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Medicare Advantage Insurance

I have finally talked to my insurance company. Humana Medicare Advantage covers everything else, but the sleeve. They have been studying it for two years and say that none of the top 5 Medicare Advantage Insurance providers cover it. Do any of you have an Advantage plan that has or is going to cover the Gastric Sleeve? If we could find Medicare Advantage companies that do cover the procedure and send that information to our individual companies perhaps we could make a difference!

They also do not cover complications of the surgery.

:smile::mad:;):sad0:

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I have finally talked to my insurance company. Humana Medicare Advantage covers everything else, but the sleeve. They have been studying it for two years and say that none of the top 5 Medicare Advantage Insurance providers cover it. Do any of you have an Advantage plan that has or is going to cover the Gastric Sleeve? If we could find Medicare Advantage companies that do cover the procedure and send that information to our individual companies perhaps we could make a difference!

They also do not cover complications of the surgery.

:smile::mad:;):sad0:

Well if you have liver failure or a serious liver problem medicare will pay for the sleeve. That is regular medicare. Your doctor must call the provider line and talk to the contractor with your situation, If deneid can be appealed to a ALJ that is administration law judge. Only the contractor can approve your claim or the ALJ.

  • 3 weeks later...

I have finally talked to my insurance company. Humana Medicare Advantage covers everything else, but the sleeve. They have been studying it for two years and say that none of the top 5 Medicare Advantage Insurance providers cover it. Do any of you have an Advantage plan that has or is going to cover the Gastric Sleeve? If we could find Medicare Advantage companies that do cover the procedure and send that information to our individual companies perhaps we could make a difference!

They also do not cover complications of the surgery.

:smile::mad:;):sad0:

As long as Medicare will not approve the sleeve..no medicare advantage plan will. They all follow the guidelines set by Medicare. I wrote to my local congressman..you should do the same. That is what Medicare told me to do. Got the response yesterday...he said he has contacted the right officials to look into

this matter and as soon as he gets a response he will contact me. I'm in the same boat as you are...they cover everything but the sleeve....

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