what does this mean exactly?

[42rosebud 0]

I have uhc and they cover the surgery foe morbid obesity... then when I go to the glossary for their def of that it says bmi of 40 etc... then it says 3 years of medically supervised diets with 2 doc.. WTF who does that? Anyone ever heard of this? Can u get around it or appeal?? Thanks

[jingleboob 5]

every insurance plan is different... even with the same provider. I have UHC and all I needed was a BMI of 40 or a BMI of 35 with co-morbidities. My plan also only covered 80% of expences. Call and talk to someone and find out exactly what your plan requires! Best of luck

[reverie 49]

The insurance requirements vary so much. It really is best to call your provider and ask what requirements you need to meet in order to have WLS covered. It's not rare that an insurance company wants a patient to do a diet before surgery.

You can appeal if you get disapproved but I don't believe you can appeal the criteria.

[PuppyBandit 2]

It may mean 3 years of medical weigh in's. Like when I went to my obgyn each year, they weighed me and it counted for my insurance as a medically supervised weigh in. I still had to do 6 month supervised diet though.

Edited September 1, 2010 by PuppyBandit
Typo

[42rosebud 0]

ok so the doc called and definitely confirmed what i mentioned earlier about the 3 years of supervised diets... really who gets their doc to supervise ww or nutrisystem or any other of the million diets they have done. Doc said we can get medical records to at least have weight records and see if at anytime i was taking any diet pills etc... and maybe we can piece something together. Anyone ever do anything similiar??? sooo frustrated. so on another note if i end up having to pay cash any low cost recommendations here in Texas or Mexico?? Thanks for any advice.:biggrin: