Skip to content
View in the app

A better way to browse. Learn more.

BariatricPal

A full-screen app on your home screen with push notifications, badges and more.

To install this app on iOS and iPadOS
  1. Tap the Share icon in Safari
  2. Scroll the menu and tap Add to Home Screen.
  3. Tap Add in the top-right corner.
To install this app on Android
  1. Tap the 3-dot menu (⋮) in the top-right corner of the browser.
  2. Tap Add to Home screen or Install app.
  3. Confirm by tapping Install.

Join BariatricPal free

  • Ask your own questions
  • Reply and follow topics
  • Message other members
  • No cost, no spam

UMR and Aetna Better Health of WV

So I'm confused on the insurance thing for the requirements. I have went on my insurance page and printed off the requirements and it says I must meet the following criteria: preoperative evaluation that includes a detailed weight history with dietary and physical activity and Psychosocial-behavioral evaluation OR participation in a multi-disciplinary surgical preparatory regimen. So can I choose to do the surgical preparatory regimen for 3 months or does the insurance want you to do both??? Aetna also says the same thing. I have been on the phone with my insurance company almost everyday trying to get everything figured out. I go talk to the surgeon next week to talk about everything and I would like to have my ducks in a row before going to see him.

Any help would be greatly appreciated

  • Replies 2
  • Views 3.7k
  • Created
  • Last Reply

Top Posters In This Topic

Featured Replies

I’m sure you’ve already gone to the doctor. However, I’m in WV and my surgeon gave me all the information I needed on a sheet. I have my entire surgical plan laid out.

  • 1 month later...

I also have Aetna Better Health of Virginia. I have researched the requirements a million times. I also read that it is either the 6 month physician supervised blah blah OR the 3 month multidisciplinary surgical blah blah. So it sounds like a choice RIGHT? However, when I call Aetna they say that its at the discretion of my surgeon as to what program he wants me to do. Or whatever he puts on my pre-authorization. When i went for my consultation on 6/30 he said 3 months. But no one has been able to contact my insurance for the exact requirements.

Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.

Guest
Reply to this topic...

Account

Navigation

Search

Search

Configure browser push notifications

Chrome (Android)
  1. Tap the lock icon next to the address bar.
  2. Tap Permissions → Notifications.
  3. Adjust your preference.
Chrome (Desktop)
  1. Click the padlock icon in the address bar.
  2. Select Site settings.
  3. Find Notifications and adjust your preference.