Tools & Resources

These helpful tools and resources give you the information you need to make informed decisions about your insurance.

Tools:

Member Forms:

Consent for Releaseof protected health information - Allow disclosure of specific information to a person or organization. (PDF 196KB)
Revocation of Consentfor release of protected health information - Revoke authorization for individuals or an organzation. (PDF 191 KB)
All California residents should review Humana's No Cost Language Services notice (PDF 1.6 MB)
Refer a dentist
Humana group life claim form (PDF 67KB)
Life waiver premiumform (PDF 115KB)
HumanaLife Beneficiary Designation form (PDF 48KB)
Appeals Authorized representative form (7KB)
Appeals Authorized representative form (9KB)
Disable the secure member Website for yourself or a family member.
Website Blocking - (53KB)
Website Blocking - (53KB)

Dentist Forms:

Dentist network application
Dentistapplication (PDF 70KB)
Claim Attachment Guidelines (PDF 65KB)
Maryland dentist credentialing application (PDF 1.03 KB)
Language Assistance Services Available for Members
California providers: If you have Humana-insured patients with limited proficiency in English, please let them know that Humana has free language assistance services available for them. Providers may call Humana at the phone number listed on the member's Humana identification card to access interpretation services while the member is in the office. Humana is committed to providing language assistance services for all members, with Spanish versions of its Web site and member materials, along with free interpretation services for all languages.
Important: Your contract requires your compliance with Humana's language assistance program (LAP).Learn more

Other Forms:

Resources: