Member Guidelines

Guidelines for Humana members

When it comes to your rights, details matter. Get to know your plan and your rights as a Humana member.

Your healthcare headquarters

Online or on the go, MyHumana is the easiest way to organize and access your important health information. Find a doctor, check claims and more.

Learn more about MyHumana

Member rights

You have a right to privacy, courtesy, and full disclosure as a Humana member. And if you are unsatisfied, you have the right and the responsibility to complain.

Exceptions and appeals

Make your voice heard. If you want a prescription drug considered for coverage, or want to appeal a decision made by Humana, let us know.

Medical authorizations

Some services and procedures require approval in advance. Stay informed about pre-authorizations to avoid costly mistakes.

Pharmacy authorizations

Certain drugs require prior authorizations or exceptions before they can be approved for use. Find out how your doctor can request coverage.

Understanding the language in your policy

We created a useful guide to help you better understand some of the complicated terms, rules and policy provisions that might appear in your Humana insurance plan.

Straight talk with your doctor

How to enhance your bond with your primary care physician. It’s great for your health.

Read bonding with your M.D.

50 years of leading the way

Humana’s innovations have helped define the healthcare landscape to deliver effective solutions to customers like you.

Learn about Humana innovations