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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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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 0 replies
      1. This update has no replies.
    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
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      1. This update has no replies.
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