COM do not endorse. The phases include some type unitedhealthcwre a meal replacement phase to achieve initial weight-loss and eventually transitions to a phase of self-prepared foods for long term weight management. The list below is organized by insurance company. Call your insurance company directly to find out. Many patients come to the clinic with undiagnosed diabetes, high cholesterol, thyroid disorders, abnormal liver tests or obstructive sleep apnea. GET 18 HIGH PROTEIN BREAKFAST RECIPES.
Many health insurance plans, including Medicare and most Medicaid plans, cover bariatric surgery. Every year we see a heightened interest unitedhealtchare bariatric surgery in November or December because unitrdhealthcare have met their deductible and want surgery before the new year when their insurance renews. People who are considering weight loss surgery and want to take advantage of the lower insurance deductible should start the process early enough coverd ensure that they can get surgery by the new calendar year.
Note that the process takes about three months from attending an orientation seminar to having surgery. Pre-approval is sometimes required for weight loss surgery. It is a way to make sure the procedure is covered under your Bariatric Surgery Insurance policy. We partner with a professional financing firm that sets up payment plans. For more information, contact our program. We are happy to accommodate patients who come to us from out-of-town or out-of-state. We have a process in place to make it convenient for those who live out-of-town and we will work with you via phone and Internet.
We will also partner with your local physician to complete pre-operative and post-operative appointments. Please contact us for specific details. Mercy Health Saint Mary's. Insurance and Costs FAQs. Frequently Asked Questions Regarding Insurance and Costs. What insurance plans cover bariatric surgery? Major plans that provide coverage and that we participate with include:. Physicians Care Health Plans. Is weight loss surgery covered by unitedhealthcare questions should people ask their insurance provider?
Is bariatric surgery is weight loss surgery covered by unitedhealthcare covered benefit under my plan? What bariatric surgery procedures are covered? May I have a copy of the Medical Policy statement for bariatric surgery insurance coverage? What criteria do I need to meet in order to be considered for bariatric is weight loss surgery covered by unitedhealthcare Is there a requirement for a medically supervised weight loss program and if so, how long must I be in the program?
Do I have a pre-existing clause? What is the co-pay amount, if any? What is the annual deductible, if any, and how much have I met so far? When does my annual deductible renew? What are some of the most common bariatric insurance coverage requirements? Some of the most common bariatric insurance coverage requirements include:. Body mass index BMI greater than 40 or BMI greater than 35 with co-morbidities diabetes, high blood pressure, etc.
To see if you meet these requirements, you can calculate your BMI using our calculator. Diagnosis of morbid obesity. A few insurance plans require unitefhealthcare in a physician-supervised weight loss program for extended time periods this can vary from 3 to 12 consecutive months, depending on your insurance plan. Psychological evaluation prior to surgery. Our bariatric clinic will either provide this service or refer you to a psychologist. Documentation of failed diet and exercise plans.
What if my insurance provider denies the coverage? Are there payment plan options? Are there full cash-pay options? I if I live out-of-town or out-of-state?
united healthcare weight loss program
Comprehensive list of insurance companies and their requirements to approve coverage for lap bands, gastric bypass, gastric sleeve and other weight loss. Physician- supervised Weight-loss (Overweight, Obesity and Severe Obesity) Physician- supervised weight-loss programs provide treatment in a clinical setting with a. There are contradicting opinions about whether or not weight loss surgery is safe and effective for people 65 years of age and older One study evaluated.