Find the forms you need quickly
Find your member handbook, provider directories and other Medicaid documents and forms to manage your plan.
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Have questions about your plan? Check out the member handbook to find full details of your plan and benefits. Information on Humana Health Plan can be found in the member handbook.
If you’re looking for a doctor, you can use these directories to see a list of providers you can choose from in your area to get health services.
You can also search for doctors, pharmacies and other healthcare facilities online using our find a doctor tool.
We know it’s important for you to understand which of your medicines are covered. Check the lists below to see which medicines your plan covers.
Prescription drug reimbursement claim 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 the form below to send in a reimbursement claim if you paid out of pocket for a prescription.
Grievances and appeals
We want you to be happy with the care you get from Humana Kentucky Medicaid, and we hope you are getting the best care possible.
If you are not happy with any part of your healthcare plan, Customer Care, your doctor or a facility, you can send in a grievance. You can also appeal a claim or a denied service using this form.
If you are sending an appeal or grievance for another covered member, be sure to fill out an Appointment of Representative (AOR) Form.
Download, complete and send the forms to:
Humana Health Plan, Inc.
P.O. Box 14546
Lexington, KY 40512-4546
Attn: Grievance & Appeal Department
Performance measurement surveys
Let us know how we’re doing. We want to make sure we are giving you the best care and services to manage your health. Download performance measurement reports and take our member satisfaction survey.
Smartphone benefit information
Humana and SafeLink wireless will provide Medicaid medical members with free cellphone service and a smartphone to call your family, friends and doctors. Plus, you’ll get even more extra services as a member.