Medicare AdvantageCoverageMedium impact
Functional Electrical Stimulators (Non-Pain) - Medicare Advantage (Revised)
Humana·Neurology, PM&R (Physical Medicine & Rehab), Physical Therapy +2 more·Medicare Advantage
Effective date
Nov 3, 2025
We identified it
Jun 24, 2026
Summary
Humana Medicare Advantage has revised its policy for Functional Electrical Stimulators (Non-Pain) with an effective date of November 3, 2025. The policy provides coverage guidance for neuromuscular electrical stimulation (NMES), functional electrical stimulation (FES), and phrenic nerve stimulation devices, following existing CMS National Coverage Determinations.
Action Required
By November 3, 2025: Billing team must review and align billing practices for functional electrical stimulator devices with updated Humana Medicare Advantage policy HUM-1076-009. Ensure compliance with referenced CMS NCDs 160.12, 160.13, and 160.19 for NMES, supplies, and phrenic nerve stimulator coverage. Verify medical necessity documentation requirements for covered services and update prior authorization processes as needed.