Humana Deserves Minus 5 Stars
Customer Service is atrocious. They give you the runaround, the agents are not knowledgeable and many especially with heavy foreign accents read quickly off of a script. When asked a question they don't seem to grasp it and just repeat a script. If you ask them for anything, they ask their supervisor and the answer you get suggests they are trying to get rid of you. If you ask to speak to a supervisor, they say, no one is here. The complaints dept. takes months to answer a simple complaint. It is done by design, if your complaint is regarding making an exception for your condition, it takes months to get a reply. By then, you have less time to get the treatment. Also, they totally disregard Insurance Regulation 50. In my case, I used up my dental allowance but my dentist up coded an extraction, which is insurance fraud. Humana's answer was that since I exhausted my allowance, my dispute is with the Provider, Humana is out of the picture, we won't help you. Regulation 95 explicitly states that even in my case where I exhausted my allowance, Humana still has the responsibility to investigate insurance fraud, the provider can charge me out-of -pocket but it can only charge me the contracted cost that Humana and the provider agreed upon. In other words, the only thing that's changed is that I have to pay out of pocket. Customer Service and the Complaints Dept. denied any involvement because I exhausted my allowance. They violated Regulation 95 showing they have no respect for the law. The answers you get from complaints dept. are incomplete. They grant an exception for a therapy sessions but they deliberately do not state how many sessions you are entitled to which they are obligated to do. So you have to file another complaint which further stretches the timeline. Their website is confusing. I find myself going in circles. They have Humana, my Humana, the mail order pharmacy, EyeMed for vision. It's a hodgepodge of information and then they stick a recipe in the middle of a page which is irrelevant. The other people are right - customer service, staff, and service deserve -5 stars. I hope and pray that I find another Medicare Advantage program for next year. Thank you , Trustpilot for providing this service. After my experience with a company I call inhumane, at least I can warn others to look elsewhere for Medicare Advantage programs. I wouldn't even mind paying more just to avoid Humana.








