Submit your request online
It's fast, easy and secure to submit your request online
Request an appeal for a denied medical service online – English, opens new window
Fax or mail the form
Download a copy of the following form and fax or mail it to Humana:
Appeal, Complaint or Grievance Form – English, PDF opens new window
Appeal, Complaint or Grievance Form – Spanish, PDF opens 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 and fax and/or mailing address:
Appeal, Complaint or Grievance Form – English, PDF opens new window
Appeal, Complaint or Grievance Form – Spanish, PDF opens new window
Fax number:
1-800-595-0462
Mailing address:
Humana Puerto Rico
Grievances and Appeals Unit
P.O. Box 191920
San Juan, PR 00919-1920
If you need assistance, call customer service
You can get help with any questions or problems you have filling out the form by calling Customer Service toll free at the number on the back of your ID card.
Multi-language interpreter services, PDF opens new window
If you have a speech or hearing impairment and use a TTY, call 711. For Puerto Rico members, call 1-866-773-5959. Our hours are 5 a.m. to 8 p.m. EST, 7 days a week.
Be sure to submit all supporting documentation, along with your appeal request. After we receive the request, Humana will make a decision and send written notice within the following timeframes:
- Pre-Service Appeal – Within 30 Calendar Days
- Post Service Appeal– Within 60 Calendar Days