An older couple going over documents

This page links you to the forms Humana Medicare members need most often.

Appointment of Representative form

Consent for Release of Protected Health Information

Medicare Prescription Drug Claim form

CenterWell Pharmacy™ Registration and Prescription Order form (mail-order pharmacy)

Medical Claim form

Medicare Part D Coverage Determination and Redetermination forms

Find out about drug coverage determinations and redeterminations and access our forms.

Grievance/Appeal form

Learn more

Have questions?

For questions about your plan, other than enrollment, call Humana at 800-733-9064 (TTY: 711), Monday through Friday, 8 a.m. to 9 p.m., Eastern time.

Enroll

For enrollment information and questions

Enroll here

Visit the IAMAW website

Labor Union for the 21st Century - GOIAM