New member resources

Welcome! We want to help you make the most of your plan right away. Use this page as a guide to the information you’ll need to get started. Find helpful links to important documents and forms, learn how to register for MyHumana and understand what your plan covers.

Your welcome letter and Welcome Kit have information about getting started. Reading your Welcome Kit is a good first step. Your Welcome Kit also has key information on steps to take during the first few weeks of your enrollment.

Your Member Handbook, PDF opens new window is the best resource to find everything you want to know about your plan in one place. If you have any questions, this book is where to look.

Help us get to know you

We can provide better care when we know more about you. You can help by filling out a:

• Health Risk Assessment (HRA): You can complete your HRA by out the HRA you received in your Welcome Kit and sending it back to us in the postage-paid envelope you also received, or calling us at 1-855-251-7877 (TTY: 711), or registering for a MyHumana account and submitting the HRA online
• Continuity of Care (English and Spanish), PDF opens new window: Do you have a medical condition, like diabetes? Tell us on this form so we can share that information with your doctors and make sure you get the care you need.
• Consent for release of medical records (English and Spanish), PDF opens new window: If you change doctors, this form will allow us to send your medical records to your new doctor.

We have lots of other documents and forms to help you understand your plan. Be sure to check them out.

See all documents and forms

Continuity of Care

When new health and dental plans are added to your Medicaid benefits, Continuity of Care (CoC) guidelines, PDF opens new window are in place to make sure you are covered during the transition to these new plans.

COC makes sure that your dental and health services won’t be interrupted when we switch plans. You will be able to see your doctors and fill your prescriptions like normal.

The Agency for Health Care Administration (AHCA) contracts with Medicaid health and dental plans to provide services to health plan enrollees in the Statewide Medicaid Managed Care (SMMC) program. The Agency recently entered into new contracts with health and dental plans. As part of those contracts, the Agency achieved program changes that greatly benefit enrollees and providers.

Health and dental plans are required to ensure COC during the transition period for Medicaid recipients enrolled in the SMMC program. COC requirements ensure that when enrollees transition from one health plan to another, one service provider to another, or one service delivery system to another (i.e., fee-for-service to managed care), their services continue seamlessly throughout their transition. The Agency has instituted the following COC provisions:

• Health care providers should not cancel appointments with current patients. Health plans must honor any ongoing treatment that was authorized prior to the recipient’s enrollment into the plan for up to 60 days after the roll-out date in each region.
• Providers will be paid. Providers should continue providing any services that were previously authorized, regardless of whether the provider is participating in the plan’s network. Plans must pay for previously authorized services for up to 60 days after the roll-out date in each region, and must pay providers at the rate previously received for up to 30 days.
• Providers will be paid promptly. During the continuity of care period, plans are required to follow all timely claims payment contractual requirements. The Agency will monitor complaints to ensure that any issues with delays in payment are resolved.
• Prescriptions will be honored. Plans must allow recipients to continue to receive their prescriptions through their current provider, for up to 60 days after the roll-out date in each region, until their prescriptions can be transferred to a provider in the plan’s network.

More information about COC provisions can be referenced on the COC program highlight document, which is posted on the Agency’s website at www.ahca.myflorida.com/smmc, opens new window. Once on the page, click Program Changes, then the Outreach and Presentations link.

See all documents and forms

MyHumana is an online member dashboard where you can find plan information and other tools to manage your plan.

MyHumana lets you:

• Download and print a copy of your Member ID card in the ID card center
• Set your communication preferences (e.g., you can get messages by email, text, or phone)
• And more!

Registering is easy and only takes a minute.

Register for MyHumana

Already registered for MyHumana? Sign in now to check out your secure member portal.

Sign in for MyHumana

Humana Florida Medicaid plans include:

• Medical, vision, and hearing coverage
• Prescription drug and behavioral health benefits
• Long-term care coverage, depending on your plan

Check out your Member Handbook, PDF opens new window for all the details on your coverage.

Pharmacy benefits

Managing your medicines is important. We want you to feel comfortable knowing what you’ll have to pay when filling a prescription. Learn about your pharmacy benefits and more.

See pharmacy benefits

Health and wellness

We want you to achieve your best physical, mental and emotional health. Florida Medicaid offers behavioral health services and health and wellness programs to help you on your journey to good health.

View health and wellness services

Caregiver access

Caring for a loved one can be challenging. We offer support and resources to help you. Looking for the forms you need to grant a caregiver access? You can find those here, too.

Find caregiver support

Long-term care (LTC) services

Do you have a long-term care plan? A care manager will reach out to you soon to set up a welcome visit in your home and introduce you to these services.

Learn more about LTC services

Find a doctor

When you became a Humana Florida Medicaid member, we assigned you a primary care provider (PCP). Your PCP is the main doctor who will give you care. Your Member ID card includes information about your PCP. Your Member ID card will come to you in the mail.

If you are assigned to a PCP whom you’ve never seen before, please give him or her a completed Consent for Release of Medical Records form. We included a blank copy of this form in your welcome booklet. This release form gives your previous PCP permission to send your medical records to your new PCP.

Call a Customer Care representative at the toll-free number listed on the back of your Member ID card:

• If you have a PCP you want to keep seeing and that PCP is in our network, or
• If you don’t have a PCP but want to select a different PCP from our large network of providers

Your PCP should be:

• Close to your home or work
• Able to meet your health needs
• Able to meet your cultural needs, such as language preference

We recommend you:

• Meet with your PCP within the first 30 days of enrollment
• Talk to your PCP about your current and future health needs
• Meet with your PCP at least once each year

Where should you go to see a doctor? You have choices. Learn about your choices for care, PDF opens new window