Questions

Transplant frequently asked questions

This page gives you answers to common questions about Humana transplant programs, services and benefits.

Transplant programs

What is the Humana National Transplant Network?

The Humana National Transplant Network consists of facilities with transplant programs that are available to provide patients with transplant services.

How does Humana select the facilities in its transplant network?

We review programs based on a set of guidelines established by the Humana Facility Selection Committee.

What programs are in Humana's National Transplant Network?

Contact the Humana Transplant Services Team at 1-866-421-5663 to request a list or use our online National Transplant Network locator tool to find a facility.

If a Humana-insured patient needs a transplant, will she always be able to use the closest hospital?

No. To help deliver the maximum coverage provided by the patient's health plan, we will work with the patient and her doctor to select a program in the Humana National Transplant Network that best fits the patient's needs. For information about facility availability, please contact the Humana Transplant Services Team at 1-866-421-5663.

Who determines which facility within the Humana National Transplant Network a Humana-insured patient will use?

The patient and her physician select the most appropriate facility.

What facilities within the Humana National Transplant Network offer pediatric services?

You can use our online National Transplant Network locator tool to find facilities with pediatric programs for covered dependents or call the Humana Transplant Services Team at 1-866-421-5663 for a list.

What types of transplants does the Humana National Transplant Network offer?

It offers services for all covered solid organ transplants and stem cell transplants.

Transplant benefits

How are organ donor transplant-related bills paid?

These bills are normally paid through the recipient's plan. To verify what the patient's Humana plan covers, please contact the Humana Transplant Services Team at 1-866-421-5663.

What types of transplants does Humana cover?

Transplant benefits are specific to the patient’s health plan. To find out what is covered, please call the Humana Transplant Services Team at 1-866-421-5663.

How are transplant-related medications covered?

Coverage for medications is based on the patient's health plan. Please ask the patient to contact the Humana Transplant Services Team at 1-866-421-5663 for details about benefits.

Does a Humana-insured patient’s coverage include travel benefits?

Coverage for travel benefits is based on the patient's plan. Please contact the Humana Transplant Services Team at 1-866-421-5663 for details about these benefits.

If a patient qualifies for travel benefits, what is covered under those benefits?

Travel benefits are specific to the patient's health plan. To find out what is covered, please call the Humana Transplant Services Team at 1-866-421-5663.

What is the cost to the patient for a typical transplant?

Benefits for transplant services vary by product and plan. For information concerning your patient's transplant benefits, please call 1-866-421-5663.

Transplant services

How can the Humana Transplant Services Team help patients?

The team will guide patients through the entire transplant process — beginning when they are evaluated for transplant all the way through one year after they receive the transplant. Team members can identify centers offering specific types of transplants and help Humana-insured patients find lodging, transportation and other services available from those centers.

What is a transplant evaluation?

A transplant evaluation includes consultations, tests and X-rays ordered by the transplant program physicians for the patient and potential donors before transplantation.

How does a Humana-insured patient receive a transplant evaluation referral, and who is responsible for coordinating referrals between the physician and other specialists?

Humana transplant clinical advisers are nurses who provide transplant evaluation referrals and coordinate referrals. They can be reached at 1-866-421-5663.

What type of help will transplant care clinical advisers provide to a Humana-insured patient?

The transplant care clinical advisers will help coordinate the patient's transplant needs, explain benefits and help with other transplant issues the patient may have.

How long will the transplant care clinical advisers work with the patient?

The transplant clinical advisers will work with the patient from the initial evaluation up to one year after the transplant.

What number should patients call with billing questions?

For billing questions, members should call 1-866-421-5663.

A Humana-insured patient has a specific question that wasn't addressed here. What should he do?

He should call the Humana Transplant Services Team at 1-866-421-5663, option 2.