Help! Humana with WLS exclusion

[Lindel 0]

My health insurance is with Humana. It is though the company where my wife works. There is a WLS exclusion. Is there any solution for this?

Thanks for you help.

[unbesleevable1 420]

Nope. If there's no way to change insurance, there's nothing you can do win a WLS exclusion. The solution most people do is self pay, either in Mexico, or somewhere else. You could also do care credit.

[SouthernCharm1383837808 8]

When I called my ins to see if they covered WLS they said they didn't. But when the surgery center that I'm going to called and gave them the actual billing codes it accepted it.

My ins plan has no information concerning WLS in my booklet or the website. But after speaking with the lady at the bariatric clinic I'm going through there were certain protocols. It had to be a bariatric center for excellence in order for my ins to cover it.

I'm not sure if you would be able to get the billing coordinator to call and do some leg work for you but it's worth a shot.

Honestly I had originally told the lady I knew my ins wouldn't cover it. Boy was I shocked when she came back and said that they would. It never hurts to try. The worst that can happen is your told no.

[WJE626 4]

I tried by going to the doctor after my insurance said that wls was excluded. The office said it was covered. The day before surgery they called and said they gave a last call to insurance and denied me. That was to get the lapband back in February. I paid off all my cc and opened an account under care credit and did self pay 4 weeks ago with the sleeve

[Sherbear34 0]

Lindel I feel your pain! If there is any way around that exclusion I would love to know what it is myself. I have Humana as well and they not only won't cover wls, they won't cover any bill where the Dr. Codes it as obesity. Alas I am planning to take my tax return and self pay in Mexico. Where there is a will there is a way! I wish you the best in your journey.