Does Humana Cover Gastric Sleeve Surgery?
Humana Health Insurance of Northern and Southern California will cover your Gastric Sleeve Surgery as long as your insurance plan's requirements for bariatric surgery are met. Each Humana California insurance policy can vary on what weight management or bariatric and gastric surgery expenses are covered or excluded, so it may be easier to have our Gastric Sleeve Insurance Coordinators verify your Humana Gastric Sleeve Surgery coverage for you. Simply give us a call at 1-855-690-0559 or fill out our FREE Gastric Sleeve Insurance Verification Form! Verifying your Gastric Sleeve coverage is hassle-free with no obligation. Even if you don't meet your insurance policy's requirements, we can send a letter of medical necessity, request an individual need assessment and help you through the appeal process if necessary.
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Humana Gastric Sleeve Coverage
Every person is different, and so is each insurance plan; Humana’s Gastric Sleeve Coverage and pre-approval requirements in California vary with every insurance policy and potential patient. Be aware that Humana coverage can vary from state to state, but just recently Humana has begun to open up the eligibility for gastric sleeve coverage, so talking to an insurance specialist is more important now than ever.
A Body Mass Index (BMI) of 35 or greater along with a written letter detailing all prior attempts at weight loss programs, including diet and exercise, over the last 5 years may be required by Humana prior to covering any bariatric procedure. You may also be required to undergo a 6month supervised diet (nutrition evaluation) and a psychiatric evaluation prior to qualifying for Humana’s Gastric Sleeve Coverage in California. If Your BMI is below 40, Humana will also consider all medical issues and problems related to your weight prior to authorizing coverage of your Gastric Sleeve Surgery.
Humana Gastric Sleeve Requirements
You may automatically pre-qualify for Humana to cover your Gastric Sleeve Surgery if:
- You are 100 pounds or more above ideal weight, or
- You have a Body Mass Index of 40 or greater, or
- You have a Body Mass Index of 35 or greater and suffer from medical problems associated with obesity such as type 2 diabetes, sleep apnea or hypertension
- You have been overweight for at least five years, and
- You have been unsuccessful at all weight-loss attempts including diets, exercise and weight loss programs.
Other insurance carriers
- Does Blue Cross/Blue Shield cover gastric sleeve?
- Does United Healthcare cover gastric sleeve?
- Does Cigna cover gastric sleeve?
- Does Aetna cover gastric sleeve?
Disclaimer: This site is not affiliated with or endorsed by Humana and is for informational purposes only - The following Humana Gastric Sleeve guidelines have been compiled from various public sources. It is presented online for informational use only, and without warranty as to its accuracy, timeliness, or completeness. This site does not replace any official versions of the information presented, nor does inclusion on this list guarantee coverage. Please check your Humana policy before proceeding with your surgery.