Complaint / review text:
I have Humana One Dental insurance as an individual policy. They specifically state that they cover 2 dental visits a year and 2 periodontal visits a year. I have been seeing my periodontist for years due to gum surgery. Humana says because I went to my regular dentist, there is no need to see a periodontist. Both my dentist and periodontist require these visits for good dental health. I finally filed a complaint with the Ohio Dept of Insurance. Humana paid the periodontist claims as an administrative decision, but would not guarantee they would pay future claims. They also said the Ohio Dept of Insurance has no jurisdiction over them. That I would have to go through Missouri!!! Their customer service reps and supervisors (in the Caribbean) were of no help in the 6 to 8 phone calls. I had to appeal to Humana directly twice! This company stinks and is a ripoff!