United Health Care?

[manmountain526 0]

Has anyone in Virginia used UHC for gastric bypass. My wife's company starts with this company Jan 1st. I had anthem and they required a 6 month diet program. Does UHC typically do this? I am afraid of having to start over since I lost my insurance and we have had a few months of a gap in between.

[sassyfrass23 525]

I'm from Georgia, but I too have UHC through my husband's company. They cover WLS as long as it is determined medically necessary. The 3 requirements they have are:

1- BMI greater than 40 without comorbidities or no less than 35 with at least 1 comorbidity.

2- Six consecutive months of supervised attempted weight loss with a physician. Mine allowed me to use my PCP and did not require it be through my surgeon's office.

3- Psych evaluation

Best of luck to you! The 6 months were a bummer, but I finally finished this month. Hopefully insurance will be cooperative when my paperwork is submitted. It's amazing at the hoops they require we jump through...but on the same token- it makes sense as some folks just aren't willing to comply with pre and post op instructions. So I guess I kinda see why they require these items. Doesn't mean I have to like it though