dlp712 11 Posted May 5, 2016 Does anyone have this kind of insurance and their process on getting approval Sent from my iPhone using the BariatricPal App Share this post Link to post Share on other sites
jabraham 74 Posted May 6, 2016 6 months Dr supervised diet. 5% body fat loss. Psychological evaluation. It took me 1 full year from start till surgery, best of luck! Sent from my iPhone using the BariatricPal App Share this post Link to post Share on other sites
lmwilla 21 Posted May 11, 2016 I also have UHC Choice Plus and I did not have to complete a supervised diet or have a weight loss. I had to have a BMI of 35-39.99 with at least 1 co-morbidity or a BMI 40+ with no co-morbidity, had to have a psych evalulation, have to use a center of excellence for surgeon, be enrolled in the program with Optum and be in contact with a case manager and a psych nurse. That was it for insurance guidelines. For my surgeon I had to attend an informational seminar, 1 nutritionist appointment, 1 support group, and my consultation. I didn't have to see a pulmonologist or cardiologist as my surgeon didn't feel I needed it. I made my first phone call to start the process on March 1, 2016 and my file was submitted to insurance on 04/28/2016. I should hear back either today or tomorrow from insurance :-) I really think the guidelines are set by employers and their agreements with insurance companies. Good luck! Share this post Link to post Share on other sites
UCLA man 101 Posted May 28, 2016 I have United Healthcare Choice Plus and required a 6 mo medically supervised diet. I was never told that there was a weight loss requirement by UHC. I really didn't lose much weight at all in my opinion, 14 pounds on a 320 pound man. My BMI was slightly over 40 but I have 2 co-morbidities. I went with United Healthcare preferred provider....."Center of Excellence" was more accurately a 'Center of Errors' Surgery was ten days ago so it took 8 1/2 from starting the process. The process was very frustrating at times and made me very angry on several occasions. But the Optum case manager was really on my side and helped during the difficulties. Hope this helps and best wishes! Share this post Link to post Share on other sites
transmformme 26 Posted May 28, 2016 I have it but my policy has an exclusion. Share this post Link to post Share on other sites
mrz.mott 42 Posted June 1, 2016 I also have UHC Choice Plus and I did not have to complete a supervised diet or have a weight loss. I had to have a BMI of 35-39.99 with at least 1 co-morbidity or a BMI 40+ with no co-morbidity, had to have a psych evalulation, have to use a center of excellence for surgeon, be enrolled in the program with Optum and be in contact with a case manager and a psych nurse. That was it for insurance guidelines. For my surgeon I had to attend an informational seminar, 1 nutritionist appointment, 1 support group, and my consultation. I didn't have to see a pulmonologist or cardiologist as my surgeon didn't feel I needed it. I made my first phone call to start the process on March 1, 2016 and my file was submitted to insurance on 04/28/2016. I should hear back either today or tomorrow from insurance :-) I really think the guidelines are set by employers and their agreements with insurance companies. Good luck! I had the same requirements. I my the call to the insurance company informed February, my consultation was March 16, and I've completed the nut and psych visits, but the insurance company told the surgeons office that I required 6 months of visits. I hate getting mixed information. Sent from my SM-N920P using the BariatricPal App Share this post Link to post Share on other sites