Fill Out Your Humana Order Form

What is the Humana Order Form and how can I use it?

The Humana Order Form is a tool that allows Humana members to purchase Health and Wellness products from the RightSource mail-order pharmacy. Depending on your specific Humana plan, you might be eligible to access these products through a monthly allowance. This order form should be filled out each month, using the product catalog for reference. Remember, placing your order by the 20th of each month will ensure that it is processed within that benefit month.

How do I fill out the Humana Order Form?

Filling out the Humana Order Form requires several steps. First, complete your personal information, including your member ID, date of birth, gender, and contact details. Next, indicate the month for which you wish to receive the order. Then, select the products from the catalog and specify the quantity you desire. In the payment section, you need to calculate the total order amount, comparing it with your monthly allowance to determine if additional payment is necessary. If your order surpasses your benefit limit, it is important to provide payment details to avoid shipment delays.

What should I do if I have questions about my eligibility for the program?

If you have questions regarding your eligibility for purchasing products, you are encouraged to call RightSource at 1-855-211-8370 (TTY: 711). A helpful team of Customer Care Representatives is available Monday through Friday, from 8 a.m. to 11 p.m., and Saturdays from 8 a.m. to 6:30 p.m. Eastern time. They can verify your eligibility and assist you in the ordering process.

How long will it take to receive my order once it's placed?

Once your order is placed, you can expect it to be shipped to your home within 10 to 14 business days. RightSource will ship your order using either UPS or the US Postal Service without any additional charge. It’s important to allow adequate time for delivery to ensure that you receive your Health and Wellness products timely. In case of any delays, feel free to reach out to RightSource for updates regarding your order status.

Completing the Humana Order form requires careful attention to detail. One common mistake is failing to provide the correct Member ID. This information is found on the Humana ID card and is crucial for processing the order. Without the right Member ID, orders may be delayed or even rejected, causing frustration and potential gaps in necessary health products.

Another frequent error is omitting payment information when submitting an order that exceeds the plan’s monthly allowance. When the total amount due surpasses the allowance, it is essential to include payment information. Failing to do so can lead to significant delays in shipment, leaving members without the health and wellness products they need.

Inaccurate product selection also poses a challenge. Users often neglect to check the correct Product Codes or may mistakenly select products that aren’t eligible for order. Each item in the order form has a specific code, and selecting the wrong code can result in receiving an unintended product or complications in processing the order.

Members sometimes rush through filling out their contact details, such as the street address or phone numbers. Incorrectly entered or incomplete contact information can hinder the delivery of products. It’s vital that all fields are entered accurately to ensure timely shipping and communication.

Lastly, individuals often forget to indicate whether they are ordering for the current or future month. Orders must not be backdated, and indicating the wrong month can lead to unnecessary delays. It’s imperative to plan ahead and submit orders for the appropriate month to avoid complications.

The Humana Order form is essential for purchasing Health and Wellness products from the RightSource mail-order pharmacy. Alongside this form, several other documents are commonly used to facilitate the ordering process and ensure smooth transactions. Understanding these documents can help you navigate your health benefits more effectively.

• RightSource Catalog: This document lists available Health and Wellness products and their descriptions. It assists members in making informed choices regarding their purchases.
• Eligibility Verification Form: A document used to confirm if members qualify for specific prescription benefits under their Humana plan.
• Payment Authorization Form: Required when payments are processed through credit cards or other electronic means. This ensures authorized transactions and prevents fraud.
• Privacy Notice: This document outlines how Humana manages and protects personal information. It's important for understanding your rights regarding data privacy.
• Shipment Tracking Request: A form that allows members to inquire about the status of their orders, helping to keep track of deliveries.
• Prescription Refill Request: If you have ongoing prescriptions, this form helps you request refills, ensuring you do not run out of necessary medications.
• Customer Service Contact Sheet: This document provides essential contact information for navigating customer service inquiries and concerns. Accessing support can simplify the ordering process.

Be sure to check the specific requirements for each document and have them ready when making your order. Being organized will help avoid delays and ensure you receive your Health and Wellness products on time.

The Humana Order form serves a specific purpose, akin to several other important documents used in healthcare and medication orders. Here are six documents that share similarities with the Humana Order form:

• Prescription Order Form: Much like the Humana Order form, this document also requires detailed patient information and product selection. It serves as a request for medications, ensuring that healthcare providers have the necessary data on the patient to fulfill their needs.
• Health Insurance Claim Form: Similar to the Humana Order form, this document is used to report services or products billed to the health insurance provider. Both forms rely heavily on accurate patient information and itemized lists of products or services rendered.
• Medication Refill Request Form: This form parallels the Humana Order form in that it is used to request additional quantities of prescribed medications. Both documents require details on what is needed and often include limitations based on allowable quantities.
• Durable Medical Equipment (DME) Order Form: Similar to the Humana Order form, this form allows patients to request specific medical supplies or equipment. Both require identification of the patient's insurance information and details on the items being ordered.
• Over-the-Counter (OTC) Product Order Form: This document functions much like the Humana Order form, as it allows individuals to order OTC products using their health benefits. Both forms provide options for product selection and often include pricing information and payment methods.
• Mail-Order Pharmacy Enrollment Form: This document is similar in that it enrolls patients in a mail-order pharmacy program. Like the Humana Order form, it captures essential information like patient ID and shipping details, facilitating easier ordering of medications or health products.

Understanding these similarities can help streamline the ordering process for health and wellness products while ensuring compliance with insurance requirements. Timeliness and accuracy in filling out these forms are critical to avoid delays in receiving essential items.

When filling out the Humana Order Form, there are certain best practices to follow and common mistakes to avoid. Here’s a helpful list to guide you:

• Do verify your eligibility with RightSource by calling 1-855-211-8370 before placing an order.
• Do keep the product catalog handy, as it is essential for choosing your desired items.
• Do ensure that all personal information, such as your member ID and address details, is accurate and complete.
• Do submit your order before the 20th of each month to avoid delays in processing.
• Don't forget to include payment if your total order exceeds the monthly allowance specified in your plan.
• Don't submit your order form pages without the necessary product codes and quantities filled out correctly.
• Don't send cash as payment; checks and credit card details are acceptable methods only.

• Misconception 1: This order form is relevant for any year.

The Humana Health and Wellness Order Form is specifically for the 2014 benefit year. Users should not submit orders for prior years as they will be invalid.

• Misconception 2: Orders can be backdated to previous months.

RightSource does not allow backdating of orders. All orders must be placed for the current or a future month.

• Misconception 3: You need to pay for your order every time.

If your total order is less than your plan's monthly allowance, there is no need for payment. You will receive your items without any extra charge.

• Misconception 4: You can submit cash as payment.

Cash should not be sent with the order form. Only checks, money orders, or credit card payments are acceptable forms of payment.

• Misconception 5: The shipping cost is an additional charge.

Shipping is included with the order at no extra cost. Items will be delivered via UPS or the US Postal Service.

• Misconception 6: Any product can be ordered anytime.

You must order products by the 20th of each month to ensure processing within that month's benefits.

• Misconception 7: All products are guaranteed to be in stock.

The product list may change, so availability is not guaranteed. It's advisable to check for current offerings prior to placing an order.

Understanding how to efficiently fill out and use the Humana Order form is essential for ensuring you receive the Health and Wellness products you need on time. Here are key takeaways to guide you through the process:

• First, verify your eligibility for purchasing products through RightSource. You can do this by calling 1-855-211-8370, available Monday through Saturday.
• It's important to keep the product catalog, as you'll need it to select your desired items each month.
• Make sure to place your order by the 20th of each month to avoid delays. This timing helps RightSource process your request within the current benefit month.
• If your total order amount is greater than your monthly allowance, include additional payment to avoid shipment delays.
• You can submit your order online, via mail, or by fax. Choose the method that works best for you.
• Ensure you complete all the required information on the order form, including your Member ID and contact details.
• When selecting products, remember that orders can only be placed for the current or a future month—backdating is not permitted.
• Orders typically arrive within 10 to 14 business days, delivered via UPS or the US Postal Service at no extra cost.
• Consult with your doctor before using any over-the-counter products to ensure they are suitable for your health needs.
• Be aware that the product list may change, so stay updated to ensure you’re ordering what you want.

Act promptly and carefully follow these guidelines to facilitate a smooth ordering experience. Each step you take matters in getting the Health and Wellness products you rely on from Humana.