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Before
you apply, be sure to view your Humana
One state brochure PDF 
below. It contains important information regarding
benefits, exclusions, limitations, renewability, and
other terms of coverage.
Internet Explorer required
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Humana
One Brochures
by State
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Apply Online
The
easiest way to Apply with Humana
is through their Secure
SSL Online Application. Please note
that you must used Internet Explorer when you use
Humana’s online application.
Internet
Explorer required
Gather
the following information before you start the application
in order to speed the process:
-
Your doctors’ names, addresses, and phone numbers
-
Medications you currently take or recently took, including
dosage and frequency
- Dates
of hospitalization
-
The name of the plan for which you are applying
-
Your requested effective date
-
Your credit card information to cover the initial premium
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Apply
by Phone, Fax or Mail
You
also have two other options to apply with Humana:
- You
can apply with Humana by phone by calling 1-800-211-4561,
and you will be connected with an underwriter on the spot.
Please note that you must let the underwriter
know that Wiley Long is your agent. This
will enable us to track your application through underwriting,
and to assist you with any questions. The phone
call generally takes from 15 to 30 minutes. However,
the call can go longer based on the number of people applying
for coverage and medical history, and there is the chance
that you may be on hold for up to 30 minutes before someone
can speak with you.
If
your spouse is also applying for coverage, you both need
to be available to authorize any requests for medical
information from the Medical Information Bureau, if necessary.
For
details on all of the information you should have available
before calling Humana,
please view the Humana
One Application Preparation Sheet below.
- You
can also download your state's
Application ,
fill it out, and return it to us via email, fax, or mail.
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Humana
One Application
by State
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Please
fill out the application Completely.
Any unanswered questions will delay the processing.
If you have any questions about filling out the application,
email us at info@HSAforAmerica.com,
leave your name and phone number, and someone from our
office will call you back and answer any application questions
you have.
You
may also fill out our Application
Request Form and we will send you an application
right away.
Note:
All policies come with a money-back guarantee.
After receiving your policy, you have 10 days to review
it. If for any reason you decide not to keep the policy,
you will receive a full refund of your initial premium.
Remember that you also have access to the guaranteed lowest
life insurance rates available, with easy online quotes
and applications.
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Humana
One Application Preparation Sheet
*** Printer
Friendly Version ***
In
order to better assure the application process goes smoothly,
we strongly encourage you to
prepare for the call by having the following information
available prior to placing the call.
-
Name
of Agent Writing the Policy/Agent of Record:
Wiley
Long
-
Agent's
Business Telephone Number: 866-749-2039
-
Requested
Effective Date:
-
Requested
Medical Deductible:
Please make sure the following information is available
for each person applying for coverage:
- Birthdate
- Social
Security Number
- Height/Weight
- Current/past
prescription medications and their dosage
- Medical
history including diagnosis, treatment, dates of service
and current status
- Date
of last Doctor office visit
- Doctor's
names, addresses and phone numbers
- Information
on current and past insurance coverage including: policy
number,
effective dates, termination dates, and phone number
PAYMENT OPTIONS:
For your convenience, the following payment options are
accepted:
- For
the initial payment, Humana accepts Visa, MasterCard
or Automatic Check Draft.
- After
the initial payment, all payments need to be made either
monthly through an
Automatic Check Draft or they can be paid quarterly
or semi-annually by direct bill to you
($10 administrative charge per direct bill).
Additional
helpful hints:
- Application
calls can generally take from 15 to 30 minutes.
However, the call can go longer based on
the number of people applying for coverage and medical
history.
- If
you are applying for coverage for your spouse also,
please have your spouse available to authorize any requests
for medical information from the Medical Information
Bureau (when applicable).
To
complete the application process, contact
Humana's Application Specialists at:
1-800-211-4561
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