What is Humana Medicaid OTC order form?
Humana Medicaid OTC order form is an order chart and a filling form for tha applicants, who are a part of the Humana Medicard programme, to be able to purchase Health and Wellness products via mail pre order, depending on the applicant's current Humana plan.
What is the Purpose of Humana Medicaid OTC order form?
The purpose of this form is to let the participants of the Humanan programme to benefit and save time and efforts by pre ordering the necessary Health and Wellness products from the build-in catalogue using the monthly allowance conceived by the applicants Humana ID. The amount of the allowance is available to the applicant if his or her plan offers the over-the-counter (OTC) services as a benefit.
When is Humana Medicaid OTC order form Due?
The placement of every order is due no later than the 20th of each month. Thus, the applicants should fill and file the form and send it before that date.
Is Humana Medicaid OTC order form Accompanied by Other Documents?
If the applicants order total amount exceeds the applicant’s benefit amount limit, he or she should include a check, a money order, or a credit card information to be able to pay the remaining amount. Every applicant has to ensure that receiver is able to process your order within month, so a failure to submit payment in full or delay in payment will result in a delay of shipment.
What Information do I Provide in Humana Medicaid OTC order form?
Humana Medicaid OTC order form should be filled with personal information like, Member ID ( can be found on Humana ID card), Date of Birth (in the following format: MMDDYYYY) and tick the box, marking the gender. Also every applicant should include his or hers First Name, Last Name and Address (in format: Street Number & Name, Apt/Suite, City, State, ZIP Code)
Where do I Send Humana Medicaid OTC order form?
This form can be filed online on the official website or mailed alongside with the order to PO Box 1197 Cincinnati, OH 45201-1197 or faxed to 1-800-379-7617