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.
Humana Dual Fully Integrated (HMO D-SNP) in Illinois
Member handbook
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
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 Step Therapy Criteria
DSNP Transition Policy
Prior authorization forms
Provider directory
You can search for a provider near you using our Find care tool
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