Provider and patient talking.

2025 documents and forms

Below, you’ll find key plan documents and forms for the 2025 plan year. You can open and/or download each form as needed. These documents are effective from January 1, 2025 through December 31, 2025.

2025 Member Handbook – English − Last updated October 1, 2024
2025 Member Handbook – Spanish − Last updated October 1, 2024

2025 Prescription Drug Guide – English − Last updated October 1, 2024
2025 Prescription Drug Guide – Spanish − Last updated October 1, 2024

2025 Summary of Benefits – English − Last updated October 1, 2024
2025 Summary of Benefits – Spanish − Last updated October 1, 2023

2025 Annual Notice of Changes – English
2025 Annual Notice of Changes – Spanish

Learn more about these available federal programs

Learn how Humana uses and protects your health information.

Privacy Notice – English

HIPAA – Aviso de Prácticas de privacidad

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.

Appointment of Representative Form

Learn more about how we can help you in a language other than English.

Multilanguage Interpreter Services
 

Pharmacy forms

Learn more about our process for reviewing and giving prior authorization and our step-therapy criteria.

2025 Illinois Prior Authorization Criteria

2025 Illinois Step-Therapy Criteria

Looking for help?

Contact us

If you have questions, find the number you need to get help and support.

Find a doctor

Use our Find a Doctor service to find a doctor, hospital, pharmacy, or other healthcare facility.

Find a dentist

Use this Find a Dental Provider service to find a dentist near you.