What if I need a medication that is not covered by the plan?

Asked a year ago
If you require a medication that is not covered by the Humana Prescription Drug Plan, there are alternative options available. Firstly, you can consult with your healthcare provider who may be able to prescribe an alternative medication that is covered by the plan and achieves the same intended effect. In certain cases, your healthcare provider may be able to submit a prior authorization request to Humana, requesting coverage for the specific medication. Alternatively, you may explore the possibility of obtaining the medication through Humana's exceptions process, which allows for coverage of medications not typically included in the formulary. In these situations, it is essential to contact Humana's customer service or review the plan documents to understand the specific steps and requirements involved in seeking coverage for a medication not initially covered by the plan.
Jeff Whelpley is the editor / author responsible for this content.
Answered May 3, 2024

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