Does United Healthcare Cover Gastric Sleeve Surgery?
Yes, United HealthCare of California will cover your Gastric Sleeve Surgery as long as your insurance plan's requirements for bariatric surgery are met. Each United Healthcare California insurance policy can vary on what weight management or bariatric and gastric surgery expenses are covered or excluded, so it may be easier to have our Gastric Sleeve Insurance Coordinators verify your UnitedHealthcare Gastric Sleeve Surgery coverage for you. Simply give us a call at 1-855-690-0559 or fill out our FREE Gastric Sleeve Insurance Verification Form! Verifying your Gastric Sleeve coverage is hassle-free with no obligation. Even if you don't meet your insurance policy's requirements, we can send a letter of medical necessity, request an individual need assessment and help you through the appeal process if necessary.
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United Healthcare Gastric Sleeve Coverage
Every person is different, and so is each insurance plan; United Healthcare of California’s Gastric Sleeve Coverage and pre-approval requirements vary with every insurance policy and potential patient. United Healthcare reviews each case individually, so be fully prepared and informed prior to approaching your insurance provider.
Part of determining if United Healthcare covers gastric sleeve is establishing that you have a Body Mass Index (BMI) of 35 or greater. Then, a written letter detailing all prior attempts at weight loss programs, including diet and exercise, over the last 5 years may be required by United Healthcare prior to covering any bariatric procedure. You may also be required to undergo a 6 month supervised diet (nutrition evaluation) and a psychiatric evaluation prior to qualifying for United Healthcare’s Gastric Sleeve Coverage in California. If Your BMI is below 40, United Healthcare will also consider all medical issues and problems related to your weight prior to authorizing coverage of your Gastric Sleeve Surgery.
United Healthcare Gastric Sleeve Requirements
You may automatically pre-qualify for United Healthcare Gastric Sleeve Surgery Coverage if:
- You are 100 pounds or more above ideal weight, or
- You have a Body Mass Index of 40 or greater, or
- You have a Body Mass Index of 35 or greater and suffer from medical problems associated with obesity such as cardiovascular disease, mechanical arthropathy, lower extremity lymphatic or venous obstruction, hypertension, hyperlipidemia, type 2 diabetes, severe obstructive sleep apnea, coronary artery disease or pulmonary hypertension.
- You have been overweight for at least two years, and
- You have been unsuccessful at all weight-loss attempts including diets, exercise and weight loss programs.
UnitedHealthcare was created in 1977 and is an operating division of UnitedHealth Group, the largest single health carrier in the United States. UnitedHealthcare provides healthcare insurance coverage with a nationwide network that includes approximately 855,000 physicians and health care professionals along with 6,100 hospitals. Formerly PacifiCare, United Healthcare offers services in California as UntiedHealthcare of California.
Other insurance carriers
- Does Blue Cross/Blue Shield cover gastric sleeve?
- Does Humana Healthcare cover gastric sleeve?
- Does Cigna cover gastric sleeve?
- Does Aetna cover gastric sleeve?
Disclaimer: This site is not affiliated with or endorsed by United Healthcare and is for informational purposes only - The following United Healthcare Gastric Sleeve guidelines have been compiled from various public sources. It is presented online for informational use only, and without warranty as to its accuracy, timeliness, or completeness. This site does not replace any official versions of the information presented, nor does inclusion on this list guarantee coverage. Please check your United Healthcare policy before proceeding with your surgery.