Guidelines for Humana members
Know your rights and understand your plan and costs, including authorizations, exceptions, and appeals.
Your rights and responsibilities
Humana’s member rights and responsibilities statement explains your role and your physician’s, so you can work together productively.
Important Member Information
How to use your health benefits: A guide for Humana members
Get the most from your Humana healthcare plan with this comprehensive and easy-to-follow guide to health insurance benefits.
Exceptions and appeals
Get help with an exception, grievance, or appeal
Ask for a prescription drug coverage exception. Or file a grievance or appeal.
You can also appoint a representative to act on your behalf.
If you need advance approval
For some procedures and services, your doctor or hospital needs to get advance approval before your plan covers any costs. This step is called "preauthorization" or "notification."
Make sure your prescriptions are covered
Certain prescription drugs require prior authorization or a medical exception for coverage. If your drug requires this step, your doctor will need to request and receive approval from Humana before the drug may be covered under your insurance plan.