Latest changes to medical coverage policies

New and revised medical coverage policies

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 Policies

  • Molecular Testing for HLA-B*27 for Ankylosing Spondylitis

Policies with Significant Revisions

  • Attention Deficit Hyperactivity Disorder (ADHD) – Diagnosis and Treatment
  • Bunion and Bunionette Surgical Treatments
  • Chiropractic Care
  • Code Compendium (miscellaneous)
  • Cognitive Rehabilitation
  • Deep Brain Stimulation (DBS) and Cortical Brain Stimulation
  • Direct-to-consumer (DTC) Laboratory Testing and Mobile Health (mHealth) Applications
  • Fusion Imaging
  • Genetic Testing for Hereditary Ataxias
  • Genetic Testing for Muscular Dystrophy and Spinal Muscular Atrophy
  • Implantable Infusion Pumps for Pain or Spasticity
  • Injections for Chronic Pain Conditions
  • Mobility Assistive Devices (wheelchairs)
  • Molecular Diagnostic Testing for Reproductive Health
  • Molecular Markers in Fine Needle Aspirates of Thyroid Nodules
  • Pharmacogenomics and Companion Diagnostics
  • Pharmacogenomics – Cytochrome P450 Polymorphisms and VKORC1
  • Platelet Derived Growth Factors for Wound Healing
  • Prosthetics
  • Reduction Mammaplasty
  • Rheumatoid Arthritis: Biologic Markers and Pharmacologic Assessment
  • Sleep Studies, Adult