Humana Ppo

[VictoriousPassion 64]

Have Humana PPO through my spouse. I received the verification of benefits and I read my coverage booklet and did NOT see a 6 mos. managed diet requirement. Has anyone experienced going through any additional requirements that was not listed such as 6 mos of supervised diet, sleep studies, etc. I am JUST starting and don't want ANY surprises by the insurance.

[Maddysgram 6,159]

All insurance companies are different on their requirements. Mine (Aetna) required the 6mth supervised diet,psych eval& nutritional class.

Your insurance company should be able to tell you up front what's required.

Also my bariatric center took all my insurance info and gave me a list of everything required of me at my very first visit.

[sandman27959 38]

My surgeon's office handled mine too and let me know what was required. They do the paperwork all the time and can be a very valuable resource, so I'd see if they can help. They've probably already dealt with your insurance company with other clients and will know the details. I'm with you though - no surprises.

D.

[line-dancer 810]

I went to a weight loss center who had all the professionals I needed to see except for the sleep study and heart since I did have a heart attack 10 yrs ok. then they wanted a lisit of diets I had been on ovedr the yrs so I think this is all nornal before they pay for it.

[VictoriousPassion 64]

I know some state up front 6 mis of a supervised diet and some do not require it. I read my information and it said 6 months of documented attempts and not supervised. I guess I am ready because I Want to get this done by December and do not want any surprises.

[VictoriousPassion 64]

I know some state up front 6 mis of a supervised diet and some do not require it. I read my information and it said 6 months of documented attempts and not supervised. I guess I am ready because I Want to get this done by December and do not want any surprises.

Good news!!! I found out that my plan does not require 6 mos. of a supervised diet. I am anxiously awaiting the next step!!!!

[Kekebefree 12]

Good news!!! I found out that my plan does not require 6 mos. of a supervised diet. I am anxiously awaiting the next step!!!!

That's great news!! I started inquiring about the surgery in June met with my surgeon in July... Did all the tests, required nutrition and psychology evaluations and am waiting for insurance approval now.... I'm hoping to have the surgery late October... 1 month from now!!! But no date set yet I'm going to stay on top of the insurance company UHC... And hope its approved next week at least.... I hope everything goes smoothly for you going forward and that you can get everything done by December.

[VictoriousPassion 64]

Thank you @kekebefree!! I hope you hear from your carrier soon. I know that's got to be the worst part of this, is the waiting. I have not seen the doctor yet. I am waiting for Humana to send the "package" to my doctor. What it pays, the stipulations, what I pay, etc. the suspense is driving me crazi(er). Lol. I hope UHC contacts you soon!!!! Please let me know how it goes!! Good luck

[Kekebefree 12]

OMG!!! I heard back from UHC!!!.My surgery is approved!! and my surgery is set for Oct. 22!!!...Wow less than 1 month!!..and that had to be the quickest approval ever! less than 1 week. OK I just got a little nervous...liquid diet in 2 weeks...I'm more worried about that stage than after surgery. I'm so excited!!.

[contrabanded 18]

@vjsingleton73: I also have Humana PPO through my employer who DOES require 6 mos supervised diet and exercise by a physician. I called to ask questions about the psychological appointment and they referred me to the Humana "Bariatric Team" to ask more questions. I wonder what the major difference is between our plans that allows you to not go through the supervised diet but forces me to? Anyway, congrats and good luck on your journey!

[VictoriousPassion 64]

@vjsingleton73: I also have Humana PPO through my employer who DOES require 6 mos supervised diet and exercise by a physician. I called to ask questions about the psychological appointment and they referred me to the Humana "Bariatric Team" to ask more questions. I wonder what the major difference is between our plans that allows you to not go through the supervised diet but forces me to? Anyway' date=' congrats and good luck on your journey![/quote']

Each plan is different. Depends in the group that determines the package and how small or large the group is.

Current pre-op wt 344