Does any of you have Humana Hmo Premiere, Humano PPO, or Humana Choicecare

I have Humana Hmo Premiere and I work for SBC in IL. I was wondering what the criteria for approval is (ie 26 week supervised diet, letter from pcp,etc). I am 5'9 and weigh 277 I am at a 40 BMI. I do not have any co-morbidities, but diabetes runs in my family. I am considering switching to BC/BS, but I would be heart broken if something went wrong with the approval and I were to make a grave mistake by switching insurers. I heard through the grapevine that BC/BS in Il in tightening up on their approvals and making it more difficult to get approved. I work for SBC and there are a number of people having the surgery and I am in the process of asking them the same questions. About 2months ago I had gone to my pcp(thru Humana HMO Premiere)to ask for her approval and she would not back me. I would need a referral from the pcp to start the process. So I am considering switching pcp's. Then an acquaintance of mine told me that with Humana HMO, it is difficult to get approved so she swirched to Humana PPO. I was hoping that there are others out here that can shed some light on the process. I did check teh insurance boards and there were not alot of updated comments. Most comments were a year old. I am looking for people who recently had teh surgery this year. Anyway... if you have any type of Humana Insurance or BC/ BS insurance or if you work for SBC and you have another insurance carrier please help. Thank you all in advance.

We greatly appreciate your interest in helping us build our Q&A database. To discourage vandals from posting garbage, however, we require people to register before posting.

You must be logged in to post an answer. Click here to log in.