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.

Find a doctor

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.

Know your rights
Mini-golf for good health

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.

Request exceptions and appeals
Call your pharmacist or doctor to renew your prescription medication

Medical authorizations

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

Know your coverage
Generic drugs are available at your pharmacy

Pharmacy authorizations

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

Review authorization information
Get the facts

Get the facts about healthcare reform

Learn how the law might affect you.

Explore healthcare reform information
Innovations in health care and well being services for customers

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