When can I file a 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. You can use the Grievance/Appeal Request form to appeal.
Who can submit the grievance request?
You (member) or a person you appoint. Refer to the How to Appoint a Representative section for additional information.
How can I submit the grievance request?
Grievance/Appeal Request Form Download PDF English (pdf opens in new window)
Fax Number: 1-855-251-7594
Mailing Address: Humana Grievances and Appeals P.O. Box 14165 Lexington, KY 40512-4165
Puerto Rico Members: Use the following form, fax and/or mailing address.
Fax Number: 1-800-595-0462
Mailing Address: Humana Puerto Rico Grievances and Appeals Unit P.O. Box 191920 San Juan, PR 00919-1920
To obtain information on an aggregate number of Medicare grievances, appeals and exceptions filed with the Plan, please call the number on the back of your ID card.
Submit a complaint online to Medicare
You may submit feedback online directly to the Centers for Medicare & Medicaid Services. Fill out the Medicare Complaint Form, opens new window with your personal information and concern.
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