Payer PolicyActive
Immersion Therapy Mattress-Bed - Medicare Advantage
HUMANA-IMMERSION-THERAPY-MATTRESS-BED-MA
Humana
Effective: November 3, 2025
Updated: December 13, 2025
Policy Summary
This policy addresses immersion therapy mattresses/beds (fluid immersion simulation [FIS] systems) intended for prevention or treatment of pressure injuries (patients with or at risk for pressure ulcers, including use for postoperative surgical flap support as studied). Humana considers FIS systems not medically reasonable and necessary with no covered indications; coverage decisions are governed by applicable Medicare MAC LCDs/NCDs and this noncoverage applies across jurisdictions due to insufficient evidence of benefit.
Coverage Criteria Preview
Key requirements from the full policy
"This document contains no MAC-specific table entries or jurisdictional mappings (the included table is empty)."
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