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Prosthetics - Medicare Advantage (Revised)
Humana·Effective Sep 1, 2026
Humana has updated its Medicare Advantage prosthetics coverage policy (HUM-1194-009) effective September 1, 2026, which revises coverage criteria and guidelines for artificial limbs, eyes, facial prostheses, and specialized devices including osseointegrated prostheses, myoelectric hands, and neurogenic lower limb prostheses. The policy provides expanded clinical descriptions and references updated CMS Local Coverage Determinations (LCDs) by geographic DME MAC jurisdiction, requiring billing teams to verify regional LCD applicability before processing prosthetics claims.