Question:
I have Humana HMO as of Jan1,2003 Humana is discontinuing my network,Rush.

I have a surgeon who set me up for a Jan.27,2003 date because he is booked but Humana wont cover because they wont be with Rush anymore and wont do follow up care. Can anyone relate or advise?    — Angela A. (posted on November 19, 2002)

November 19, 2002
Have you discussed this with your surgeon? Perhaps he can fit you in under the circumstances . What if he has a cancellation? You could go to another doctor for after care that is in Humana's system. Humana's fax # is 920-617-1430. The person that reviews WLS is Angie. Humana likes WLS because it saves them in the long run. Discuss this with them and your doctor. Good luck and God bless you.
   — Diane A.

November 19, 2002
Chicago?? I just heard about this. Get the surgeon to move the date up. I also received an email that indicates that Humana is offering potential "transiton coverage from 1/1/03-3/31/03 to "qualified" individuals. Requests for this "transition coverage" can be directed to the "Market Office" at 877-860-5023. The medical diagnosis, ICD-9 code, treating physician and treatment plan must be provided and will be sent tothe Utilization Management Review Dept for determination of who qualifies for this "transition coverage." It mignt hinge on having your approval for surgery in place. Keep in mind that you will need to arrange for follow up care after 3/31/03. If you are in Chicago, Loyola, Univ. of Chicago, and Northwestern does the surgery as well. It is possible to transfer approval to another facility.
   — Marian B.