Does anyone use Humana under Medicare Advantage in MI?
Ugh! I am looking into my plans for Medicare which begins soon for me. Not because of my age but disability. In doing so, I am comparing plans but they are saying they do not cover ANY weight loss surgery.
Has anyone in MI had Humana pay for their WLS? I mean, everything is changing s fast and I need to make a decision soon.
In my state they have people who are volunteers or work for a non profit that will help people navigate which plan to pick. Do they have that around you?
Funny thing...all of the sites I go to for insurance info require my address and phone number just to browse their plans. That puts my number into some file and I get tons of calls every day from different agents trying to make commission. And these are all sites t "advise and enroll" people into a plan chosen.
I need to see about any volunteers to do this. Thank you.
Hi there,
From Michigan and I have original medicare and just found out that I have qualified for Medicaid as secondary. I chose to keep original until done with surgery, I was going to pay deductibles and 20% copay, don't have to pay premiums. But then I filled out online app for family for "healthy Michigan", because hubby's work doesn't offer insurance and I was approved for straight Medicaid.
You may want to check into Medicaid, the income limits are much higher. Which covers premiums, deductibles & copays.
Original medicare has no hoops, BMI 35 with two co-mobudities or BMI 40 or higher. Pick your doctors, surgeons and surgery. My pcp and surgeon wanted 3 visits(no supervised diet) because I only see my pcp once a year for physical. The 3 months flew by and I was also able to get my other appointments done.
But, since you are dealing with a disability, seeing a doctor regularly, you should be fine. Just would need seminar, psych eval, pre-op, dietician/nurse visit. Most programs in Michigan seem to be similar.
As far as Humania, looks like they cover only RNY with a six month surprised diet. I would call, policies get updated a all the time.
I would call medicare, they are so helpful, the times that I have called to get understanding about my insurance, they are very patient made sure I understood. And then when I called with all my surgeons procedure codes, went thru everyone and made sure had them correct. All my calls have been 1/2-1 hour, but they are never rude and if they can't answer they find someone who can.
Best of luck!