An older couple looking at a few sheets of paper.

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

Medical Claim form

Drug coverage determinations

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

Medicare Part D Coverage Determination and Redetermination forms

Grievance/Appeal form

Learn more

Have questions?

For benefit, claims and provider questions, call Humana Group Medicare Customer Care at 888-899-5444 (TTY: 711), Monday – Friday, 8 a.m. – 9 p.m., Eastern time (5 a.m. – 9 p.m., Pacific time).

Enroll

For premium, eligibility and enrollment questions, call Disney Benefits Center at 800-354-3970 (TTY: 711), Monday – Friday, 8:30 a.m. – midnight, Eastern time, (5:30 a.m. – 9 p.m. Pacific time), or visit NetBenefits.com. 

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If you’re new to MyHumana, register by using your Humana ID number or your Medicare number. Register now