Other Humana Sites Help Español Shop for Plans Member Resources Sign in Home Member guidance Exceptions and appeals Exceptions and appeals Know the process to ask for a change Whether you are a Medicare member or receive insurance through your employer, you have the right to ask for an appeal, file a grievance or appoint a representative. Medicare drug Part D coverage appeal If you have received an unfavorable Part D coverage redetermination, you can ask for a redetermination (appeal). Part D: request an appeal Medicare Part C coverage reconsideration If you have received an unfavorable Part C determination, you can ask for a reconsideration (appeal). Part C: request an appeal Medicare Expedited appeals If you believe that waiting for a decision under the standard time frame could seriously jeopardize the life or health of the member, you may request an expedited appeal. Request an expedited appeal Medicare Grievances If you are dissatisfied with any aspect of your Medicare plan, Customer Care, your provider or treatment facility, you can submit a grievance. File a grievance Medicare Appoint a representative You have the right to appoint a representative to act on your behalf. Appoint a representative Medical, drug and dental Exceptions and appeals If you’re unhappy with some aspect of your coverage, you can file a grievance or appeal and seek a representative to act on your behalf. Exceptions and appeals Medicare drug Late enrollment penalty reconsideration You may be able to ask for a reconsideration if the Centers for Medicare and Medicaid Services (CMS) required you to pay a late enrollment penalty when you enrolled in Medicare Part D. Appeal a late enrollment penalty More Resources FAQs about Medicare Learn more about plans through answers to frequently asked questions. FAQs Help and support Find tools, answers to frequently asked questions and contact information. Help and support Back to top Medicare Dental Vision Medicaid Pharmacy Member Resources Find a Doctor Sign in to MyHumana Sign in to Go365.com Employers Agents & Brokers Providers Caregivers About Humana Contact Us Careers Investor Relations Corporate Responsibility © Humana 2021 Legal Privacy Policies Internet Privacy Statement Site Map Disclaimers & Licensure Fraud, Waste & Abuse Accessibility System Requirements This material is provided for informational use only and should not be construed as medical advice or used in place of consulting a licensed medical professional. You should consult your doctor to determine what is right for you. Humana is a Medicare Advantage HMO, PPO and PFFS organization and a stand-alone prescription drug plan with a Medicare contract. Enrollment in any Humana plan depends on contract renewal. Y0040_GHHJQFFEN_2021 Last Updated: 03/10/2021