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Humana requirements



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I’m starting my Weightloss surgery journey, I’m literally at the beginning I’m talking seminar beginning. I have questions about the requirements for Humana gold plus is the also the plan I have. I’m covered through a Medicare Advantage plan and aside from the program fee and the dieticians visits I’m supposed to have $0 everything? Does anyone else have this plan who has had surgery?

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I have the Humana Choice Medicare Advantage Plan. I’m not 100% sure of the difference between the Gold plan and mine, but I know they cover everything Medicare does. I was also required to pay my dietician visits. If your plan requires a PPO and you don’t use one, you will pay more. I had co-pays for Pre-op tests like the cardiologist & psych visit. As far as the surgery itself, all I paid was $295 per night in the hospital. I was in two nights ($590). EVERYTHING was included in that - surgery, surgeon, anesthesiologist, labs, and anything else while I was in the hospital. Humana also covered my first couple of office visits with my surgeon after my surgery. Your Humana book should tell you what they will cover - just look under surgery. Humana also approved my surgery within 2 days of my surgeons submission. I hope,this helps you somewhat. Good Luck on your journey!

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I had the surgery a year ago and I was on Medicare Advantage through Humana, PPO Plus, not Gold Plan. It covered everything after my deductible. For the whole surgery, pre-testing, hospital stay, everything, I think I was out $600 total. Good deal!

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