For physicians, office managers and billing staff

Updated claim payment policies available

A close up of two doctors hands as they look at info on a tablet.

New and revised medical coverage policies available

Humana's medical and pharmacy coverage policies are based on evidence published in peer-reviewed medical literature, technology assessments obtained from independent medical research organizations, evidence-based consensus statements and evidence-based guidelines from nationally recognized professional healthcare organizations.

Information about medical and pharmacy coverage policies can be found at Humana.com/CoveragePolicies by selecting "Medical and Pharmacy Coverage Policies" under "Resources." Policies can be reviewed by name or revision date.

Users also may search for a particular policy using the search box. More detailed information can be found by reviewing "How to Read a Medical Coverage Policy" and "Understanding the Medical Coverage Policy Development Process" under “Helpful Links.”

Recent changes to medical and pharmacy coverage policies are listed below.

New medical coverage policies

  • Karyotyping for Diagnosis of Noncancer Indications

Policies with Significant Revisions

  • Achalasia and Gastroesophageal Reflux Disease (GERD) Treatments
  • Brachytherapy
  • Breast Reconstruction
  • Comparative Genomic Hybridization/Chromosomal Microarray Analysis
  • Electrical Stimulation (ES) and Electromagnetic Therapy for the Treatment of Wounds
  • Genetic Testing for Diagnosis and Monitoring of Noncancer Indications
  • Genetic Testing for Ehlers Danlos Syndrome
  • Infertility Evaluation and Treatments
  • Keratoconus Surgical Treatments
  • Rhinoplasty/Septoplasty
  • Speech Generating Devices, Voice Prosthesis
  • Transcatheter Valve Procedures

Retired Policies

  • Electroconvulsive Therapy (ECT)