Humana

Humana is a U.S. health insurance company that provides Medicare, Medicaid, and employer-sponsored health insurance plans, along with wellness programs and healthcare services. Humana publishes a suite of FHIR-compliant APIs that give third-party applications access to member health data, coverage information, drug formularies, and provider directories under CMS interoperability rules.

Humana publishes 4 APIs on the APIs.io network, including Clinical API, Coverage API, Demographic API, and 1 more. Tagged areas include FHIR, Health Insurance, Healthcare, Interoperability, and Medicare.

Humana’s developer surface includes authentication, developer portal, and 8 more developer resources.

🌐 Visit website 📡 Source on GitHub

40.5/100 thin ▬ flat Agent 31/100 agent aware Full breakdown ↓
scored 2026-07-28 · rubric v0.6

AccessFreemiumSelf serve⚡ Free to try

7 APIs

FHIRHealth InsuranceHealthcareInteroperabilityMedicareFortune 100

Kin Score

Kin Score How this is scored →
scored 2026-07-28 · rubric v0.6

Composite quality — 40.5/100 · thin

Contract Quality 15.0 / 25

Developer Ergonomics 3.9 / 20

Commercial Clarity 12.1 / 20

Operational Transparency 4.8 / 13

Governance 0.0 / 12

Discoverability 7.4 / 10

Agent readiness — 31/100 · agent aware

Machine-Readable Contract 18 / 18

Agentic Access Contract 10 / 10

MCP Server 0 / 12

Machine-Readable Auth 10 / 10

Idempotency 0 / 9

Stable Error Semantics 0 / 8

Request/Response Examples 0 / 7

Rate-Limit Signaling 7 / 7

Typed Event Surface 0 / 6

Agent Skills 0 / 5

Well-Known Catalog 0 / 4

Consent & Bot Identity 0 / 3

A2A Agent Card 0 / 8

Dry-Run / Simulate Mode 0 / 4

Improve this rating by publishing the missing artifacts — every area above can be raised, and the full rubric is at apis.io/rating/. This rating is computed from github.com/api-evangelist/humana: open an issue to ask a question, or submit a pull request to add artifacts. Want it done for you? Prioritized profiling — $2,500 →

APIs 7

Individual APIs this provider publishes, each with its own machine-readable definition.

GraphQL 1

GraphQL schemas published by this provider.

Rate Limits 1

Documented rate limits and quota policies.

Humana Rate Limits

4 limits

RATE LIMITS

FinOps 1

Cost, billing, and metering signals for API financial operations.

AGENTIC

Press 5

Recent news and press coverage referencing this provider.

Get Started 1

Portal, sign-up, and the first successful call

Portal

Portal

Agent Surfaces 1

MCP servers, agent skills, and machine-readable catalogs

AgenticAccess

AgenticAccess

Design & Contract 1

Pagination, idempotency, versioning, errors, and events

Rules

Rules

Build 1

SDKs, sample code, and the tooling you integrate with

GitHubOrganization

GitHubOrganization

Access & Security 2

Authentication, authorization, and security posture

DomainSecurity

DomainSecurity

Authentication

Authentication

Commercial 2

Pricing, plans, and the legal terms of use

PrivacyPolicy

PrivacyPolicy

TermsOfService

TermsOfService

Company 2

The organization behind the API

LinkedIn

Website

Website

Source (apis.yml)

aid: humana
name: Humana
description: Humana is a U.S. health insurance company that provides Medicare, Medicaid, and employer-sponsored health insurance
  plans, along with wellness programs and healthcare services. Humana publishes a suite of FHIR-compliant APIs that give third-party
  applications access to member health data, coverage information, drug formularies, and provider directories under CMS interoperability
  rules.
url: https://raw.githubusercontent.com/api-evangelist/humana/refs/heads/main/apis.yml
type: Index
accessModel:
  pricing: freemium
  onboarding: self-serve
  trial: false
  try_now: true
  public: false
  label: Freemium · Self-serve signup
  confidence: high
  source:
  - plans
  - authentication
  generated: '2026-07-22'
  method: derived
image: https://kinlane-images.s3.amazonaws.com/shared/apis-json/icons/humana.png
tags:
- FHIR
- Health Insurance
- Healthcare
- Interoperability
- Medicare
- Fortune 100
created: '2025-01-07'
modified: '2026-05-19'
specificationVersion: '0.19'
apis:
- aid: humana:humana-fhir-medication-api
  name: Humana FHIR Medication API
  description: FHIR R4-compliant API surface for medication-related resources including Medication, MedicationKnowledge, MedicationRequest,
    drug formulary List resources, and supporting payer data.
  humanURL: https://developers.humana.com/
  baseURL: https://fhir.humana.com/api
  tags:
  - FHIR
  - Formulary
  - Medications
  properties:
  - type: Documentation
    url: https://developers.humana.com/
  - type: CapabilityStatement
    url: https://fhir.humana.com/api/metadata
  - type: Sandbox
    url: https://sandbox-fhir.humana.com/api/
- aid: humana:humana-fhir-coverage-api
  name: Humana FHIR Coverage and Benefits API
  description: FHIR R4-compliant API surface for insurance coverage data, including Coverage, ExplanationOfBenefits, and InsurancePlan
    resources used to satisfy CMS Patient Access and Provider Directory rules.
  humanURL: https://developers.humana.com/
  baseURL: https://fhir.humana.com/api
  tags:
  - Coverage
  - FHIR
  - Insurance
  properties:
  - type: Documentation
    url: https://developers.humana.com/
  - type: CapabilityStatement
    url: https://fhir.humana.com/api/metadata
  - type: Sandbox
    url: https://sandbox-fhir.humana.com/api/
- aid: humana:humana-fhir-provider-directory-api
  name: Humana FHIR Provider Directory API
  description: FHIR R4-compliant API surface for provider directory information, including Patient, Practitioner, PractitionerRole,
    Organization, Location, and DocumentReference resources.
  humanURL: https://developers.humana.com/
  baseURL: https://fhir.humana.com/api
  tags:
  - FHIR
  - Provider Directory
  properties:
  - type: Documentation
    url: https://developers.humana.com/
  - type: CapabilityStatement
    url: https://fhir.humana.com/api/metadata
  - type: Sandbox
    url: https://sandbox-fhir.humana.com/api/
- aid: humana:humana-clinical-api
  name: Humana Clinical API
  description: Clinical FHIR resources
  humanURL: https://developers.humana.com/apis/allergyintolerance-api/doc
  baseURL: https://fhir.humana.com/api
  tags:
  - Clinical
  properties:
  - type: OpenAPI
    url: openapi/humana-clinical-api-openapi.yml
  - type: Documentation
    url: https://developers.humana.com/apis/allergyintolerance-api/doc
  - type: CapabilityStatement
    url: https://fhir.humana.com/api/metadata
  - type: Sandbox
    url: https://sandbox-fhir.humana.com/api/
  - type: GettingStarted
    url: https://developers.humana.com/
  - type: GraphQL
    url: graphql/humana-graphql.md
- aid: humana:humana-coverage-api
  name: Humana Coverage API
  description: Coverage and insurance FHIR resources
  humanURL: https://developers.humana.com/apis/allergyintolerance-api/doc
  baseURL: https://fhir.humana.com/api
  tags:
  - Coverage
  properties:
  - type: OpenAPI
    url: openapi/humana-coverage-api-openapi.yml
  - type: Documentation
    url: https://developers.humana.com/apis/allergyintolerance-api/doc
  - type: CapabilityStatement
    url: https://fhir.humana.com/api/metadata
  - type: Sandbox
    url: https://sandbox-fhir.humana.com/api/
  - type: GettingStarted
    url: https://developers.humana.com/
  - type: GraphQL
    url: graphql/humana-graphql.md
- aid: humana:humana-demographic-api
  name: Humana Demographic API
  description: Patient and provider demographic FHIR resources
  humanURL: https://developers.humana.com/apis/allergyintolerance-api/doc
  baseURL: https://fhir.humana.com/api
  tags:
  - Demographic
  properties:
  - type: OpenAPI
    url: openapi/humana-demographic-api-openapi.yml
  - type: Documentation
    url: https://developers.humana.com/apis/allergyintolerance-api/doc
  - type: CapabilityStatement
    url: https://fhir.humana.com/api/metadata
  - type: Sandbox
    url: https://sandbox-fhir.humana.com/api/
  - type: GettingStarted
    url: https://developers.humana.com/
  - type: GraphQL
    url: graphql/humana-graphql.md
- aid: humana:humana-medications-api
  name: Humana Medications API
  description: Medication FHIR resources
  humanURL: https://developers.humana.com/apis/allergyintolerance-api/doc
  baseURL: https://fhir.humana.com/api
  tags:
  - Medications
  properties:
  - type: OpenAPI
    url: openapi/humana-medications-api-openapi.yml
  - type: Documentation
    url: https://developers.humana.com/apis/allergyintolerance-api/doc
  - type: CapabilityStatement
    url: https://fhir.humana.com/api/metadata
  - type: Sandbox
    url: https://sandbox-fhir.humana.com/api/
  - type: GettingStarted
    url: https://developers.humana.com/
  - type: GraphQL
    url: graphql/humana-graphql.md
common:
- type: AgenticAccess
  url: agentic-access/humana-agentic-access.yml
- type: DomainSecurity
  url: security/humana-domain-security.yml
- type: Authentication
  url: authentication/humana-authentication.yml
- type: GitHubOrganization
  url: https://github.com/humana
- type: LinkedIn
  url: https://www.linkedin.com/company/humana
- type: Portal
  url: https://developers.humana.com/
- type: Website
  url: https://www.humana.com/
- type: PrivacyPolicy
  url: https://www.humana.com/legal/privacy-policy
- type: TermsOfService
  url: https://www.humana.com/legal/terms-conditions
- type: Rules
  url: https://raw.githubusercontent.com/api-evangelist/humana/refs/heads/main/humana-rules.yml
maintainers:
- FN: Kin Lane
  email: kin@apievangelist.com

Humana

Kin Score

APIs 7

Humana FHIR Medication API

Humana FHIR Coverage and Benefits API

Humana FHIR Provider Directory API

Humana Clinical API

Humana Coverage API

Humana Demographic API

Humana Medications API

Open Collections 1

Humana FHIR API

GraphQL 1

Humana GraphQL Schema

Pricing Plans 1

Humana Plans Pricing

Rate Limits 1

Humana Rate Limits

FinOps 1

Humana Finops

Security Posture 2

Humana Authentication

Humana Domain Security

Agentic Access 1

Humana Agentic Access

Press 5

Humana Redefines the Member Experience with Agent ...

Humana and Google Expand Partnership to Help Reduce ...

Humana deploys AI support tool for call centers

October 9, 2025 VIA EMAIL Mr. Jim Rechtin President and ...