Rateloading746

Covered Services

1. Does Humana Pay For Mri

1. Humana Community (HMO) Plan Organization Type: Local CCP: Drugs Covered: Yes: Doctors Choice: Plan Doctors for Most Services: Benefit Type. MRI)-Yes: Yes: $35-325 copay: Diagnostic tests and procedures-Yes: Yes: $0-40 copay: Lab services-Yes: Yes: $0 copay: Outpatient x-rays-Yes: Yes: $0 copay: Doctor Visits. Service Cap Network Auth.
2. Humana group life plans are offered by Humana Insurance Company or Humana Insurance Company of Kentucky. Limitations and exclusions. This communication provides a general description of certain identified insurance or non-insurance benefits provided under one or more of our health benefit plans. Our health benefit plans have exclusions.
3. Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan). Diagnostic radiology services (e.g., MRI): $0 copay (authorization and referral required).

Humana group medical plans are offered by Humana Medical Plan, Inc., Humana Employers Health Plan of Georgia, Inc., Humana Health Plan, Inc., Humana Health Benefit Plan of Louisiana, Inc., Humana Health Plan of Ohio, Inc., Humana Health Plans of Puerto Rico, Inc. License #, Humana Wisconsin Health Organization Insurance Corporation.

TRICARE may cover the following forms of diagnostic radiology when medically necessaryTo be medically necessary means it is appropriate, reasonable, and adequate for your condition., appropriate and the standard for care for diagnosis:

• MRI with or without contrast media
• Open MRI with or without contrast media
• Magnetic Resonance Angiography (MRA)
• Cardiovascular Magnetic Resonance
• Breast MRI to screen for breast cancer for high risk beneficiaries
  • Age 30 and older if enrolled in TRICARE Prime (includes all Prime options)
  • Age 35 and older for all others

TRICARE doesn't cover MRI to:

• Confirm implant rupture in symptomatic patients
• Evaluate breasts before biopsy to differentiate benign from malignant breast disease or to differentiate cysts from solid lesions

This list of covered services is not all inclusive. TRICARE covers services that are medically necessary and considered proven. There are special rules or limits on certain services, and some services are excluded.

Last Updated 6/18/2020

Find a Doctor

Does Humana Pay For Mri