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United Healthcare choice plus 6 month diet requirements



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Hello everyone. I'm new to this and am very nervous about this whole thing. I have been seeing my primary doctor for years about my weight and have tried numerous diets and pills thru my doctor. I have UMR for insurance but they go by the United healthcare choice plus guidelines for bariatric surgery. I have received different answers from different representatives through my insurance place regarding the 6 month diet requirements. Does it need to be consecutive? How far back can those 6 months go? Does it have to be doctor supervised or can I show weight watchers logs? My surgeon office initially told me it doesn't have to be consecutive and can go back 2 years. But I was just doing some reading and saw that some people with this same plan had to have consecutive visits and within the 6 months prior to the authorization being sent in.

Does anyone have any experience with this?

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7 hours ago, GG33 said:

Hello everyone. I'm new to this and am very nervous about this whole thing. I have been seeing my primary doctor for years about my weight and have tried numerous diets and pills thru my doctor. I have UMR for insurance but they go by the United healthcare choice plus guidelines for bariatric surgery. I have received different answers from different representatives through my insurance place regarding the 6 month diet requirements. Does it need to be consecutive? How far back can those 6 months go? Does it have to be doctor supervised or can I show weight watchers logs? My surgeon office initially told me it doesn't have to be consecutive and can go back 2 years. But I was just doing some reading and saw that some people with this same plan had to have consecutive visits and within the 6 months prior to the authorization being sent in.

Does anyone have any experience with this?

Go on line and look up their guidelines. Print a copy to study. That is the only way you will know for sure. My plastic surgeon told me blephoplasty was NOT covered by my insurance and I would have to pay out of pocket. Now it turns out my insurance DOES cover it, but needs visual field testing by an eye doctor first. This is what I read for myself, but the doc insisted the plan had changed. He was wrong! Now I have to start from the beginning since the procedure was denied, lacking the documentation. Doctors do NOT always know the details of YOUR plan. You have to look this up for yourself.

Edited by AZhiker

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