Medicare AdvantagePrior AuthMedium impact
Diabetic Test Strips and Meters (Revised)
Humana·Endocrinology, Internal Medicine, General Practice +1 more·Medicare Advantage
Effective date
Jan 1, 2017
We identified it
Jun 25, 2026
Summary
This is a revised Humana Medicare Advantage pharmacy coverage policy for diabetic test strips and meters effective January 1, 2017, with a recent revision date of June 24, 2026. The policy maintains prior authorization requirements for a comprehensive list of over 150 glucose monitoring products and test strips across multiple brands. No specific coverage changes are detailed in the extracted content, but the recent revision indicates policy review and potential updates to the covered product formulary.
Action Required
IMMEDIATE: Billing team must verify this policy revision in the full Humana online portal (https://dctm.humana.com/Mentor/Web/v.aspx?objectID=090009298a5635cb) to identify specific changes from the previous version, as only product lists are shown in this excerpt. For all claims involving the listed diabetic monitoring products (meters and test strips): (1) Confirm prior authorization requirements remain in effect before processing claims; (2) Update any internal formulary references to match the June 24, 2026 revision; (3) Ensure all staff billing diabetic supplies for Medicare Advantage members are aware this is a Prior Authorization policy type. Document the revision date (6/24/2026) in your billing system to avoid using outdated policy versions. If coverage criteria or authorization thresholds have changed, those details must be obtained from the full policy document and communicated to providers and front-desk staff immediately.