Humana members
Whether you're a Humana Medicare member, have an individual or family plan, or get insurance from your employer, you have easy access to documents and forms. Choose the category that best describes your coverage.
Whether you're a Humana Medicare member, have an individual or family plan, or get insurance from your employer, you have easy access to documents and forms. Choose the category that best describes your coverage.
There may be times when it is necessary to get approval from Humana before getting a prescription filled. This is called “prior authorization” or Part D coverage determination.
Learn more about the Part D drug prior authorization process
If you have a complaint related to your Humana Part C/Medicare Advantage plan, Part D drug coverage or any aspect of a member's care, we want to hear about it and see how we can help.
You can use this form to:
Please provide complete information, so we can get your issue to the associate who can help you best.
Learn more about the Medicare drug (Part D) coverage redetermination process
Learn more about the Medicare Advantage (Part C) reconsideration process
If you are filing an appeal or grievance on behalf of a member, you need an Appointment of Representative (AOR) form or other appropriate legal documentation on file with Humana so that you are authorized to work with Humana on his or her behalf.
You also can get the Appointment of Representative form on the , opens new window.
Please visit our accessibility page for information on filing a discrimination complaint
Multi-language interpreter services contact information
Disable access to your secure member website for yourself or a family member
If you are filing an appeal or grievance on behalf of a member, you need an Appointment of Representative (AOR) form or other appropriate legal documentation on file with Humana so that you are authorized to work with Humana on his or her behalf.
Process for continued coverage for full-time students who are on medical leave.
Disable the secure member website for yourself or a family member.
View Humana's privacy rights and download forms. You can also learn more about your rights on the Rights and responsibilities page.
Multi-language interpreter services contact information
Both forms below must be completed, signed and returned to Humana for processing.
Applies ONLY to members who received a letter from Humana directing them to this Humana Contraceptive Benefits Plan SPD link. If you are not sure whether this applies to you, please call the customer service phone number on the back of your Humana ID card.
If you are filing an appeal or grievance on behalf of a member, you need an Appointment of Representative (AOR) form or other appropriate legal documentation on file with Humana so that you are authorized to work with Humana on his or her behalf.
For new members apply current year expenses to Humana deductible.
Process for continued coverage for full-time students who are on medical leave.
Disable the secure member website for yourself or a family member.
View Humana's privacy rights and download forms. You can also learn more about your rights on the Individual Privacy Rights page.
Multi-language interpreter services contact information
View state-specific documents related to Humana’s offerings in your state.
Review a description of plan provisions which may exclude, limit, reduce, modify or terminate your group health insurance coverage.
Medical Pre-Enrollment Disclosure Forms
Note: Our forms are in Portable Document Format (PDF) and require Adobe Reader for viewing and printing. To get the plug-in, visit Adobe's Website to , opens new window