Member ID:

Plan (*****) 914*******

CARD ISSUED: 01/13/2023

RxBIN: 015581

RxPCN: 03200000

RxGRP: Y0963

CMS

See Back for Dental

JAMES F BEAULIEU

H71497852

HUMANA GOLD PLUS (HMO D-SNP)

H1036 214

Set up your member account:

Member/Provider Service: 1-800-***-**** (TTY:711)

Humana.com/myaccount

Pharmacist/Physician Rx Inquiries: 1-800-***-****

For Dental:

Primary Physician:

Humana.com/sb

CLAIMS: PO BOX 14601 LEXINGTON KY 40512-4601

Additional Benefits: DEN506 VIS176 HER845

VIP CARE CTR 108230