Need to select or change your primary care physician, or would you like to receive prescriptions-by-mail? Use the following forms:
PCP Selection Form: Use this form to register your choice for Primary Care Physician. Complete and mail it to:
Humana Inc.
Automated Enrollment
PO Box 740022
Louisville, KY 40201-7422
Claims Reimbursement Form: Submit this form if you have received emergency care or out-of-area care at a non-network facility and have incurred out-of-pocket expenses. Complete and submit to:
Humana Claims Office
PO Box 14603
Lexington, KY 40512-4603
Prescriptions-by-Mail: Enjoy the convenience of Prescriptions-by-Mail.