Guidelines for Humana members

Know your rights and understand your plan and costs, including authorizations, exceptions, and appeals.

Staying active by taking the stairs

Sneak exercise into your day

Whenever possible take the stairs, park your car a ways from a store entrance, and take walks at lunchtime to add fitness to your day.

Exploring provider choice options

Member rights

Your rights and responsibilities

Humana’s member rights and responsibilities statement explains your role and your physician’s, so you can work together productively.

Read your member rights

Important member information

Understand and use your plan

To get the most from your healthcare plan, you need to know how to use it. This page will show you how to understand your plan’s coverage and costs, how to find the right provider, care away from home, and more.

Read this important information
Easy to use online health plan information
Getting the details about prescription drug coverage

Exceptions and appeals

Get help with an exception, grievance, or appeal

Ask for a prescription drug coverage exception. Or file a grievance or appeal. You can also appoint a representative to act on your behalf.

Get details about these processes

Medical authorizations

If you need advance approval

For some procedures and services, your doctor or hospital needs to get advance approval before your plan covers any costs. This step is called "preauthorization" or "notification."

Determine whether you need an authorization
A patient checking with his doctor about his health
Generic drugs are available at your pharmacy

Pharmacy authorizations

Make sure your prescriptions are covered

Certain prescription drugs require prior authorization or a medical exception for coverage. If your drug requires this step, your doctor will need to request and receive approval from Humana before the drug may be covered under your insurance plan.

Follow three steps to prior authorization
Find the important and frequently used medical forms for Medicare members

Locate the forms you need

Browse the forms you need for medical, dental, life, spending account, and pharmacy claims.

Find your forms
Connect with customer service to get answers to your insurance related questions

Get help @HumanaHelp

Connect with Humana customer service and find get answers to your questions.

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