Level III: Members who have a BMI of 30 or greater are eligible for reimbursement of the cost of non-surgical weight loss programs up to $1,000 lifetime maximum ...

In adults age 18 years or older, bariatric surgery using one of the procedures identified above for treating obesity is proven and medically necessary when ...

15 мая 2013 г. · history in order to meet medical necessity criteria for HOME video monitoring. GASTRIC BYPASS (Bariatric Surgeries). CPT 43620-43634 &/or ...

Medical Necessity: UMR generally requires bariatric surgery to be deemed medically necessary for the individual's health and well-being. This determination is ...

1 февр. 2024 г. · Coverage Rationale. Revised list of proven and medically necessary indications for treating obesity; removed “vertical banded gastroplasty”.

Common Insurance Requirements for Bariatric Surgery · BMI (body mass index) of 40 or above · BMI between 35 and 39.9 with comorbidities such as hypertension, ...

Pre-Approval Requirements for Weight Loss Surgery with United Healthcare · You need to have a BMI exceeding 40 without any comorbidities, · You need to have a BMI ...

1 июл. 2020 г. · PEIA will use this policy with the following exceptions: 1. Members must be 18 years of age or older to qualify.

• Weight loss programs. • Dental care (Adult). • Private-duty nursing ... Bariatric surgery (Tiers 1 & 2 only). • Hearing ... requirement that you have health ...

• Cosmetic surgery. • Long-term care. • Routine foot care. • Dental care (Adult). • Non-emergency care when traveling outside the U.S.. • Weight loss programs.