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 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