Humana Choice PPO

GinaJ · July 9, 2006

Did anyone have get a Lap band with humana choice PPO? I don't see many approvals posted for this insurance company, which makes me nervous sinc this is what I have. I called and they said it was covered if it met medical necessity, but would not give me any specific information on approval requirements.

willybe · July 10, 2006

I have humana.. IBM of 40+. must of been a six month doctor supervised diet.. and must have a letter from doc stating you weight is a life threating contition and must have a sleep apena test..... Iam fighting over the six month supervised diet rite now.......fun fun. this is what i was told adn had to get for mine. i have been on one but i think they are trying to make me have a recient one.

Busy · July 12, 2006

GinaJ

I also have Humana PPO and am on the 6th month of the supervised diet.:clap2: Prior to starting the diet I contacted my insurance company and was told the surgery needed to be medically necessary and 40 BMI. My last appointment is the 27th of this month, then my doctor's office will submit the paper work to the insurance company. Hopefully in a few weeks I will have an answer for you. Keep those fingers crossed.

PJ

GinaJ · July 14, 2006

I've got my fingers crossed for you!!! If I get approved, I will still have to meet my $2,500 deductable before I can get a surgery date.

Busy · July 14, 2006

I don't know how much of a deductable I will have to meet, since we are both Humana I assume I also will have to meet the $2,500. What state do you live in?

PJ

GinaJ · July 16, 2006

I'm in TX. I have the high deductable plan. I should have gotten an HSA instead of the FSA. At least that is what people at work have told me. Anyway, I went to the seminar last week, and am waiting for the surgeons office to call to schedule an appointment so I can get the paperwork started.

Busy · July 16, 2006

I am in KY and don't know what an HSA is. (I think FSA is a flex spending account) I work for the state and everytime they get the oppertunity to get cheaper group insurance, they change our coverage. So far I have had BSBS a couple of times, Anthem and now Humana. We will wait and see what Humana does.