Telehealth FAQs - Service Availability

What services does Humana allow when provided via telehealth and other electronic information and telecommunications technologies?

ANSWER: For a particular service to be reimbursed when provided via telehealth, it must be possible to provide all the necessary components of the code with the real-time interactive technology used. Please see Humana’s Telehealth and Other Virtual Services policy, PDF for more information about what telehealth services are allowed under Humana Medicare Advantage (MA) plans.

Note: Humana MA plans apply the telehealth service coverage-related waivers authorized by the Consolidated Appropriations Act of 2023.

Does Humana allow audio-only telehealth services?

ANSWER: While Humana encourages providers to use real-time interactive audio and video technology, Humana does allow audio-only telehealth services, subject to the limitations outlined in Humana’s Telehealth and Other Virtual Services policy, PDF. For telehealth services provided by an out-of-network provider for a Humana MA member, this includes the same limitations the Centers for Medicare & Medicaid Services (CMS) has established, as indicated in its List of Telehealth Services.