How do I?

Need to find a doctor or make sure your prescriptions are covered? The information below will help answer questions you may have.

How do I find a Doctor?

Quickly locate a doctor, hospital, dentist, vision provider or pharmacy.

To find out the region in which you reside, please see the link below for your county.

Note: If you need help finding a network provider and/or pharmacy, click here or call Customer Service at 1-855-280-4002 (TTY: 711), 8 a.m. – 8 p.m., Monday – Friday, Eastern time. If you would like a Provider/Pharmacy Directory mailed to you, click here (link opens in new window) .

How do I know if my prescriptions are covered?

You can click on our Prescription Drug Guide below, or call Humana Gold Plus Integrated at 1-855-280-4002 (TTY: 711), 8 a.m. – 8 p.m., Monday – Friday, Eastern time. The call is free.

What if I need transportation?

LogistiCare manages routine medical transportation for the Humana Gold Plus Integrated, A Commonwealth Coordinated Care Plan (Medicare-Medicaid Plan). Routine medical transportation is designed to help you get to health care visits, including, but not limited to:

  • Trips to nursing homes
  • Trips to the pharmacy right after doctor visits
  • Other approved medical providers and locations
  • Medical appointments
  • Ongoing care, such as dialysis

Give us a call! A LogistiCare professional will gladly help.

To make a reservation, call 1-855-253-6869

Monday through Friday, 8 a.m. to 5 p.m. Eastern time.

Use this number for reservations to and from a facility.

TTY: 1-866-288-3133

For emergency transportation services, call 911.

Note:Please call at least 3 days in advance when possible.

How do I enroll?

Enrollment in Humana Gold Plus Integrated is done through Virginia's enrollment broker. To see if you are eligible, call the Virginia Coordinated Care HelpLine, at 1-855-889-5243 (TTY: 1-800-817-6608), 8:30 a.m. – 6 p.m., Monday – Friday, Eastern time. The call is free.

To visit the enrollment broker website, click here (link opens in new window) 

What are My Rights and Responsibilities if I decide I no longer want the Humana Gold Plus Integrated Plan?

Information on Requesting a Coverage Determination or Fast Coverage Determination

A coverage determination (sometimes called "coverage decision") is an initial decision we make about your benefits and coverage or about the amount we will pay for your medical services, items or drugs. We are making a coverage decision whenever we decide what is covered for you and how much we pay

To learn more about the procedures for filing an organization/coverage determination click here.

To request a Coverage Determination, please complete the CMS Model Coverage Determination Request form (link opens in new window) 

Grievances and Appeals

If you would like to learn more about filing a grievance or appeal with Humana, please click here

To file a grievance or appeal with CMS, please complete the CMS form by clicking Medicare Complaint Form (link opens in new window) 

How do I name someone who will represent me and be my advocate with the state and Humana?

If you are having trouble with understanding your benefits, would like to appoint a person to file a grievance, request a coverage determination, or request an appeal on your behalf, you and the person accepting the appointment must fill out this form (or a written equivalent) and submit it with the request. Your doctor or other provider may request a coverage determination, redetermination or independent review entity (IRE) reconsideration on the enrollee's behalf without having to be an appointed representative.

Appoint a Representative form (link opens in new window)