Humana member rights
Get the care you deserve. Find information about authorizations, low-income subsidy and more.
Your rights and responsibilities
The rights and responsibilities statement reminds members and healthcare providers of their roles in maintaining a productive relationship.
Quality Improvement (QI) program
Humana wants to provide you with quality care so we have developed a program to make sure we are always improving. Find more information in the , PDF opens new window or call 1-800-4-HUMANA (1-800-448-6262) for a printed copy.
New medical technology
Humana follows strict guidelines to make sure the care you are getting is clinically sound and of your best interest.
Utilization Management
Utilization management is used to determine whether a service or treatment is medically necessary and appropriate for payment under your benefit plan. Humana does not reward or provide financial incentives to doctors, other individuals or Humana employees for denying coverage or encouraging under use of service.
If you have questions or concerns related to UM, staff are available at least eight hours a day during normal business hours.
If you have questions or disagree with a coverage decision, call Member Service at the number on your ID card.