Humana - Guidance when you need it most

Transplant - Frequently Asked Questions

If you or a covered dependent face the prospect of an organ transplant, it's a time filled with questions. Humana's Transplant Services Team is here to help. This page gives you answers to common questions about:

Transplant Programs
Transplant Benefits
Transplant Services

Transplant Programs

What programs are in Humana's National Transplant Network?
Contact Humana's Transplant Services at 1-866-421-5663. Or view a listing of the programs within Humana's National Transplant Network.

If a member needs a transplant, will they always be able to use the closest hospital?
To help deliver the maximum coverage provided by your health plan, we will work with them and their doctor to select a program in the Humana National Transplant Network that best fits their needs. For information about facility availability, please contact Humana's Transplant Services at 1-866-421-5663.

Who determines which facility within Humana's National Transplant Network a member will use?
The member and their doctor will select which Humana National Transplant Network program is most appropriate for them.

What is Humana's National Transplant Network?
Humana's National Transplant Network is a network of facilities with transplant programs that are available to provide members with transplant services.

How does Humana select the facilities in its transplant network?
We review programs based on a series of guidelines established by Humana's Facility Selection Steering Committee.

A member just learned their child might need a transplant. What facilities within Humana's National Transplant Network offer pediatric services?
View a listing of pediatric programs for covered dependents. Or, call Humana's Transplant Services at 1-866-421-5663.

What types of transplants does Humana's National Transplant Network offer?
Humana's National Transplant Network offers services for all covered solid organ transplants and stem cell transplants.



Transplant Benefits

How are organ donor transplant-related bills paid?
These bills are normally paid through the recipient's plan. To verify what the member's plan covers, please contact the Humana Transplant Team at 1-866-421-5663.

What types of transplants does Humana cover?
Transplant benefits are specific to the health plan the member has. To find out what is covered please call Humana's Transplant Services at 1-866-421-5663.

How are transplant-related medications covered?
Coverage for medications is based on the members plan. Please have them contact their Transplant Care Coordinator at 1-866-421-5663 for details about their ben
efits.

Does their coverage include travel benefits?
Coverage for travel benefits is based on the members plan. Please contact one of the Transplant nurses at 1-866-421-5663 for details about their benefits.

If they qualify for travel benefits, what is covered under those benefits?
Travel benefits are specific to the health plan the member has. To find out what is covered please call Humana's Transplant Services at 1-866-421-5663.



Transplant Services


How can Humana's Transplant Services team help them?
Humana's Transplant Services team will guide them through the entire transplant process--beginning when they become a candidate for transplant all the way through one year after they received the transplant.

What is a transplant evaluation?
A transplant evaluation includes consultations, tests and X-rays ordered by the transplant program doctors for the patient and potential donors before transplantation.

How does a member receive a transplant evaluation referral and who is responsible for coordinating referrals between the doctor and other specialists?
The Transplant Nurses are available at 1-866-421-5663, will provide them with a transplant evaluation referral and ensure a timely coordination of referrals.

What type of help will the Transplant nurses provide?
The Transplant nurse will help coordinate the member's transplant needs, explain their benefits and help with any other transplant issues they may have.

How long will the Transplant nurse work with the member?
The Transplant nurse will work with the member from the initial evaluation up to one year after the transplant.

Who should they call with billing questions?
For billing questions, please call 1-866-421-5663.

A member has a specific question that wasn't addressed here. What should they do?
Just have them call the Transplant nurse at 1-866-421-5663.

These programs and tools are not insurance products and are not guaranteed under any contract. Humana is not required to provide these services, but makes them available to eligible members at no additional cost.