Hi all!! I am newly starting this process and have a few questions. I spoke to my insurance company (UHC) and found out their requirements beyond BMI requirements and they are:

1. Surgery must be completed at a COE (center of excellence

2. Have to have a psych appointment

I see so many having supervised diets and NUT. I am wondering if any of that is the surgeons requirement? What is typical for surgeon requirements?

I go to my informational session on Friday, after that I can schedule with the surgeon.

Thank you

Sent from my iPhone using the BariatricPal App

My sleep study was like $2000 billed to insurance.

Sent from my iPhone using the BariatricPal App

Ouch! Do you know how much of that charge you will pay out of pocket PaulDaniel? After further reading, the booklet they sent home with me from the seminar, is saying there is a small possibility I may be tested for this still.

Sent from my LG-E980 using the BariatricPal App

At your info, they should gave u info on what surgeon requires. They are all diff. I have changed surgeons and hospitals. ..first one required endoscopy for example, this one requores chest xray. Some require sleep study, ekg....they all require blood work.

Sent from my SM-G900V using the BariatricPal App

Most of it is covered by insurance

Sent from my iPhone using the BariatricPal App

2goldengirl, how much did it cost you and did you also have to buy a machine?

Sent from my LG-E980 using the BariatricPal App

The sleep study didn't cost me anything, it was completely covered by insurance. I have a 20% copay for DME, so the copay for the machine and supplies ran about $80 for the first three months.

Edited March 20, 201610 yr by 2goldengirl

@Imwilla,

Some surgeons require a nutritionist and supervised diet, others don’t. Some health insurance plans require it, some don’t. It’s not a red flag or anything if you don’t have that as a requirement for reimbursement. You can always ask for a longer term pre-op plan as a substitute for a supervised diet if you want to test yourself and make sure you’ll do okay post-op. Good luck!

My hubby and I are going through this together. mine is covered and I am required to do the six monthly visits, three exercise visits, one psych evaluation, sleep study, letter from my primary care, nutritional visits till I'm cleared by the NUT, watch educational video series online, seminar, surgery class, meet with surgeon, and lose a certain amount of weight. Hubby is self pay and he has to do three exercise, psych evaluation, nutrition visits till cleared, same videos, same surgery class, meet with surgeon and lose weight. No six month visits, otherwise close to the same. And we can't do stuff together, they require our own appointments.

We are going to appeal his insurance so his stuff may change. Hoping to get sleeved in September, start my new life!

Sent from my iPad using the BariatricPal App