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Insurance Coverage Guide

Does Humana Cover Physical Therapy? 2025 Guide

Complete guide to Humana physical therapy coverage for Medicare Advantage and commercial plans.

Important: Coverage information is subject to change. Always verify current coverage with your insurance provider or Medicare.gov before making healthcare decisions.

Disclaimer: Joint Pain Authority is not affiliated with, endorsed by, or part of Medicare, the Centers for Medicare & Medicaid Services (CMS), the U.S. Department of Health and Human Services, or any government agency. Information provided is for educational purposes only and should not be considered medical or insurance advice.

Quick Coverage Summary

Physical Therapy

✓ Covered

Prior Authorization Required

Coverage follows Medicare guidelines for MA plans. Commercial plans vary.

Humana Coverage for Physical Therapy

Yes, Humana covers physical therapy across both Medicare Advantage and commercial plans.

Quick Facts

Coverage AspectMA PlansCommercial
Covered?YesYes
Visit LimitsPer Medicare ($2,330 cap)Plan-specific
Prior AuthMay applyOften required

Medicare Advantage PT Benefits

Humana MA plans follow Medicare guidelines:

  • Combined PT/speech therapy cap: $2,330 (2025)
  • Medical necessity exceptions available
  • 20% coinsurance typical
  • Network restrictions apply

Commercial Plan Benefits

  • Visit limits vary by plan (20-60/year)
  • Prior authorization often required
  • In-network providers save money
  • Progress documentation important

What You’ll Pay

Humana PlanTypical Cost
MA HMO$20-$40/visit
MA PPO$25-$50/visit
CommercialVaries by plan

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