For dates of service beginning July 1, 2013, Humana Medicare Advantage (MA) plans are implementing a program similar to that of Original Medicare. It will use Original Medicare DMEPOS Competitive Bidding Program pricing in competitive bidding areas for durable medical equipment, prosthetics, orthotics, and supplies and national mail-order competition rules for mail-order diabetic supplies claims for Humana MA members. This implementation affects only non-network DMEPOS providers.
For affected products and geographies, Humana will pay claims at the applicable Original Medicare DMEPOS Competitive Bidding Program or national mail-order competition rates.
This program does not affect commercial plans.
For more information on Original Medicare DMEPOS Competitive Bidding Program pricing, national mail-order competition rules, and competitive bidding areas, visit http://www.dmecompetitivebid.com.