curiosity

[kennurse 0]

Hello to all! I am new to this site and sooo glad to find it.I weigh 250 as of fridays doc appt,new doc so did not bring up lapbanding,my medicare from my ss disability as well as the Humana PPO plan I enrolled in both will come into effect Nov,08. I wonder can anyone from KY tell me if Medicare covers any costs and/or does anyone have Humana PPO and does it cover What is a louisville doc on Humana liost?:wink2:

[Jodi_620 37]

I am not from Kentucky but I believe that Medicare is controlled federally. Anyway, from what I have heard they do cover Lap Band surgery but there are of course hoops to jump through before they will approve you... Must be approved bariatric surgeon, patient must be under 65, 3 month medical weight loss program with a nutritionist plus an approved exercise program, smoking cessation (if applicable) and psych evalutation. Along with the typical pre-op medical workups. I also believe that you have to have at least one obesity related illness.

[GRANNIE JENNI 0]

if you are even thinking of having this surgery get going on getting all your aperwork in order. you have to have a tleast 3- 6 months of doctor surpervised diets or weight loss palns you have tried and some of the 'co-morbid' conditions. plus the phyc eval. call some physc places to see who does the bariatric eval in your area. and online you can look for a facility that does them near you and how many they have done.

[Brandy~ 2]

Hello and welcome to LBT. Sorry I do not have the answer to your questions since I had a different insurance company. I would start by calling the insurance and asking if they cover it. I did and was pleasantly suprised when they said yes.