Below, you’ll find key plan documents and forms for the 2023 plan year. You can open and/or download each form as needed. These documents are effective from January 1, 2023 through December 31, 2023.
You may qualify for discounts on your broadband Internet service and the purchase of eligible computers and tablets. Also, enrollment in a Medicaid plan, like Humana Gold Plus Integrated, qualifies you for a free phone, talk, text, data, and more through Safelink Wireless.
Learn how Humana uses and protects your health information.
If you want someone to act on your behalf with us, he or she needs to complete and return to us an Appointment of Representative Form.
Learn more about how we can help you in a language other than English.
Pharmacy forms
Learn more about our process for reviewing and giving prior authorization and our step-therapy criteria.