Interpretation assistance needed
I totally understand the 6 month diet, but can you help me understand what I have to provide in the paragraph "failed medical therapy....... "??
thanks!!!
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.
I think it will require doctors notes about your response to exercise,behavioral therapy and diets he has had you on and supervised your failure with,if you will. Your body's "response" would be,of course,that you have failed all the efforts you have made under his superviision.
FYI, the insurance co MUST provide you with written policy info,if you request it. Ask to speak to a supervisor next time and don't be afraid to tell them they HAVE to give you what you need in writing. Good Luck!
Holly
Hockeymom87 · 0 replies · 604 views
