Question:
I have Humana HMO and need a Tummy Tuck and Breast Lift, has anyone been approved?

   — Amy S. (posted on April 28, 2004)

April 29, 2004
Amy, I don't have an answer, but I also have the same insurance, and I am having problems with coverage. They told me that they no longer cover obesity related items. Well last I checked I'm not having this because I am obese anymore, I am having this for medical reasons. Back pain, severe pains in my abdominal area, feeling as if I am being stabbed, I break out in a rash around my belly button, but no other areas. So to me this is not for obesity, nor is it cosmetic, because my clothes cover this, it is medically necessary, I am in pain!!! So we are trying to appeal this decision, but a lot of insurances have new policies starting just this year. If I hear of a way I'll keep you posted, please do the same for me!! I'll keep you in my prayers. Rosie
   — Rosie W.

April 29, 2004
I have Humana HMO and was approved a couple of weeks ago for abdominoplasty. I started out as a lightweight and have lost 110lbs. I don't have a large apron at all but what I do have has caused rashes. My paperwork and pictures were submitted on Friday and I was approved Monday morning. I guess it all depends on who reviews your case at the insurance company. Some approve them right away while others don't. Good Luck.
   — THE NEW M.

April 29, 2004
I too have Humana HMO these days. My first request for Abdominoplasty were denied, as weight loss procedures are not a covered expense. We are currently appealing, as I think the weight loss thing is already done! Don't know what else to say, but am curious to see other answers.
   — Laura B.