humana ppo

we live in ky and have humana ppo... it says in their coverage page...  :)

Any treatment, including but not limited to surgical procedures:

- For obesity, whi*****ludes

- For obesity, whi*****ludes

morbid obesity; ormorbid obesity, for the purpose of treating a sickness or bodily injury

caused by, complicated by, or exacerbated by the obesity.


now.. does this mean my husband cant get approved for lap band? 

has anyone encountered this before???   should we just give up now before he gets his hopes up?  any help is appreciated... thanks!!

I have Humana PPO through the state of Kentucky because of my dads job.  I have been trying to have surgery as well. I was told my Humana PPO that if it is medically necessary then they will approve the surgery. However, they told me that they will not pay for the 6 visits to a doctor for the supervised diet. It is best just to call the customer service number on your card and ask them about the surgery. They are able to give you the most insight into the process that your husband will need to begin. Hope this helps! 

Humana members

treatments of severe obesity:

MAY be eligible under the Plan for the following surgical

•

Laparoscopic adjustable gastric banding (LAP-BAND™) (REALIZE™)

•

Short or long limb Roux-en-Y gastric bypass surgery (RYGBP)

•

Vertical banded gastroplasty (VBG)

•

duodenal switch.

 

Open or laparoscopic biliopancreatic diversion (BPD) with or without