Exceptions and Appeals

You have the right to ask us to review your care and reconsider our original determination of services. You have the right to file a grievance if you are dissatisfied with any aspect of the care you receive. And you have the right to appoint a representative to handle Medicare matters on your behalf.
Understanding workforce dynamics

Part D Coverage Redetermination

If you have received an unfavorable drug determination, you can ask for a redetermination (appeal).
Find out more

Part C Reconsideration

If you have received an unfavorable Part C determination, you can ask for a reconsideration (appeal).
Find out more

Medicare Expedited Appeals

If you believe that waiting for a decision under the standard timeframe could seriously jeopardize the life or health of the member, you may request an expedited appeal.
Find out more

Medicare Grievance

If you have dissatisfaction with any aspect of your health care plan, customer care, your provider or treatment facility, you can submit a grievance. Grievances do not include claims or service denials, as those are classified as appeals.
Find out more

Appointment of Representative

You have the right to appoint a representative to act on your behalf.
Find out more

Ask questions about insurance on Twitter and other social networking platforms

Get help @HumanaHelp

Connect with Humana customer service on Twitter.

Follow HumanaHelp on Twitter (link opens in new window) 

Talk the confusion out of Medicare reform

With simple, straightforward terms, Humana helps you understand which healthcare reform changes may affect you and your wellness.

Find out what healthcare reform means to you