Humana national pos open access.

[ashleey921 62]

I'm new to this forum and just met with my surgeon today. Anyone use this insurance for their surgery?

[sharon57 0]

yes humana approved me immediately

[sexy_back2017 2]

Is this Humana Medicaid?

[sexy_back2017 2]

Is this Humana Medicaid?

[sharon57 0]

I am disabled and I have humana Medicare. I had my bypass on March 9th. I went to doctor on first feb. Had psy evaluation on feb 17 surgery on Mar 9th.

[ashleey921 62]

Is this Humana Medicaid?

No this is through my employer.

[ashleey921 62]

I'm getting so much conflicting information. I call and every person I speak to tells me something different. I was just told by a Humana rep that they do not cover the sleeve just the bypass and the band. And she told me i need a 6 month diet assisted plan not 4 like I was originally told.
Should I call my surgeons office and let him know this? I just don't want to get to the end and be denied bc I didn't do something or get a bill for a procedure that isn't covered.

[sharon57 0]

I don't understand that because I didn't go through non of that. I only had to lose 20 lbs. I lost 13. They had approved me before I lose anything. Let your Dr. Take the lead and get the approval for you. Sometime your health and weight plays a factor

[ashleey921 62]

I don't understand that because I didn't go through non of that. I only had to lose 20 lbs. I lost 13. They had approved me before I lose anything. Let your Dr. Take the lead and get the approval for you. Sometime your health and weight plays a factor

When I met the surgeon yesterday he gave me a list of requirements needed by my ins company which was the recommendation and clearance from my pcp, meet with a psychologist, meet with a nutritionist, and 4 months of a documented physician assisted diet. He didn't say I had to lose weight but I could not gain anything from my initial weigh in with him.
My bmi is 43 plus I do have high blood pressure high cholesterol and I was prediabetic but I'm normal range now. Idk. I'm gonna call the office tomorrow and see if they've heard this before about my insurance.