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3 shakes a day weight loss. Many of united healthcares certificates of coverage and summary plan descriptions clearly exclude weight loss surgery coverage though there are some plans that do include this type of surgery under their umbrella of coverage. Please complete this form and submit your request online using our prior authorization and notification tool on link with all. Agb procedures are laparoscopic only.
Class 3 obesity or 40bmi body mass index class 2 obesity of 35bmi with any of the three following conditions. The program accredits bariatric surgery centers that have undergone peer evaluation in accordance with nationally recognized bariatric surgical standards. The bands are adjustable allowing the size of the gastric outlet to be modified as needed depending on the rate of a patients weight loss.
Life threatening cardiopulmonary or severe sleep apnea. Bariatric surgery procedures are performed to treat comorbid conditions associated with morbid obesity. Lap adjustable gastric bands ie.
Two types of surgical procedures are employed. Some general conditions to receive coverage from united healthcare requires that you meet the following criteria. Biliopancreatic bypass scopinaro procedure duodenal switch.
United healthcare requirement for weight loss surgery. The following bariatric surgical procedures are proven and medically necessary for treating obesity. Some states have laws requiring that insurance companies cover weight loss procedures so in some cases even when your policy seems to exclude the coverage you may still be able to undergo the surgery with.
What criteria must a person have before united healthcare pays for the bariatric surgery. Which weight loss surgeries are covered by united healthcare. Ncd for bariatric surgery for.
Lap band or realize band surgery gastric sleeve procedure also known as laparoscopic sleeve gastrectomy vertical banded gastroplasty. United healthcare covers 4 weight loss procedures including the gastric sleeve gastric bypass lap band and duodenal switch assuming your policy includes bariatric surgery. Have a body mass index over 40 or.
This page explains the coverage requirements plan types and covered procedures as well as how to appeal a denial. Stage 2 bariatric services is the pre surgery phase which includes a required six month period of evaluation of the member before bariatric surgery is considered. Copyright 2020 united healthcare services inc.
In the clinic by adding or removing saline via a port that is positioned beneath the skin. The criteria below will need to be met for coverage to be approved. Pre approval requirements for bariatric surgery.
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