Medical and Pharmacy Coverage Policies

Medical and Pharmacy Coverage Policies describe Humana's evaluation and coverage of medical procedures, devices and medications that are being investigated or have been recently introduced for the treatment of various conditions.

July updates

New Policies

  • Vitamin D Testing

Policies with Significant Revisions

  • Chiropractic Care
  • Genetic Testing for Diagnosis and Monitoring of Cancer
  • Injections for Chronic Pain Conditions
  • Karyotyping for Diagnosis of Noncancer Indications
  • Plantar Fasciitis Treatments
  • Rheumatoid Arthritis: Biologic Markers and Pharmacologic Assessment
  • Shoulder Arthroplasty
  • Uterine Fibroid Surgical Treatments

Visit Humana’s coverage policy portal , opens new window

Frequently requested services (Medicare and commercial coverage)

For information on how to submit a preauthorization for frequently requested services/procedures for your patients with Humana commercial or Medicare coverage, please use drop down below. For all other services, please reference the inpatient and outpatient requests to complete your request online or call 1-800-523-0023.