If you’re unhappy with any aspect of your Medicare, Medicaid or prescription drug coverage, or if you need to make a special request, we want to help. For questions about the appeal process, please call the Customer Care phone number on your Humana ID card.
File a grievance
If you are dissatisfied with any aspect of your Medicare plan, Customer Care, your healthcare provider or treatment facility, you can submit a grievance.
Request an exception
Exceptions are a type of coverage determination that must be requested through your healthcare provider. This can include requests like covering a non-preferred drug at a lower cost, covering drugs not currently on Humana’s Drug List, waiving certain limits and more.
Submit an appeal or grievance for a loved one
Legal representatives for Humana members may request a grievance or appeal on behalf of a Humana member. Learn more about the legal representation process and how to submit documentation.