Humana Dual Fully Integrated (HMO D-SNP) in Illinois

Documents and forms

Stay organized and find all of the documents and forms you need in one place for your Humana Dual Fully Integrated DSNP plan.

Healthcareprovider examining a patient

Member handbook

2026 Member Handbook - English

2026 Member Handbook – Spanish

Summary of Benefits

Summary of Benefits – Spanish

Annual Notice of Change

Annual Notice of change – Spanish

Legal and privacy notices

Learn more about our real-time reporting requirements and process These notices provide information about how Humana uses, and when we might share, your personal information. They also outline the various privacy rights available to you.

Individual privacy rights

Rights and responsibilities

HIPAA privacy notice

Pharmacy resources

Over-the-counter order forms

Your pharmacy benefit lets you order certain over-the-counter (OTC) items through the mail. Use this catalog to look up OTC items you want to order each month. Fill out the form and mail, fax or phone your order to CenterWell Pharmacy

Over-the-counter order form – English

Over-the-counter order form – Spanish

Pharmacy direct member reimbursement form

We hope you don’t have to pay for any medicine out of pocket. If it happens, let us know by filling out a reimbursement claim form, and we will try to pay you back. Fill out this form to send in a reimbursement claim if you paid out of pocket for a prescription.

Pharmacy direct member reimbursement form

Search the Humana Drug List

View printable copies of the Prescription Drug Guide and pharmacy policies:

2026 Prescription Drug Guide (HMO D-SNP) – English

2026 Prescription Drug Guide (HMO D-SNP) – Spanish

2026 Prior Authorization Criteria

2026 Strep Therapy Criteria

DSNP Transition Policy

Prior authorization forms

Medical and pharmacy authorizations

Provider directory

You can search for a provider near you using our Find care tool

View a printable PDF of your provider directory

Humana Dual Integrated in Illinois

Humana and Illinois Department of Healthcare and Family Services logos

Looking for help?

Contact us

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

Get contact info

Find care

Find a doctor, hospital, or pharmacy.

Find important documents and forms

Find Helpful documents and forms related to your health care plan.

Your MyHumana account is here when you need it. Easily access claims, drug prices, in-network doctors, and more. If you don’t have your account, create it today.

Auxiliary aids and services, free of charge, are available to you.
1-800-787-3311 (TTY: 711), Monday through Friday, from 8:00 a.m. to 8:00 p.m., Central time. Humana Inc. and its subsidiaries comply with Section 1557 by providing free auxiliary aids and services to people with disabilities when auxiliary aids and services are necessary to ensure an equal opportunity to participate. Services include qualified sign language interpreters, video remote interpretation, and written information in other formats. Additionally, printed or translated versions of any of our materials are available free of charge to any member within 5 days upon request. See our full Auxiliary Aids and Services Notice.

Humana Inc. and its subsidiaries comply with applicable Federal civil rights laws and do not discriminate or exclude people because of their race, color, religion, gender, gender identity, sex, sexual orientation, age, disability, national origin, military status, veteran status, genetic information, ancestry, ethnicity, marital status, language, health status, or need for health services. We also provide free language interpreter services. See our full accessibility rights information, non-discrimination disclosure, and language options.

If you are requesting membership in a Dual Eligible Special Needs Plan (D-SNP), the following statement applies: I understand this plan is for individuals with both Medicaid and Medicare. My ability to enroll is based on verification that I am entitled to both Medicare and medical assistance under Medicaid.

Medicare beneficiaries may also enroll in Humana Medicare plans through the CMS Medicare Online Enrollment Center located at https://www.medicare.gov.

Our health benefit plans have exclusions and limitations and terms under which the coverage may be continued in force or discontinued. For costs and complete details of the coverage, refer to the plan document or call or write your Humana insurance agent or the company. In the event of any disagreement between this communication and the plan document, the plan document will control.

Humana is a Dual Eligible Special Needs plan with a Medicare contract and a contract with the state Medicaid program. Enrollment in any Humana plan depends on contract renewal.

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Last updated: 09/11/2025