Humana Healthy Horizons in Florida

New member resources

Welcome to Humana Healthy Horizons® in Florida. With us, you get a Medicaid plan that does more. We offer more rewards, more everyday benefits, and more help and support. That’s so you have more time to focus on what you love. Find important resources and learn how to make the most out of your health plan. 

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Get started

Getting started with Humana Healthy Horizons in Florida is as easy as 1, 2, 3:

  1. Download two digital apps to your mobile device.
  2. Fill out and return three forms.
  3. Pick and see a primary care physician.
Step 1: Download two digital apps

1. Download two digital apps

At Humana, we want to help you live your best life in your best health possible. As part of our commitment to you, we offer rewards for taking healthy actions.

Go365 for Humana Healthy Horizons

  • Download the app for Apple iOS or Android
  • Create an account
  • Complete your Health Risk assessment (HRA) and start earning rewards right away!

MyHumana

  • Download the app for Apple iOS  or Android
  • MyHumana gives you 24/7 access to your plan information. With an account, you can:
    • Choose and change your primary care physician (PCP)
    • See and download your Member ID card
    • Get important health notices
    • Complete your HRA
Step 2: Fill out and return three forms

2. Fill out and return three forms

The Welcome Kit you receive in the mail includes three forms for you to fill out and return to us. These forms are also linked below for you to download and print.

Welcome Kit – Spanish

Health Risk Assessment (HRA)

The HRA is a set of questions about you and your health. We will use your answers to help make sure you get the care and support you need.

You can complete your HRA by:

  • Filling out the HRA and sending it back to us in the postage-paid envelope you received in your Welcome Kit, OR
  • Calling us at 800-611-1467 (TTY: 711)OR
  • Completing it in your MyHumana account online or in the app.

Health Risk Assessment (HRA) – English

Health Risk Assessment (HRA) – Spanish

Continuity of Care form

The Continuity of Care form helps make sure you continue getting the care you need if you change health plans or doctors. Fill it out and send it back to us in the postage-paid envelope you received in your Welcome Kit.

Continuity of Care form

Release of Protected Health Information (PHI) form

The Release of Protected Health Information form tells us what health information you’re OK with us sharing with other people. Fill it out and send it back to us in the postage-paid envelope you received in your Welcome Kit.

Consent for release of Protected Health Information – English

Consent for release of Protected Health Information – Spanish

Step 3: Pick a doctor

3. Pick a doctor

Your Member ID card includes the name of your primary care physician (PCP).

Your PCP should be:

  • Close to your home or work
  • Able to meet your health needs
  • Able to meet your cultural needs, such as language preference

We recommend you:

  • Meet with your PCP within the first 30 days of enrollment
  • Talk to your PCP about your current and future health needs
  • Meet with your PCP at least once each year

Where should you go to see a doctor? You have choices. Learn about your choices for care.

If you change your doctors, complete a Consent for Release of Medical Records form. This form gives us permission to send your medical records to your new doctor.

Understanding Continuity of Care

When you enroll with Humana Healthy Horizons in Florida, Continuity of Care (COC) guidelines are in place to make sure you are covered during the transition to your new plan.

Health plans are required to ensure COC during the transition period for Medicaid recipients enrolled in the SMMC program. You will be able to see your doctors and fill your prescriptions like normal. COC requirements ensure that your services will continue seamlessly when you change:

  • From one health plan to another
  • From one provider to another,
  • From one service delivery system to another (i.e., fee-for-service to managed care)

Important COC information:

  • Enrollees with an effective date of February 1, 2025: If your Humana plan was effective on February 1, 2025, your COC period is up to 120 days from your effective date of enrollment.  
  • Enrollees with an effective date after February 1, 2025: If your Humana plan was effective after February 1, 2025, your COC period is up to 90 days after your effective date of enrollment. 
  • Health care providers should not cancel appointments with their current patients. Humana must honor any ongoing treatment that was authorized prior to your enrollment with Humana during your COC period.
  • Providers will be paid. Providers should continue providing any services that were previously authorized, regardless of whether the provider is participating in Humana’s network. Humana must pay for previously authorized services during your COC period and must pay providers at the rate previously received during your COC period.
  • Providers will be paid promptly. During the COC period, Humana is required to follow all timely claims payment contractual requirements. The Agency for Health Care Administration (AHCA) monitors all complaints to ensure that any issues with delays in payment are resolved.
  • Prescriptions will be honored. Humana must allow you to continue to receive your prescriptions through your current provider until your prescriptions can be transferred to a provider in our network.

Protect your coverage. Keep your information current

Don’t lose your Medicaid coverage. When your personal information changes, like your address or phone number, update it with a few simple steps.

Go to the Florida Department of Children & Families (DCF) website, or call 850-300-4323 (TTY: 800-955-8771) Monday – Friday, 7 a.m. – 6 p.m.

If visiting the Florida DCF website:

  1. Log in to your MyAccess account
  2. Click the “Report My Changes” button
  3. Check the box for Address, Email, or Phone Number changes
  4. Enter your information and follow prompts to finish and submit

Supplemental Security Income (SSI) recipients and those interested in getting SSI should visit the Social Security Administration website to make sure their info is up to date. Or, call the Social Security Administration at 800-772-1213 (TTY: 800-325-0778), Monday – Friday, [8 a.m. – 7 p.m.

By taking these steps, your health benefits and plan stay protected.

Have questions?

Your Member Handbook is the best resource to find everything you want to know about your plan in one place.

Call Member Services at 800-477-6931 (TTY:711), Monday – Friday, 8 a.m. – 8 p.m., Eastern Time

Looking for help?

Contact Us

If you have questions, find the number you need to get help and support.

Find a doctor

Find a doctor, hospital, or pharmacy.

Documents and forms

Find the documents and forms you need, including your member handbook.