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Business Profile

Health Insurance

Humana, Inc.

Complaints

This profile includes complaints for Humana, Inc.'s headquarters and its corporate-owned locations. To view all corporate locations, see

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Humana, Inc. has 57 locations, listed below.

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    Customer Complaints Summary

    • 294 total complaints in the last 3 years.
    • 112 complaints closed in the last 12 months.

    If you've experienced an issue

    Submit a Complaint

    The complaint text that is displayed might not represent all complaints filed with BBB. Some consumers may elect to not publish the details of their complaints, some complaints may not meet BBB's standards for publication, or BBB may display a portion of complaints when a high volume is received for a particular business.

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    Complaint status

    Complaint type

    • Initial Complaint

      Date:08/20/2024

      Type:Service or Repair Issues
      Status:
      AnsweredMore info

      Complaint statuses

      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      This involves my situation of my wife and I both getting a PPO policy and my wife ***** winding up with a very low coverage dental plan compared to mine. I filed a grievance to upgrade her dental plan... that barely covers a checkup and two cleanings per year only, NO fillings or crowns nothing else!!
      Mine covers 4 cleanings per year with a $2,000 per year coverage for crowns, fillings etc.
      I filed grievance # ************ and the people at Human just keep dragging this on with NO solution! They gave me an Appointment of Representative form to fill out.. I filled it out and faxed it back 3 times.. they keep sending another virtually every week!! They keep claiming that they never received it!! Simply to have my wife's spouse (me) communicate with them over this injustice!!
      They are either very stupid or they are just playing ongoing games with this situation.
      All we are asking for is a fair dental plan like mine... since we are husband and wife and both have PPO plans. And they are resisting this.. seemingly until the end of time of our policies. I think
      everyone in the USA should know about Humana's tactics to the consumer!! Some blogging is in order next. I surely hope *** ***** ** ********* CEO of Humana, gets the info right away!!
      Sincerely,
      ***** & *****

      Business Response

      Date: 10/09/2024

      Hello. The final response for the above mentioned case is complete and attached for your review. You can give me a call should you have any questions.

      Thank you,

    • Initial Complaint

      Date:08/14/2024

      Type:Customer Service Issues
      Status:
      ResolvedMore info

      Complaint statuses

      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      Around mid April I contacted Humana and made it clear that I did not want automatic deductions! On 4-25 I paid the amount of $38.10 for my bill. Around 4-26 once again Humana automatically withdrew $38.10 from my account. I called them. I was extremely upset. I am a 71 year old male who is disabled and lives on a fixed income. On May 2nd Humana promptly issued a refund in the amount of $38.10 for the unauthorized withdrawal from my checking account. After discussing this with them for the second time I went ahead and made a payment on May 22nd. I was unsure of the exact amount so I paid $40. Once again Humana took out a unauthorized payment in the amount of $38.74.! After being a Humana Dental customer for over 6 years around the end of May I cancel my policy due to incompetence. Since May I have spent 8 hours on hold!! And after requesting to speak to a supervisor I was never given that opportunity. All they would do was put me on hold and forget about me I recently received a partial check from Humana that was in the amount of $40.. I deposited that check into my bank account and it bounced!!!! I believe that Humana constructively drove me out because I had an exceptional plan!!! NO DEDUCTIBLES!!!

      Customer Answer

      Date: 10/28/2024



      Better Business Bureau:



      I have reviewed the response made by the business in reference to complaint ID ********, and find that this resolution is satisfactory to me.




      Sincerely,



      ***** *****

      ***If you are interested in supporting the BBB's free services, please consider giving to BBB's Consumer Education Fund, which provides other services to the community, like Charity Review, Identity Theft Seminars, Free Shred/Recycle Events, Senior Citizen programs, High School and College Programs, and providing information at local community events. Donations can be sent via Venmo to @bbbcefky or mail your donation to BBB Consumer Education Fund, 13104 Eastpoint Park Blvd., Louisville, KY 40223. For more information on these programs, call 800-388-2222. Thank you for your consideration. 
    • Initial Complaint

      Date:08/13/2024

      Type:Delivery Issues
      Status:
      AnsweredMore info

      Complaint statuses

      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      I have a prescription, Rybelsus 7MG being filled at ********** **** order Pharmacy, also known as Humana. On August 8, 2024 I was told that I would receive it by Aug. 12 or sooner. I have not yet received it, as of today, Aug. 13. I have made MANY phone calls in order to get shipping info., including a tracking number. There is no tracking number because it has not been shipped. Between Aug. 8 and today, I have spoken to 10-15 people. I have the dates and times of the calls, if you need that info. I have been told that they will call with the tracking number and no one has called. Of course, that is because they do not have one. I am especially annoyed because each time that I asked to speak to a supervisor, I was told that they are all too busy and that I cannot hold and wait for one. Since yesterday or before, I have asked to have the medication shipped immediately, overnight delivery, with no cost to me (because of their mistakes). They have told me that they will not do that. I asked them to speak directly to the pharmacy to get better info and to request overnight delivery. They will not even ask. At this point, I know that I might or might not receive the medicine in about 3-5 days. I have not taken it since Sunday, 3 days ago.

      The reason that I ordered it without more lead time is because until Aug. 8, I did not expect to order it. However, I was given info. on Aug 8 that meant nothing.

      To make matters worse is that on my online account there is some incorrect info. Originally I did not understand some of the info such as how much I paid out of pocket in 2024 for prescriptions. No one at ********** understood it either. One of the reps told me that there were mistakes and he would have them fixed. He promised to call me with an update or have another rep call. No one has followed up and the mistakes are still there. This is info. has to be corrected/ explained to me.
      After being with ********** for about 11 years, after this ordeal,I am going to switch.

      Business Response

      Date: 09/13/2024

      please see attached.
    • Initial Complaint

      Date:08/12/2024

      Type:Sales and Advertising Issues
      Status:
      AnsweredMore info

      Complaint statuses

      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      i have already requested to be put on the do not call list but, humana continues to call me at least once a day. they completely disregard my request and it’s aggravating, it’s like humana is no longer a health insurance provider but a telemarketer hub.

      Business Response

      Date: 08/12/2024

      A response has been mailed to the member.
    • Initial Complaint

      Date:08/12/2024

      Type:Billing Issues
      Status:
      AnsweredMore info

      Complaint statuses

      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      I wanna report about Humana employees very corrupt and liars ongoing have confirmed my premium refund and have confirmed it goes back to 2003. Telling me it's in the mail and three years ago sent me 18 blank letters without the checks then told me write on the letters why I think they owe them to me and I written because it was you that told me you owe it to me. Please investigate to find out what wrong with these people so criminal minded like conduct and they lie like 90 going north. Even their executive office has investigated and admitted I would get the premium refund and did not. If this were any politician in Washington committed these frauds they would already be in jail trying to bond out but these people get a pass. *********

      Business Response

      Date: 08/22/2024

      Please see attached response. Thank you.

      Customer Answer

      Date: 08/24/2024

       

      Complaint: ********



      I am rejecting this response because:

       

      they lie like 90 going north because 1000 employees have inform me that I am owed premium refunds going back to 2003 my effective year and have even told the kentucky ******** ******* I will get them and still lie. I guess they trying to wait ******** out. 



      Sincerely,



      ****** *****

    • Initial Complaint

      Date:08/09/2024

      Type:Billing Issues
      Status:
      AnsweredMore info

      Complaint statuses

      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      I have HumanaChoice( PPO) ********* this year. On 04/25/2024, I had a doctor visit with some lab works and x-rays done at ***** ********** ********. All my medical providers belong to ***** which is a in-network healthcare system. I received a smart summary later and indicated I had $50.00 co-payment. However, different lab works on the same day charged differently. I contacted Humana serveral times but no one could give me an answer. All of the agents just read out the policy to me and they didn't even understand my question.
      In June, my dermatologist suggested me to get freeze sprays for my hand's warts. She told me to contact Humana for the co-payment and what would be covered for one treatment. I called Humana several times again, as always, no one could give me an answer. One of the customer service even advised me to ask my doctor to send in a request for the estimates. I do not deserve this kind of runaround!. I went ahead and paid that $50.00. I had spent enough time with Humana. Today, I would like to have someone from Humana to give me answers:
      1. Why my blood works covered differently, from $0 to $50.00 ?
      2. Provide me the information of code 17110.
      3. Why the co-payment of lab works and x-rays are different for different locations. As you know, as a patient, I don't have control of how ***** send in claims, even they are within the same system.
      Would you please do all your clients a favor by giving a better training to your customer service agents.

      Would you also please either reimburse that $50.00 co-payment or adjust your account with *****, so that I will have a credit with the provider.

      Thank you for your response in advance.
      ** *** ***

      Business Response

      Date: 08/30/2024

      Please see attached. A response letter was also mailed to the member.

      Customer Answer

      Date: 08/31/2024



      Complaint: ********



      I am rejecting this response because: I had called Humana several times to get the information I needed. This is not a dispute, but I want Humana to clarify the policy. I had been trying to get the information in order to have my blood works done and also have my hand warts treated. These are the basic information but no one could tell me. I have been delaying for my blood works and treatments since I could not know how much I have to spend. Now you are telling me to file a grievance which will delay my medical cares more. Would you be kind enough to read my original complaint and give me answers promptly.



      ** *** ***

      Business Response

      Date: 09/04/2024

      a copy was mailed to the member 

      Customer Answer

      Date: 09/05/2024



      Complaint: ********



      I am rejecting this response because had called Humana several times to get the information I needed.
      This is not a dispute, but I want Humana to clarify the policy. I had been
      trying to get the information to have my blood work done and have my handwarts
      treated. These are the basic information but no one could tell me. I have been
      delaying my blood work and treatments since I do not know how much I have to
      spend. Now you are telling me to file a grievance which will delay my medical care
      more. Would you be so kind as to read my original complaint and promptly give
      me answers?
      If you are unwilling to
      answer my concerns and questions, I have no choice but to send my complaints to
      the ******* ******** **********.
      As I stated before, it is not
      a dispute.

      ** *** ***

      Customer Answer

      Date: 09/05/2024



      Date Sent: 9/5/2024 1:15:48 AM

      Complaint: ********

      I am rejecting this response because had called Humana several times to get the information I needed. This is not a dispute, but I want Humana to clarify the policy. I had been trying to get the information to have my blood work done and have my handwarts treated. These are the basic information but no one could tell me. I have been delaying my blood work and treatments since I do not know how much I have to spend. Now you are telling me to file a grievance which will delay my medical care more. Would you be so kind as to read my original complaint and promptly give me answers?
      If you are unwilling to answer my concerns and questions, I have no choice but to send my complaints to the ******* ******** **********.
      As I stated before, it is not a dispute.

      ** *** ***
    • Initial Complaint

      Date:08/07/2024

      Type:Customer Service Issues
      Status:
      AnsweredMore info

      Complaint statuses

      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      I am getting very poor quality of service from my humana health insurance. I am not happy. First, I have filed many grievances and complaints that are not being resolved to my satisfaction. Because of this medical providers continue to treat me and others poorly as they are not having consequence.
      Then, there are often that times I deal with humana agents who have a poor attitude, and/or do as little as possible to help me.
      I am very unhappy, and considering filing complaint with other agencies as well.

      Business Response

      Date: 09/11/2024

      As response was mailed directly to the complainant. 
    • Initial Complaint

      Date:08/07/2024

      Type:Billing Issues
      Status:
      AnsweredMore info

      Complaint statuses

      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      I had Humana dual plan with ID ********* from January 2024. I moved from NY 13357 to NY 10459 on July 11, 2024. I had a benefit spending **** card meant to pay for rent and utilities fpr $200 per month. On July 24, 2024, I tried to pay some rent online at ************ with my **** spending card and was declined 3 times. with format error 440. I never found out the correct reason.
      On July 31, 2024 I called the **** benefit and Humana insurance to let them know I moved from 13357 to NY 10459 and to verify I was still eligible for my benefits. I was told i was eligible and would get more money for dental from $1000 to $1500 per year and I can change my primary doctor until end od September 2024. I also had a primary doctor in NY 13357 that I think was not board certified because she was not experienced and ordered procedures that were not suitable for my conditions
      Today August 7, 2024 I tried to pay my electric bill from ********* with the **** card from Humana and was declined. I found out the same day my Humana insurance was closed as of July 3, 2024 when I was told my zip code is still covered. I spoke to an excalation representative at Humana on 8/7/24 around 8:20 am and she said I had too sign new papers and enroll again. Nobody told me that on 7/31/24 and I am not supposed to know their business rules.
      She dismissed everything I said and said the **** card has restrictions on some applications.
      Anyway, I want $406 refund as a check for the unused money remaining in my **** card.
      I don't want to enroll again in a medical insurance in which their employees are inconsistent and treat you badly and dismiss my story .
    • Initial Complaint

      Date:08/06/2024

      Type:Customer Service Issues
      Status:
      ResolvedMore info

      Complaint statuses

      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      On 7/28/2024 I received a message from ****** ******** informing me that they were sending in a refill request for my prescription Amlodipine 10mg. I had previously told them not to do this because I moved 300 miles north to Sacramento and now have a new doctor. They still charged my Humana insurance anyway even though the order was never filled.

      On 7/31/2024, I reached out to Humana customer service to file a dispute on this issue because my new doctor was set to issue me new prescriptions on August 5, 2024, and I did not want to be denied my prescription because of ****** already charging Humana for the cancelled order. The representative called ****** ******** and had me on a 3-way call. I was told that everything would be fine and that the charge would disappear.

      On August 5, 2024 my doctor sent in my new prescriptions to the *** pharmacy near my home. To no surprise, my amlodipine was listed as being filled too soon, so it was not covered. I had to use ****** **** coupon and pay out of pocket $22.67 to fill my prescription when it shouldn’t have costed me anything. On the same day I spoke with Humana for a second time explaining this issue. I was basically told that there is no way to dispute a pharmacy charge and that it’s up to ****** ******** to reverse the charge. This is unacceptable. I need to be reimbursed the $22.67 I spent to fill the Amlodipine 10mg **.

      My Humana ID number is *********

      Business Response

      Date: 08/16/2024

      Please see attached a response was also mailed to the member.

      Customer Answer

      Date: 08/16/2024



      Better Business Bureau:



      I have reviewed the response made by the business in reference to complaint ID ********, and find that this resolution is satisfactory to me.




      Sincerely,



      ***** ********

      ***If you are interested in supporting the BBB's free services, please consider giving to BBB's Consumer Education Fund, which provides other services to the community, like Charity Review, Identity Theft Seminars, Free Shred/Recycle Events, Senior Citizen programs, High School and College Programs, and providing information at local community events. Donations can be sent via Venmo to @bbbcefky or mail your donation to BBB Consumer Education Fund, 13104 Eastpoint Park Blvd., Louisville, KY 40223. For more information on these programs, call 800-388-2222. Thank you for your consideration. 
    • Initial Complaint

      Date:08/05/2024

      Type:Customer Service Issues
      Status:
      AnsweredMore info

      Complaint statuses

      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      On my phone call log on 8/5/2024, I have 28 phone calls from Humana **************. This is just on 8/5/2024. This is beyond excessive and harassment. Additionally, these calls are unwanted. Even though I am a Humana insurance holder, this is not an excuse to abuse the power they think they have. I DEMAND that Humana remove my phone number from their file IMMEDIATELY. The only reply that I will accept in this matter is that they have removed that and will provide proof to my email. IN THE FUTURE, HUMANA IS TO ONLY EMAIL ME AND ONLY WITH INFORMATION THAT PERTAINS DIRECTLY TO ME AND MY POLICY.

      Business Response

      Date: 09/12/2024

      Hello. The final response for the above mentioned case is complete and attached for your review. You can give me a call should you have any questions.

      Thank you,

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