Welcome

Welcome to Humana Gold Plus Integrated!

You may have received a letter that your Medicare and Medicaid services are now with Humana through our Humana Gold Plus Integrated (Medicaid-Medicaid plan). You now have Humana coverage because:

  • 1) You selected Humana
  • 2) You didn't select a plan and the state of Illinois picked Humana for you

If you had coverage with a different health plan and are new to Humana, know that you keep all the benefits and services you were getting PLUS get extra benefits like additional vision, hearing, and dental coverage.

We are glad to have you on Humana Gold Plus Integrated. To get answers to any questions, call us at 1-800-787-3311 (TTY: 711), Monday – Friday, 8 a.m. – 8 p.m., Central time.

What to expect when you first join a health plan

If you are newly enrolled in the Humana Gold Plus Integrated plan, you have a 180-day transition period during which you may maintain a current course of treatment with a provider who is currently out of the Humana Gold Plus Integrated network.

If you are transferring to the Humana Gold Plus Integrated plan from an existing plan, you have a 90-day transition period during which you may maintain a current course of treatment with a provider who is currently out of the Humana Gold Plus Integrated network.

If you are in a nursing facility when your enrollment in Humana Gold Plus Integrated begins, you may remain in the facility as long as you continue to meet the criteria for nursing facility care, unless you or your family prefers you move to a different nursing facility or return to the community. Nursing facility continued stay criteria is established by the state of Illinois.

After your transition period ends, you will need to see doctors and other providers in the Humana Gold Plus Integrated plan network. An in-network provider is a provider who works with the health plan. Learn more about the differences between in-network and out-of-network providers, and/or refer to Chapter 3, Section B, page 26 of your Member Handbook for more information on getting care.

When you become a member with Humana Gold Plus Integrated, you may need help with your medications. We want to make your enrollment or transition into our plan as easy as possible.

  • During your first 90 days of enrollment, you will have access to at least one 30-day supply of the Part D drugs you currently take.
  • During your first 180 days of enrollment, you will have access to the Medicaid-covered drugs you currently take:
    • If you take a drug that is not on our list of covered drugs
    • If health plan rules do not let you get the amount ordered by your doctor
    • If the drug requires prior approval by Humana Gold Plus Integrated

If you live in a Long-Term Care Facility, we will cover a supply of your drug during the first 90 days of your enrollment in the plan, until we have given you a 91-98 day supply consistent with the dispensing increment, or less if your prescription is written for fewer days.

Please call us at 1-800-787-3311 (TTY: 711), Monday – Friday, 8 a.m. – 8 p.m., Central time, if you have questions, or to use our free interpreter services to answer questions about your health and drug plans.

Multilanguage insert (589 Kb) (PDF opens in new window)

Within the first 60 days of enrollment you will receive a health risk screening assessment.

Humana takes a personalized, accessible, and patient-centered approach to care using information we get by you completing a Health Risk Screening (HRS). The HRS helps us understand your healthcare needs. You have three options for completing your HRS:

  • We will call you to complete the HRS.
  • We will send you an HRS to complete at home, if we can’t reach you by phone.
  • We can visit you in your home and complete the HRS with you in person, if you want.

When we send you an HRS, we also will send you a postage-paid return envelope for you to use to return the form to us. If you want help completing the form, we can call you or meet face-to-face.

For help, call Customer Service at 1-800-559-3917 (TTY: 711), Monday – Friday, 8 a.m. – 5 p.m., Central Time, and choose option 4. However, please note that our automated phone system may answer your call after-hours, during weekends, and on holidays. Please leave your name and telephone number, and we’ll call you back by the end of the next business day.

What is Humana Gold Plus Integrated?

Illinois residents that have Medicaid and Medicare can get their benefits from the same place.

Find out more

New to Humana

Find out what to expect and who to call if you have questions.

Find out more

Benefits

Learn about the benefits Humana members get.

Explore your benefits

How do I?

How do I find a doctor or provider and how do I get a ride there?
How do I file a grievance or call CMS?

Find out more

Pharmacy

Get answers to your question about medicine and pharmacy coverage.

Check our pharmacy coverage

Member documents & forms

We make available the documents and forms you need to help you get the most from your Humana plan.

View documents

MyHumana

MyHumana is our secure member portal. After you create an account, you have 24/7 access to your personal information, and you can:

  • Check the status of your claims
  • Choose if you want us to send you information via e-mail or in the mail
  • Find in-network doctors, hospitals, pharmacies, and urgent care centers
  • View your coverage and benefits details

Register for MyHumana (link opens in new window)