F***********
Good Morning Angela,
I have confirmed with UHC that, "yes" pre-approval is required. You physician will need to provide as much information as possible based on the clinical guidelines for bariatric surgery. The requirements are as followed:
Failed medical therapy, including physical activity patterns, behavioral therapy and at least six months of frequent medical visits of at least once per month will be required.
Documentation of a structured diet program including physician or other health care provider notes and/or diet weight loss logs from a structured weight loss program. This requirement follows the clinical guidelines for Bariatric surgery.
The benefit for Morbid Obesity is as follows: The following services are covered: Surgical and non-surgical treatment of obesity when there is a diagnosis of morbid obesity. I hope this information helps. I apologize if you were given incorrect information previously. Please let me know if I may be of further assistance.
OMG I inderstand why you are upset!!!
First of all check with your Dr and see if during the last two years you were in there
at least once a month for six months straight.
I know this is not what you wanted to hear but let me tell you the six months
will fly by .
Have you gone to weigh****chers or Jenny craig or Nutri system in the last
two years; do you belong to a gym where you have to check in ?- that could give you proof of
exercise.
And nope, I have not seen the doctor each and every month. I often go every 3 months.
I have done WW too many times to count, but I'm sure I stopped before I hit the 6 month mark.
This sets me back so friggin far. I started calling insurance even before my info session in December. I am livid. and pissed and upset, the whole range of emotions......
or will the WLS Dr do the appts for you. Now what I would also advise is seeing if there
is a Planet Fitness or some gym where you have to check in- I know at the Mac I do
and can get detailed reports of how often I walk thru the doors - and details on
the cardio/weight lifting I do. I mention Planet fitness because they are only $10.00
a month. The surgeon may have a nutritionist you can see as well.
I wish I could reach thru the computer and give you a hug but I can not do that.
I told Tia to give you a hug for me if you go to lunch!
