Humana’s Commitment to Weight Loss Surgery
Humana understands the complexities of severe obesity and recognizes weight loss surgery as a viable solution for eligible individuals. Their coverage underscores a commitment to patient safety and long-term success in weight management.
Coverage Criteria
To qualify for weight loss surgery coverage under Humana’s plan, certain criteria must be met:
Body Mass Index (BMI) Requirements
- Generally, a BMI of 40 or higher qualifies individuals for coverage.
- Individuals with a BMI between 35-39 may also qualify if they have obesity-related health complications.
Pre-Surgery Assessment
- Comprehensive medical evaluation to assess overall health and readiness for surgery.
- Documentation of past weight loss efforts and participation in structured programs.
- Evidence of the ability to maintain weight loss after surgery, such as previous attempts or a plan for post-surgical support.
Bariatric Management Team Support
Humana’s dedicated Bariatric Management Team provides personalized support at every stage of the weight loss surgery journey:
- Pre-surgery counseling and education to prepare individuals for the procedure.
- Post-surgery monitoring and support for up to six months to promote recovery and weight loss maintenance.
Coverage Details
Humana’s coverage for weight loss surgery extends beyond the procedure itself, including:
- Follow-up appointments and checkups
- Medically necessary nutritional counseling
- Support groups and resources for healthy lifestyle changes
Additional Considerations
- Coverage may vary depending on the specific Humana plan.
- Exclusions and limitations may apply.
- Individuals are advised to consult their policy documents and contact Humana for exact coverage details.
Conclusion
Humana’s comprehensive coverage for weight loss surgery is a testament to their dedication to supporting individuals in achieving their weight loss goals. By meeting specific criteria, qualifying individuals can access the necessary resources for a safe and successful weight loss journey.