nikic408 8 Posted June 18, 2012 It's called UMR and they are a part of UHC! Share this post Link to post Share on other sites
fattymcfatterson 107 Posted June 18, 2012 I technichally have UMR, but the network is UHC CHoice plus. Is that what you mean? Share this post Link to post Share on other sites
nikic408 8 Posted June 18, 2012 You know I'm honestly not sure if it is choice plus. We got this insurance for the first time it honestly confuses me haha. I currently gave the gastric band and need to have it removed due to horrible reflux etc and I am curious to know if anyone has had to do the whole six month pre surg requirements again since I have technically already done it first time around. . Share this post Link to post Share on other sites
fattymcfatterson 107 Posted June 18, 2012 Your best bet is to get it in WRITING... This is a copy of mine: UMR’s Guidelines for Weight Loss Program Here are some of the items we request Patient’s current weight, weight, and Body Mass Index (BMI). If BMI 35-39.9, medical record documentation of clinically serious medical conditions, if any, that have been exacerbated by morbid obesity. Documentation of participation in and compliance with a physician led multidisciplinary non-surgical program of at least 6 consecutive months in duration within the past 3 years. This includes a low or very low calorie diet, supervised exercise, behavior modification, and support, with possible medication. Actual progress notes are required. Summary letters will not be accepted. Documentation of a preoperative medical consultation and approval (including thyroid panel with TSH). Preoperative psychiatric consultation and approval. Documentation that the surgical program is experienced in obesity surgery, characterized by surgeons experienced with bariatric surgical procedures and a multidisciplinary approach, including: · = Copy of certification of ASMBS (American Society for Metabolic and Bariatric Surgery) Bariatric Surgery Center of Excellence, if applicable. · = Medical consultation · = Psychiatric consultation · = Nutritional counseling · = Exercise counseling · = Support group meetings Share this post Link to post Share on other sites
nikic408 8 Posted June 18, 2012 Great thank you do much for this. I will go online and compare mine. I'm pretty sure it will be the same since its UMR. Share this post Link to post Share on other sites