Question:
Did Humana PPO or HMO Members have a problem with this being called cosmetic surgery?

I have Humana HMO..I know they said they won't cover it cuz its considered a cosmetic surgery however they might if medically needed...I notice alot of you have PPO but I have HMO anyone been approved for it through Humana HMO? My doc is sending a letter know saying its medically necessary. Please let me know..email me if you want... thanks to all of you!    — WIBlueyes (posted on March 27, 2001)

March 26, 2001
I have Humana HMO and had no problem getting the surgery approved. My policy stated it was "only covered if medically necessary". My surgeon's office (Dr. Mark Shina in KY) had more stringent criteria to meet than the insurance company did. Insurance approved the surgery within one day of receiving the request. If your policy reads the same as mine (check under exclusions)you shouldn't have any problem. If you don't have an updated copy of your policy, all Humana Customer Service and request a copy. Good luck!
   — [Deactivated Member]

March 27, 2001
I had Humana HMO and I had my surgery last August 2nd had no problem cuz I was 100 lbs overweight and no medical problems, Hope this helps Karen AZ
   — Karen S.