Medicare / Humana Ppo Approves!

[scarybird 1]

I am so excited!! I just got notice today that Humana PPO / Medicare approved my surgery!! I don't have a date set yet, but I am hoping for early spring.

I know I had all sorts of questions about whether humana would approve me or not, so I wanted to document my process in case someone else needs to hear about it.

I started out the process at 318 pounds, BMI of 45.6. I have NO co-morbidities. No high blood pressure, no pre-diabetes. No real joint issues that have been documented. I was told that I needed to have 6 months of doctor supervised diet - and I had 3 months, then a 2 month break, then 4 more months. This didn't seem to be an issue. I didn't lose weight every month, but was down about 15 lbs total at the end. I had to meet twice with a psychiatrist, but I am not sure if that was a Humana mandate - I know my surgeon's office required it.

My approval was submitted on Thursday Nov 8th, 2012. My dr's office received notification on Monday Nov 12th that the surgery has been approved!

I am excited to get this going and meet everyone here!

[BeGuiled 36]

Hi,

I had to wait on Medicare to aprove the payment for VSG, I had seen very long waits for people on line when trying to research it. Some 2 years. I started the process Dec. 2011, got my musts done and saw the doc May I think, he aproved, and then the wait. But, they gave me a surgery for 5 weeks, I am getting sleeve on Dec. 11 2012, this was a week ago. It may happen that your wait won't be as long as you'd think.

[cas 6]

That gives me hope! I have Humana PPO/Medicare also, paperwork is being filled as we speak. Though my BMI is 37.5, I do have comorbities. Thanks for the boost!!!

[debiosbo 36]

Approved yes in two days, I have AARP SecureHorizons/ Medicare, Drs office kept telling me not not covered yet so I called and they said yes its covered called Drs office told them they said no its not covered Medicare in Oregon yet So i call insurance back 2 more times they said yes 2 more time called Drs office again they said if I want and gave them permission they would send it in but that it would be ugly if I got turned down and lots of work... 2 days latter its approved

[cas 6]

That is great news! I am feeling more and more positive???LOL

[Diamondeyed 399]

Congrats