Chronic Condition Care Assistance Exclusions and Limitations lists

Humana offers the Chronic Condition Care Assistance benefit to members diagnosed with certain chronic conditions and meet the definition of chronically ill. This special supplemental benefit helps cover the costs of approved health-related and non-health related items and services like clothing, meals, transportation and hygiene products.

Speak with your care manager to determine if the items and services covered by the benefit will help you meet your unique healthcare goals. The items and services covered by the benefit are subject to Plan and CMS approval. 

Here are the lists of exclusions and limitations to be aware of:

Nurse talking to man in a chair.

Exclusions for 2026

Payments or procurement of any of the following is prohibited:

  • Application fees
  • Appliances
  • Broad membership-type programs inclusive of multiple unrelated services and discounts (i.e., Amazon Prime, Costco, Sams, etc.) 
  • Cost share for Part D benefits (prescriptions)
  • Cannabis products, paraphernalia, or services related to the procurement of
  • Deposits of any kind
  • Dental services
  • Direct member reimbursement
  • DME purchased outright
  • Electronics (i.e., televisions, cameras, security systems, computers, telephones)
  • Entertainment (i.e., cable, satellite, streaming services)
  • Exercise equipment
  • Furniture 
  • Funeral planning and expenses
  • Gift cards—any
  • Homeowner/renter fees or maintenance fees
  • Home repairs or general maintenance 
  • Insurance premiums—any 
  • Moving fees
  • Payments to family members 
  • Payments to collection agencies 
  • Payments on accounts that are not the member’s or would benefit solely an individual that is not the member*
  • Personal loans/credit card payments—any 
  • Personal vehicles—anything related to 
  • Providers that are not licensed or certified to provide the services requested
  • Procedures that are solely cosmetic in nature and do not extend upon Traditional Medicare coverage
  • Service or maintenance agreements 
  • Services received outside of the effective dates of the plan  
  • Tax liabilities—any
  • Warranties
  • Zero Balance Accounts—including prepayments of goods or services to be received at a future point in time

*Payments may be made on accounts that are not in the member’s name only when the service address matches the service address that Humana has on file as the members permanent address.

Note: The exclusions list above is not exhaustive. There may be items we are unable to assist with that are not explicitly listed as a non-covered service. This list is subject to change based on plan or CMS discretion. 

Limitations for 2026

Assistance is provided according to the plan’s annual allowance and your individual eligibility. Please review the specific limits for each item listed below. For details about your plan or to confirm your coverage, please refer to the official plan documentation or contact Humana for further information.

The purchase of 1 of these items will be covered:  

  • Portable air conditioning unit
  • Humidifier
  • Dehumidifier
  • High efficiency air purifier
  • Space heater
  • Robotic pet
  • Shower or bath/tub transfer bench
  • Handheld shower head

The purchase of up to 2 of these items will be covered:   

  • Oscillating fans
  • Bathtub safety rails
  • Grab bar sets
  • Raised toilet seats
  • Easy-use faucets

 The purchase of up to 4 of these items will be covered:  

  • High efficiency air filter replacements for air purifiers
  • Easy-use doorknobs

Annual coverage limits for basic clothing items include:  

  • 4 packages of shirts
  • 4 pairs of long pants
  • 4 pairs of shorts
  • 4 long-sleeved shirts
  • 4 hooded sweatshirts
  • 2 robes
  • 2 housecoats
  • 4 sets of pajamas or sleepwear
  • 3 packages of underpants
  • 6 bras (including 2 front claps, 2 sports bras, and 2 back claps)
  • 2 pairs of shoes
  • 2 packages of regular socks