While many United Healthcare Summary Plan Descriptions and Certificates of Coverage explicitly exclude coverage for weight loss surgery, many plans do cover surgery. In fact, some states require insurance companies to cover weight loss surgery, so even if your policy excludes it, if your state mandates coverage you may be in luck! United Healthcare’s pre-approval criteria for surgery The following criteria must be met to receive coverage: Class III Obesity (Body Mass Index greater than 40) Class II Obesity (Body Mass Index greater than 35) with one or more of the following co-morbidities: Cardiovascular disease (such as hypertension, stroke, angina) Severe sleep apnea or other life threatening cardiopulmonary conditions For fully insured policies in Maryland: A Body Mass Index above 40 without comorbidities, or A Body Mass Index of 35 or greater with comorbidities including: Any other life threatening medical condition that is weight-induced.

You must show proof that you’ve followed diets but were unsuccessful losing weight long term. These can include Jenny Craig, Weight Watchers, etc. In the last two years you must have participated in: One structured diet program for 6 consecutive months; French White Lace Curtains Two structured diet programs for 3 consecutive months.Digital Camera Fell Into Water 18 years of age or olderDark Green Cafe Curtains Which weight loss surgeries are covered by United Healthcare? Lap Adjustable Gastric Bands (i.e. Lap Band or Realize Band Surgery) Gastric Sleeve Procedure (also known as laparoscopic sleeve gastrectomy) Biliopancreatic bypass (Scopinaro procedure) The following procedures are covered in adolescents:

Are lap gastric band fills covered? Lap gastric band fills are covered for those patients that undergo Lap Band or Realize Band surgery. What procedures are not covered? Is a second weight loss surgery covered if lap band doesn’t work?Assuming the same conditions to qualify for the original procedure are still met. What if there is a problem? What if I don’t lose weight? If you have a complication related to the surgery United Healthcare will cover any related procedures or hospital stay. If you do not lose weight and you still meet the original criteria for coverage a second procedure will be covered. Does United Healthcare require a Center of Excellence? As far as we can tell, no. But, by choosing an in-network surgeon, you will save on your out-of-pocket expenses. United Healthcare’s contact information United’s contact information is arranged by state. Click here and select your state. United Healthcare’s weight loss surgery full coverage statement

United Healthcare’s full statement of coverage can be found here.I had gastric bypass in 2009 and lost a total of 185 pounds. Due to the excessive weight loss I now have excess skin. I saw a few surgeons and explained to them the necessity of having the excess skin removed. They submitted a medical necessity letter and with all the required info. Oxford Health denied me the first time and I appealed. They denied me a second time because they felt that losing 185 pounds was not enough. Although this excess skin is irritating and personal hygiene is an issue, they still denied me. What to do next? This is becoming a major issue.Simply click here to return to Health Insurance Appeal Letter & The Appeals Process – All You Need to Know.We are delighted that you are taking the first step toward improving your health by decreasing your weight and living a healthier lifestyle. Oxford Surgical and Bariatric Clinic is a professional medical office that specializes in the care and treatment of weight loss.

Our Clinic provides a medically supervised weight loss program based on the latest scientific research at a price that is affordable. Our staff is dedicated to giving our patients the care...This site is best viewed with a modern browser. You appear to be using an old version of Internet Explorer. Oxford Bariatric Service (OBS) Oxford Bariatric Service - with you every step of the way We are based at the Churchill Hospital in Oxford and carry out all aspects of weight loss and metabolic surgery (bariatric surgery) including: primary and revisional surgical procedures We are a team of dedicated surgeons, nurses, dietitians, psychologists, anaesthetists and physicians, who are passionate about providing exceptional care which we can tailor to meet your individual needs. You can find more information about our team here Our close-knit team has strong professional links with other specialties within the Oxford University Hospitals, enabling us to optimise your health prior to and after surgery.

Assessment and pre-surgery preparation We feel that preparation for surgery is the key to success, and we offer 1:1 appointments as well as a range of group sessions to provide you with the opportunity to discuss surgery, the risks and benefits, as well as the long-term implications of the different surgical procedures. At our assessment clinic you will have the opportunity to meet our team, and we look forward to meeting you there to ensure that bariatric surgery is the right option for you. We offer a range of laparoscopic surgeries, including: Our service can also perform revisional procedures as required. Weight loss and metabolic surgery (bariatric surgery) is a tool to help you lose weight and improve your health. We will work with you for two years after surgery, to help you make changes to your diet and lifestyle to get the most benefit. For more information, or to attend one of our information seminars, please contact: Secretary to Mr Sgromo