meganb25 4 Posted March 23, 2016 Does anyone else have Humana insurance? I'm worried about being approved. I am at the very very beginning of the sleeve process. Just turned in my patient info packet to my surgeons office. But currently, I am BMI 37.6 with no documented co-morbidities. I really want this surgery though any advice? Sent from my iPhone using the BariatricPal App Share this post Link to post Share on other sites
volsfan82 40 Posted March 26, 2016 I had Humana when I had my sleeve surgery. They paid all of the cost except for my copy of $200 for in patient hospital stay. Highly think you'll get approved. Have faith my friend. God is great, he will care for you. Share this post Link to post Share on other sites
erik78 79 Posted March 26, 2016 I have Humana and got approved in 2 days. My Bmi was around 40, with sleep apnea. I was told by my surgeon that Humana was easier than any other insurer. My surgery date is April 14 Sent from my iPhone using the BariatricPal App Share this post Link to post Share on other sites
meganb25 4 Posted March 26, 2016 I had Humana when I had my sleeve surgery. They paid all of the cost except for my copy of $200 for in patient hospital stay. Highly think you'll get approved. Have faith my friend. God is great, he will care for you. Thank you for the hope ) Were you also below 40 BMI with no co-morbidity? Sent from my iPhone using the BariatricPal App Share this post Link to post Share on other sites
aliciah77 0 Posted March 29, 2016 I wish someone had told me to call Humana before my initial doctor appointment. I went to my first appointment in December and had a BMI of 38.7. Humana requires 40 without co-morbidities, which I do not have. They initially denied my surgery. Also, refused to pay any of the doctor visit, $162.00. I was so upset that I was less than 10 pounds away from being approved. My surgeon's office was great and hinted that if I gained weight I could come back to see if I qualified. I did end up gaining weight with a BMI over 40, and am now awaiting insurance approval. But, I had to pay another doctor visit of $162.00, just to get weighed. Also, Humana did not require a psych evaluation or a 6 month waiting period, which was nice, but what they do require was a $5,000.00 deductible. I really want the surgery and think it is worth the money in the long run. I have scheduled my meeting with the dietician and can schedule my surgery as soon as 2 weeks afterwards. My surgeon requires a 2 week liquid diet before the surgery. Humana is easy to work with, but on my plan, you will pay a lot. Hopefully your experience is better. Good luck! Share this post Link to post Share on other sites
kmorri 1,689 Posted March 29, 2016 I'll just say this.....if you don't have any other qualifying conditions it's important that when you are weighed during your initial visit with the surgeon that you have an BMI of at least 40.... Share this post Link to post Share on other sites
rubia72 200 Posted March 29, 2016 I have Humana and I thought it was a great insurance. I was approved in a week after submitting all the paperwork from my PCP ( 3month diet)to the surgeons office. I had to pay my deductible which was $1,000 and then everything else was covered 100%. Share this post Link to post Share on other sites
aprilnicole 31 Posted March 30, 2016 Humana has different plans that cover this surgery they have one where I am in GA and it's the national pos open access plan the other is Humana Hmox plan! I was in the open access plan but there wasn't a big difference except I didn't have to have a referred to see a specialist , which means I could go without a pcp referring me, however this plan was almost 350.00 a month and I had a 3,500 max deductible that had to be met!!! VS the plan I have now is the Humana hmox and I have a 750 out of pocket max I have to have a referral to see anyone outside of my pcp but all the qualifications was the same!!!! My insurance I pay a month with this plan is 150 and too me it's better!!!! If I was anyone I would call around and ask questions I even called Humana and asked to speak to someone in there bariatrics department to see what all I needed and to see if I met the qualifications!!!! BlessedBeyondMeassure Share this post Link to post Share on other sites
deanna2178 88 Posted March 30, 2016 Does anyone else have Humana insurance? I'm worried about being approved. I am at the very very beginning of the sleeve process. Just turned in my patient info packet to my surgeons office. But currently, I am BMI 37.6 with no documented co-morbidities. I really want this surgery though any advice? Sent from my iPhone using the BariatricPal App I have humana and my bmi is 42 I seen the surgeon on Feb 8th (first appt) I was done with requirements and approved by insurance by 3-20-16 and my surgery date is 4-5-16 so if you qualify it won't take long. Sent from my Z812 using the BariatricPal App Share this post Link to post Share on other sites
tiff062712 6 Posted May 25, 2016 I have the NPOS plan. hoping the 6 month program will get me approved. have no idea what humana is gonna do. plan is costing me 97.00 every two weeks Share this post Link to post Share on other sites
aprilnicole 31 Posted May 25, 2016 Well thank god I did a a lot of research and I started this journey 3/1/16 and I got a approval date last Friday!!!!! My surgery is 6/15/16 BlessedBeyondMeassure Share this post Link to post Share on other sites