Oklahoma SoonerSelect: Documents and Forms
Find the documents and forms Sooner Select enrollees need to get the most from their enrollment.
Key plan documents
Welcome Kit
All new members get a Welcome Kit in the mail. You also can view it below. Your Welcome Kit includes the information you need at the start of your enrollment in Humana Healthy Horizons® in Oklahoma.
Health Risk Screening (HRS)
The answers you give us on your HRS help us make sure you get the care you need. Your Welcome Kit includes a HRS form and postage-paid envelope in which to return your completed HRS. You also can download a HRS below.
Your Welcome Kit includes information about the many ways you can return your completed HRA to us.
Member Handbook
Have questions about your plan, benefits, and covered services? Check out your Member Handbook.
Preferred Drug List
The Preferred Drug List is a list of drugs and medicine your plan covers. Your doctor can prescribe you drugs and medicine on this list if needed. We update our Preferred Drug List periodically during the year. If we update the Preferred Drug List, we will notify you and we will make the new version available below.
Pharmacy forms
Over-the-counter (OTC) catalog and order form
Your pharmacy benefit lets you order certain over-the-counter (OTC) items through the mail. To get started:
- Look up available OTC items in the Humana Health and Wellness Catalog and Order Form
- Write down your order on the Order Form
- Submit your order:
- By mail:
CenterWell Pharmacy
P.O. Box 1197
Cincinnati, OH 45201-1197
- By mail:
- By phone: Call CenterWell Pharmacy at 855-211-8370 (TTY: 711). Customer Care Representatives are available Monday – Friday, 8 a.m. – 11 p.m. and Saturday, 8 a.m. – 6:30 p.m., Central time.
- By fax: 800-379-7617
Call the number on the back of your ID card if you have questions about your benefit.
Prescription drug reimbursement claim form
We hope you don’t have to pay for any medicine out of pocket. If it happens, please fill out the form below to send in a reimbursement claim if you paid out of pocket for a prescription. We will try to pay you back.
Legal and privacy notices
The legal and privacy notices below provide information about:
- How Humana uses, and when we might share, your personal information
- Your privacy rights
To give us permission to share your medical information with someone, you must complete and send back to us a Consent for Release of Medical Information and a Consent for Release of Protected Health Information.
Performance measurement
Refer to the below information to see how we’re measured as a health plan, and also how we’re doing.
Expanded Benefits Reimbursement Form
We hope you don’t have to pay out of pocket for the benefits you get as a Humana Healthy Horizons in Oklahoma enrollee. If you do, let us know by filling out a reimbursement claim form, and you may get a refund.
Fill out the form below to send a reimbursement claim.
Advance Directives
Click on the link below for tools and information when making advance directives.