To apply for Humana, please fill out the following information, then call the toll-free number listed
at the bottom of this page.

Please make sure the following information is available for each person applying for coverage:



For your convenience, the following payment options are accepted:

Additional helpful hints:


                             To complete the application process, contact
                                    Humana's Application Specialists at:


1001-A E. Harmony Rd. #519
Fort Collins, CO 80525

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