Insurance has no specific guidelines

[likemeagain 5]

So my bariatric clinics office called my insurance yesterday to verify coverage and I have united Healthcare through my husband that works for at&t. They could tell him that bariatrics is covered under my plan, but they could not tell him any specific guidelines other than the 40bmi with no co-morbidities or 35 bmi with co-morbidities. They said they just need to fax in my history and then they will determine what needs to happen from there...Isn't that just weird? you would think they would have set in stone that they require a 6 month monitored diet or whatever. So I guess I will just wait and see what they say. They are sending in 5 years worth of documentation that i have been obese over 5 years and multiple attempts to lose weight through my physician, so hopefully they won't require another diet.

[BigGirlPanties 957]

Each insurance has different criteria for the surgery; actually I am kind of surprised they talked to him about YOU (HIPAA)...but they probably answered in general terms.

When I checked with mine, they said that it is a covered benefit if the Dr shows the medical necessity for it...but my surgeon has that under control ... but it still took about 3 months for everything to process and for me to complete all the pre-op stuff before I was scheduled... but I would not trade it for anything!!!