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HumanaMedicare Advantage · Coverage · Medicare Advantage · Oncology, Hematology, Pathology +3 moreMedium impact

Gene Expression Profiling for Cancer Indications - Medicare Advantage (Revised)

Act
by May 1, 2026
Effective date
May 1, 2026
Identified
Jun 24, 2026

Summary

Humana Medicare Advantage has updated their gene expression profiling policy for cancer indications, effective May 1, 2026. This policy covers various molecular diagnostic tests and biomarkers for multiple cancer types including breast, prostate, lung, colon, melanoma, and bladder cancers.

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What to do

by May 1, 2026 · 3 steps
01Review and update prior authorization procedures for gene expression profiling tests used in cancer diagnosis and treatment planning.
02Billing team should verify coverage requirements for molecular diagnostic tests against the updated policy guidelines.
03Ensure documentation requirements align with new policy standards for all cancer-related genetic testing services.

Original notice

Gene Expression Profiling for Cancer Indications - Medicare Advantage (Revised)
mcp.humana.com · Always check the source before changing claims.
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