FIRST HEALTH NEW CRITERIA FOR BARIATRIC SURGERY

I recently got them to fax me a copy of the exact criteria checklist they use to approve. I thought it might help some one if they have first health-or mailhandlers. FIRST HEALTH OBESITY SURGERY CRITERIA CHECKLIST The following information is required in order to review for medical necessity ❏ A letter of medical necessity for bariatric surgery, including duration of morbid obesity and determination that there is no treatable cause for the obesity: ❏ Medical records documenting diagnoses and appropriate treatments of co-morbid conditions; ❏ Documentation that patient has failed to loss weight (approximately 10% from baseline) or has regained weight despite participation in a three(3) month physician-supervised multi-disciplinary program within the past six(6) months that included: ? Dietary therapy (low 800-1200 calorie diet) or very low (

Hi, I am in Texas and have First Health Accordia EPO and wanted to know if you had this list in more detail.

I posted the fax that they sent to me word for word-if you call into first health they will fax or mail you a copy GOOD LUCK!