Humana KPPA

Katherine W.
on 9/12/06 10:18 am - Palmyra, IN
I am going just a bit nuts.  I've talked to Humana 3 times and have gotten a slightly different story each time.   Yes they cover weightloss surgery... The only thing I"m not 100% sure on is whether they require a 6 supervised diet.   Because when I asked one person they said, " you must successfully participate in a weightloss reduction program."  For 6 months in the last year. Then I talk to  another one  and they say it depends on what your doctor says in the necessity letter.... Another just tells me it's covered 100% if medically necessary.  I've requested a copy of  my policy for the second time.  This is crazy.  When I spoke with the lady at the Bariatric center she felt like I would not be required to be on the diet for 6 months.   I went ahead and started a diet with my PCP today.   I also talked to another lady that  has the same insurance and she said when she talked to them they didn't mention the diet at all. I could have started it a month ago if I'd known they needed it.   Anyone out there with this insurance???  Thank you.

.
274/257/252/242 current    
Heaviest  Before          Day of
2006       Preop diet     Surgery

                

Amy Williams
on 9/14/06 2:27 pm
Have you spoke with the surgeons office yet?  They might know better what their requirements are.  You might call them back an ask for the pre-authorization department explaning you need specifics on what they require to have submitted.


  I've lost over 400 pounds!  
I love helping others, if you have a question just ask!  


Click on a link to read more about my journey:  
My website   My reconstructive photos 

Most Active
×