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Humana national pos open access.

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

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  • Author
Is this Humana Medicaid?





No this is through my employer.


  • Author

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.


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

  • Author
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.


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