Humana Medicare Advantage Plan Reviews

Humana will not answer social workers for 48 to 72 hours delaying hospital discharge and shifting cost burdon to hospital. they delay decisions when patient is ready for rehab or SNF. They either claim they do not have the clinicial information and subsequently find it 3 days later when faced with the proof; they say the service has been approved and then says, "Oops, we made a mistake; it wasn't" after forcing the patient to spend the weekend in the hospital. Their doctor does not honor peer to peer conference requests. In short they shift costs; do not take care of the patient and just want your money. If it is to Humana's advantage not to approve treatment you will not get it.

As the daughter of a Humana Medicare Advantage plan member, I have frequent contact with their providers, their Website and their customer service agents. My mother is 95 years old and has been a member for about five years. Overall, we are very satisfied with the benefits of Human’s plan. For $42 a month, my mother has access to almost any doctor or specialist she requires. There is a $15 co-pay for primary care doctors and a $35 co-pay for specialists. Hospital benefits are generous, and there are differing levels of benefits for other types of services.

However, if you have a problem, their Web site is generally useless and their customer service agents are unwilling to speak to family members, unless the family member submits multiple copies of consent forms, which Humana seems to consistently lost. My mother has signed and submitted no less than four consent forms over the past year, and none of them have found their way into her file. This means that every time I want clarification on an issue, I have to call from where my mother is located so she can verify that I am her daughter and I have the right to speak on her behalf. I don’t understand what happens to these consent forms, which I have faxed and sent by regular U.S. mail to the addresses and phone numbers they provide.

Their prescription drug partner is almost just as bad with the customer service issues. Unfortunately, the fees for next year are going up, and I now have to decide if I want to continue with Humana or find another provider that might be more attuned to the needs of their members. I feel sorry for senior citizens who do not have an advocate like me, since their Web site is frequently “down” or the information is outdated.

Again, the benefits of Humana’s Medicare Advantage plans are good and provide a solid safety net for those who need the assurance that their health needs will be met. However, I have to mark them down in terms of their web presence and customer support.