you
January 30, 2014
Dear Humana Customer Service,
I have listed below the medical claim that needs to be corrected for the date of Oct 10, 2013, Service Date 10 10 2013 878541231 Dr Mamidipally
I had met my out of pocket as of May 8, 2013 as shown by the medical claims I have listed below for the service dates of April 26, 2013, June 27, 2013 and Sept 6, 2013. There is another medical claim for July 8, 2013 I believe, which I cannot locate.
Service 04 26 2013 Processed 05 08 2013 Paid 05 09 2013 824420453 Dr Mamidipally NO Co-Pay
Service 06 27 2013 Processed 07 12 2013 Paid 07 15 2013 845841638 Dr Mamidipally NO Co-Pay
Service 09 06 2013 Processed 09 16 2013 Paid 09 18 2013 867512679 Dr Mamidipally NO Co-Pay
I am requesting that the one claim from Oct 2013 be corrected and reviewed.
Thank you,
January 28, 2014
Dear Humana Customer Service,
I have listed below the medical claims that need to be corrected for the dates of Oct 8, 2013, Nov 8, 2013 and Dec 8, 2013.
Service Date 10 08 2013 876624405 Apria Health Care
Service Date 11 08 2013 887894803 Apria Health Care
Service Date 12 08 2013 897321268 Apria Health Care
I had met my out of pocket as of May 8, 2013 as shown by the medical claims I have listed below for the dates of May 8, 2013, June 8, 2013, July 8, 2013, Aug 8, 2013 and Sept 8, 2013.
Service Date 05 08 2013 825623465 Apria Health Care NO Co-Pay
Service Date 06 08 2013 836114512 Apria Health Care NO Co-Pay
Service Date 07 08 2013 845379365 Apria Health Care NO Co-Pay
Service Date 08 08 2013 856511184 Apria Health Care NO Co-Pay
Service Date 09 08 2013 866260744 Apria Health Care NO Co-Pay
Thank you,
I have been trying to resolve my out of pocket expenses now for over 9 months. I had been in and out of St Francis Hospital Topeka, Ks 15 times in 2013 and in rehab care facility Plaza West and Rolling Hills.. I have talked to over 50 people at Humana and still have this problem with my out of pocket expenses. My Plan states $5000 out of pocket for in network and $1600 out of pocket for out of network services. In April I received the Summary Statement which said my combined out of pocket was $6302.82 ($4740 for in net work services and $1562.82 for out of network services) In May I received the May Summary stating my out of pocket was $6600 ($4970 for in network and $1630 for out of network). Having met the out of pocket expenses necessary to cover all other medical services. I received Summary Statements for June $6600 July $6600 August $6600. Unknown to me, Humana decided to look at some of the claims and pulled them back taking away a large portion of my out of pocket expenses. the months of May June July and August I was receiving refund checks from drs, hospitals rehab facilities and medical equip supplies stating that Human had paid the bills in full and I didnt have to pay my co-pays because I had met the in net work and out of network maxium. Because Humana had pulled back some of the claims I no longer met the out of pocket limit and I am now being billed and sued for the medical expenses for Sept, Oct Nov and December.. my out of pocket expenses from Jan through May didnt change, My last summary I received stated I had only paid $3883 in out of pocket expenses.. because of the claims being pulled back.. NO ONE at Humana has helped me.. Some agree with me that I had met out of pocket in May. others say Illpass it onto claims.. It is just one BIG MESS. Can anyone HELP me straighten this out?
You guys still dont get “IT”…. I am filing with the Kansas Insurance Commissioner a complaint about all the Bulls*** and STRESS your company has put me through……. I also have been given an attorney to SUE you for all that you have done with me… I paid my prems. every month and you have not acted in good faith to abide by our CONTRACT…. I am totally FED UP.. I will never get HUMANA INSURANCE AGAIN and I WILL NOT ENCOURAGE OTHERS TO GO WITH HUMANA…. DUMBA**ES!!!!
As a last resort I contacted the Humana Corporate office hoping that I could get some kind of assistance with an issue that’s been on going for months. I’m not sure why I was surprised to again receive the same rude, condescending customer service that I have received at every other number I’ve tried with Humana. Listed below are some of reference numbers to the numerous calls I’ve made.
863465150917
350879483417
387636215210
005287111112
606240475712
606240475712
509470281611
652016000214
142894083113
967144285513
I’m hoping someone will lookup these reference numbers and get Joseph M Cannon added to the in network Health Help website. Don’t bother giving me my State Rep Chris Gloss because I’ve already tried that as well. You organization is very good at passing a problem on to someone else. Not sure why you ask for call back numbers. I have never been called back in reference to this issue.
Dont feel like the LONE RANGER,, Humana has jerked me around for 9 months… They hope youll just go away and they are then in the clear. Call your state insurance commissioner and complain…
Mary
Can’t wait to drop this insurance in oct.
BEWARE OF THIS INSURANCE <THE AGENT TOOK ADVANTAGE OF TWO DISABLE SENIOR"S GAVE US FALSE INFORMATION <LEAVING US WITH HIGH CO_PAYS AND INSURANCE WE CAN"T USE TILL OCT ASAP
I am requesting the name of the President so I can send a letter to the Office of the President of Humana a located at your corporate office. We have a difficult with filing appeal and need your assistance.
Harry Hirsch III