could this be true???
Typically the reps will say that without knowing the full scope of getting approval for surgery. Most all insurance companies except Aetna & Cigna only require a psyh eval and nutritional eval. Aetna & Cigna require a 6 month supervised diet and records showing a 5 year history of being obese.
I've lost over 400 pounds!
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Update. Well my doctors office called me back and said that the only thing I need is a 5 yr weight history. That should not be a problem ( hopefully ). I cried. I have been trying to do this for the past year. My last Insurance had a bunch of hoops I had to jump and now poof. I decided to make a job change and it is turning to be a great decision.
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I have UHC also and that is what they are telling me also.
I just went for my first consult yesterday and I called back today to ask about if I could start losing weight now. Her response was that some policies with UHC is requiring a 6 month diet. So, I got off the phone and called once again and was told the same thing again. I only need to have a BMI over 40. I wish I could get a straight answer from someone.
My suggestion is to do what I did. Call them have request that they send in you writting what the criteria for WLS approval is.
I did that and found out that my ins company (Blue care network - MI) had revised they criteria and made it easier to get approved.
That way they can't do the "tell a different story" each time you call because you will have it in black and white.
H/C/G: 298/170.4/160 (H=5'5) @ Dr's goal 5/23/2012. Revison surgery 5/26/2011 convert from band to bypass due to slipped band.