Does United Healthcare Cover Bariatric Surgery
With the increase in obesity in the us a lot of people are searching for insurance that covers bariatric surgery. While our team is verifying your benefits we ask to you do the same.
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However there are several plans that will cover the surgery.
Does united healthcare cover bariatric surgery. Thus if your policy does not include your state may mandate. Treatment of obesity non surgical and surgical bariatric surgery policy number. United healthcare will also cover any hospital stays or visits that result from complications or other issues following your weight loss surgery assuming united healthcare covered your initial weight loss surgery.
What are the requirements for united healthcare coverage. Guide to united healthcare for prospective bariatric patients. This page explains the coverage requirements plan types and covered procedures as well as how to appeal a denial.
United healthcare bariatric surgery requirements. Conversion a second bariatric procedure that changes the bariatric approach from the index procedure to a different type of procedure e g sleeve gastrectomy or adjustable gastric band converted to rouxen y rygb. An individual family or small group policy through an employer with under 50 employees covers weight loss surgery if you live in one of the 23 states that mandate it.
Whether you have insurance that covers bariatric surgery depends on what type of policy you have. On average it can cost about a few thousand dollars for this surgery. According to who a person with 35 bmi is morbidly obese.
For all patients pursuing weight loss surgery we advise you to contact united healthcare directly for confirmation. You must meet the criteria listed here to qualify for insurance coverage. However there are some plans that do include this medically necessary procedure under the umbrella coverage portion of their insurance.
United healthcare does not place many requirements on who you visit to have your weight loss surgery procedure done though by choosing an in network surgeon you will be able to cut down your out of pocket costs. United healthcare covers gastric bypass lap gastric bands gastric sleeves and duodenal switch surgery if you qualify. There are many excluded coverages for weight loss surgery with united healthcare.
In your united healthcare policy if obesity treatment and bariatric and metabolic surgery are not covered there should be a clear section noting exclusion. Bariatric surgery is an operation helping obese individuals lose weight. Many of united healthcare s certificates of coverage exclude weight loss surgery coverage.
Unitedhealthcare medicare benefit interpretation committee last review date. What does united healthcare cover for bariatric surgeries. United healthcare covers 4 weight loss procedures including the gastric sleeve gastric bypass lap band and duodenal switch assuming your policy includes bariatric surgery.
B 005products unitedhealthcare medicare advantage plansoriginal approval date. There are some states that demand insurance companies to pay for weight loss surgery.
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