Contact Humana Healthy Horizons Medicaid Customer Service by State

Humana provides Medicaid coverage primarily through its Humana Healthy Horizons brand. Because Medicaid programs are managed at the state level through partnerships with local government agencies, contact information is not universal across the United States. To receive accurate assistance regarding benefits, eligibility, or claims, users must contact the specific department assigned to their state of residence.

The most efficient way to find a direct contact number is to locate the Humana member ID card and check the back. However, if the card is lost or unavailable, the following directory provides the necessary phone numbers for members and providers across various state-specific Medicaid plans.

Quick Answer for General Inquiries

For those who are unsure which state-specific plan they belong to or who have general questions about Humana Medicaid, the primary member support line is:

• Humana Medicaid General Support: 866-427-7478
• TTY (Hearing Impaired) Services: 711

This general line can assist with initial routing, though the representative will typically redirect callers to their state-specific branch for detailed benefit discussions.

State-Specific Medicaid Contact Directory

Each state has its own dedicated customer service team and operating hours. Below is a detailed breakdown of the contact numbers for active Humana Healthy Horizons states.

Florida Medicaid (Humana Healthy Horizons in Florida)

Florida members utilize a specific support system tailored to the state's managed care requirements.

• Member Services Hotline: 800-477-6931
• TTY: 711
• Operational Hours: Monday through Friday, 8 a.m. to 8 p.m. local time.

When calling the Florida line, members can receive assistance with selecting a primary care physician (PCP), understanding the "Humana Beginnings" maternity program, or managing transportation benefits for medical appointments.

Indiana Medicaid (Humana Healthy Horizons in Indiana)

In Indiana, the Medicaid plan focuses heavily on care coordination and preventative health services.

• Member Services Hotline: 866-274-5888
• TTY: 711
• Operational Hours: Monday through Friday, 8 a.m. to 8 p.m. Eastern Time.

Indiana members often use this number to check their status in the "Healthy Indiana Plan" (HIP) or to inquire about wellness rewards available for completing annual checkups.

Kentucky Medicaid (Humana Healthy Horizons in Kentucky)

Kentucky has a long-standing partnership with Humana, often involving collaborative efforts like CareSource in certain regions.

• Member Services Hotline: 800-444-9137
• TTY: 711
• Operational Hours: Monday through Friday, 7 a.m. to 7 p.m. Eastern Time.

For members involved in the Humana-CareSource partnership specifically, the number may differ slightly:

• Humana-CareSource Kentucky Support: 1-855-852-7005

Louisiana Medicaid (Humana Healthy Horizons in Louisiana)

Louisiana provides a robust suite of services, including a dedicated crisis hub and specialized nurse advice lines.

• Member Services Hotline: 1-800-448-3810
• TTY: 711
• Operational Hours: Monday through Friday, 7 a.m. to 7 p.m. Central Time.

Louisiana’s system is unique in that the automated phone system may answer on weekends and holidays for basic status checks, though live agents remain on the weekday schedule.

Ohio Medicaid (Humana Healthy Horizons in Ohio)

The Ohio plan is designed to integrate behavioral health and physical health services.

• Member Services Hotline: 877-856-5702
• TTY: 711
• Operational Hours: Monday through Friday, 7 a.m. to 8 p.m. Eastern Time.

South Carolina Medicaid (Humana Healthy Horizons in South Carolina)

South Carolina members can access support for the "Healthy Connections" program via the following:

• Member Services Hotline: 866-432-0001
• TTY: 711
• Operational Hours: Monday through Friday, 8 a.m. to 8 p.m. Eastern Time.

Specialized Service Lines for Medicaid Members

Medicaid coverage often includes more than just standard doctor visits. Humana Healthy Horizons offers specialized hotlines for specific health needs that operate outside of standard member services.

24-Hour Nurse Advice Line

When a medical question arises after hours or if a member is unsure whether a trip to the emergency room is necessary, the Nurse Advice Line provides clinical guidance from registered nurses.

• Universal Nurse Line: 1-800-448-3810 (Note: This may vary by state; checking the ID card is advised).
• Availability: 24 hours a day, 7 days a week, 365 days a year.

The nurses on this line can help with:

• Deciding if a symptom requires an urgent care visit.
• Instructions for minor injuries or common illnesses.
• Clarification on prescription medication instructions.

Behavioral Health and Crisis Support

Humana prioritizes mental health and substance use disorder support. Members facing a mental health crisis should use the following contacts:

• National Suicide & Crisis Lifeline: 988 (Available nationwide).
• Louisiana Crisis Hub Line: 1-855-242-2735.
• General Behavioral Health Support: 800-448-3810 (Ask for the Behavioral Health department).

Pharmacy and Medication Help Desk

Issues at the pharmacy counter, such as a prescription being denied or questions about the formulary (preferred drug list), should be directed to the pharmacy help desk.

• Member Pharmacy Support: 1-800-448-3810 (Select "Pharmacy" in the voice menu).
• Mail-Order Pharmacy (CenterWell): Consult the state-specific member handbook for the dedicated CenterWell Medicaid line.

Non-Emergency Medical Transportation (NEMT)

Medicaid members often qualify for free rides to and from doctor appointments, the pharmacy, or the dentist. These must usually be scheduled at least 48 to 72 hours in advance.

• Louisiana (Meditrans): 1-844-613-1638.
• Other States: Call the main Member Services number listed for your state and ask for "Transportation Scheduling."

Contact Information for Healthcare Providers

Physicians, hospitals, and other healthcare entities require different channels than members to handle claims, prior authorizations, and credentialing.

• General Provider Services: 800-457-4708
• Kentucky Provider Support (CareSource): 1-855-852-7005
• Provider Portal Support: For technical issues with the Humana or Availity portals, providers should call 800-444-9137.

Providers are encouraged to use the online portal for checking member eligibility and submitting claims, as phone wait times can be significant during peak hours (Monday mornings and the first week of the month).

What Information to Have Ready Before Calling

In our experience assisting members with insurance navigation, the process moves significantly faster when certain data points are readily available. Representatives are required to verify identity before discussing sensitive health information.

For Members

1. Member ID Number: This is the 9-digit number found on the front of the Humana Healthy Horizons card.
2. Date of Birth: Essential for verification.
3. Full Address: The address currently on file with the state Medicaid office.
4. Social Security Number: Only the last four digits are typically required for verification if the ID number is missing.

For Caregivers or Authorized Representatives

If you are calling on behalf of a family member, you must have an "Appointment of Representative" (AOR) form or a "Power of Attorney" (POA) on file with Humana. Without this, the representative cannot legally discuss specific medical details or claims with you.

Tips for Reducing Wait Times and Improving Results

Navigating large insurance bureaucracies can be challenging. Based on observed patterns in customer service traffic, these strategies can help:

• Avoid the Monday Rush: Mondays are the busiest days for call centers. If your request is not urgent, Tuesday through Thursday are generally better.
• Call Early: Most lines open at 7 a.m. or 8 a.m. Calling within the first hour of operation often results in the shortest hold times.
• Use the TTY Service: If you have hearing or speech impairments, the 711 service is efficient and ensures your concerns are accurately conveyed to the agent.
• Request a Language Interpreter: Humana provides free interpreter services for over 200 languages. When the agent answers, simply state the name of the language you need (e.g., "Spanish interpreter" or "Mandarin interpreter").

Digital Contact Alternatives

If phone wait times are excessive, Humana Healthy Horizons offers digital tools that can resolve many common issues without a call.

MyHumana Account

Members can register for a MyHumana account online. This portal allows users to:

• View and print a temporary ID card.
• Change their Primary Care Physician (PCP).
• Track the status of a claim.
• View "Explanation of Benefits" (EOB) documents.

Online Chat Service

Inside the MyHumana portal, a "Chat with Us" button is often available during business hours (7 a.m. to 7 p.m. local time). This is a convenient way to get quick answers about coverage or find an in-network doctor.

Summary of Contact Details

Frequently Asked Questions (FAQ)

What should I do if I lost my Humana Medicaid card?

If your card is lost, call the Member Services number for your specific state immediately. They can order a replacement card, which usually arrives in 7 to 10 business days. In the meantime, you can sign in to the MyHumana portal to download a digital version or print a temporary card to show your provider.

Is there a different number for dental and vision?

In many states, Humana Healthy Horizons includes dental and vision benefits. However, they are sometimes managed by subcontractors like DentaQuest or Superior Vision. If the main Member Services line cannot assist you, ask for the direct number to the dental or vision vendor for your state.

Can I call Humana to check my Medicaid eligibility?

While Humana can confirm if you are currently enrolled in their plan, they do not determine your eligibility for Medicaid. Eligibility is decided by your state's social services or health department (e.g., DCF in Florida, LDH in Louisiana). If you need to renew your Medicaid or report a change in income, you must contact your state agency, not Humana.

Does Humana Medicaid offer support in other languages?

Yes. Humana provides translation services for non-English speakers. When you call, stay on the line until an agent answers and then request your preferred language. There is no charge for this service.

How do I contact the Nurse Advice Line on a weekend?

The Nurse Advice Line (often reached through the main member support number 1-800-448-3810) is available 24/7. Even if the customer service agents are out for the weekend, the clinical staff remains available to answer health-related questions.

Where can I report fraud or abuse?

If you suspect someone is misusing a Medicaid ID card or if a provider is billing for services they did not provide, you can call the Humana Ethics and Fraud Hotline at 800-614-4126. This line is available 24 hours a day and allows for anonymous reporting.

Conclusion

Contacting Humana Medicaid requires identifying the correct state-specific channel under the Humana Healthy Horizons umbrella. While the general support line at 866-427-7478 is a helpful starting point, members in Florida, Louisiana, Kentucky, and other states should utilize their dedicated local numbers for the fastest service. Always ensure you have your member ID number ready to facilitate a smooth verification process and consider using the MyHumana portal for routine tasks like checking claim status or printing a temporary ID card.