WebHumana is a Medicare Advantage HMO, PPO and PFFS organization with a Medicare contract. Enrollment in any Humana plan depends on contract renewal. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments and restrictions may apply. Benefits may change each year. Files WebSubmit your enrollment form. You may fax the Member Services pages of this enrollment form to: 1-877-889-9936. Or mail this enrollment form to: Humana Medicare Enrollment P.O. Box 14309 Lexington, KY 40512-4309 Please don't send in the same enrollment form or apply to the same plan more than once.

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