Medical evaluation that addresses endocrine disorder or other cause of excessive weight gain that might be reversible without surgery C. Absence of problems related to alcohol or substance abuse for at least one year. Great-West will deny our request for obesity surgery if this documentation is not provided, therefore we will not contact your insurance company until we receive this documentation. Aetna only covers Roux-en-Y gastric bypass. These are general guidelines. However, since it is likely that they will want this information, you can be working on gathering it now. Obesity related pulmonary hypertension.


Clinically significant asthma; or. Obesity related cardiomyopathy; or. Moderate to severe gastric esophageal reflux disease; or. Nutritional evaluation by a licensed nutritionist, dietitian or physician. Medical evaluation that addresses endocrine disorder or other cause of excessive weight gain that might. Psychological evaluation by a licensed mental healthcare professional that addresses the following: Absence of problems related to alcohol or substance abuse for at least one year.

Absence of major psychotic or disabling mental health diagnosis including mania, schizophrenia, et. Absence of compulsive or obsessive-compulsive disorder. Likelihood of willingness to comply with post-op requirements. Great-West will deny our request for obesity surgery if this documentation is not provided, therefore we will not contact your insurance company until we receive this documentation. One Health Plan is denying our request for obesity surgery if this documentation is not provided, therefore we will not contact your insurance company until we receive this documentation.

Unicare is denying our request for obesity surgery if this documentation is not provided,. Copyright Axcension, Inc. Gastric Bypass Surgery Costs. Can I Finance My Surgery? Weight Loss Surgery Quiz. Presence of morbid obesity that has persisted for at least 5 years, defined as either: Documentation of five year weight history; AND Documentation of any medication that was prescribed by a physician to assist in weight loss; AND Co-morbidities and cardiac risk factors such as smoking, hypertension, family history, etc.

BMI of 40 or 35 and higher with one or more co-morbidities for at least one year with all of the following criteria: Documentation of a 26 consecutive week 6 months professionally supervised weight loss program within the last two years. This could include programs such as Weight Watchers, or a program by a physician.

Internal Medical clearance to include a history and physical, height, weight, body frame, blood pressure readings, and lab testing. This can be done through your primary care physician. A consultation from a dietician. History and Physical from your primary care physician documenting any co-morbid conditions. Life threatening cardiopulmonary disease; or B. Disabling degenerative joint disease of the lower extremities; or C.

Type 2 diabetes mellitus; or D. Obesity related pulmonary hypertension E. Clinically significant asthma; or F. Psychological evaluation by a licensed mental healthcare professional that addresses the following: Absence of problems related to alcohol or substance abuse for at least one year.

Absence of major psychotic or disabling mental health diagnosis including mania, schizophrenia, et. Absence of compulsive or obsessive-compulsive disorder.

Likelihood of willingness to comply with post-op requirements. Great-West will deny our request for obesity surgery if this documentation is not provided, therefore we will not contact your insurance company until we receive this documentation. One Health Plan is denying our request for obesity surgery if this documentation is not provided, therefore we will not contact your insurance company until we receive this documentation. Unicare is denying our request for obesity surgery if this documentation is not provided,.

Copyright Axcension, Inc. Gastric Bypass Surgery Costs. Can I Finance My Surgery? Weight Loss Surgery Quiz. Presence of morbid obesity that has persisted for at least 5 years, defined as either: Documentation of five year weight history; AND Documentation of any medication that was prescribed by a physician to assist in weight loss; AND Co-morbidities and cardiac risk factors such as smoking, hypertension, family history, etc.

BMI of 40 or 35 and higher with one or more co-morbidities for at least one year with all of the following criteria: Documentation of a 26 consecutive week 6 months professionally supervised weight loss program within the last two years.

This could include programs such as Weight Watchers, or a program by a physician. Internal Medical clearance to include a history and physical, height, weight, body frame, blood pressure readings, and lab testing. This can be done through your primary care physician. A consultation from a dietician. History and Physical from your primary care physician documenting any co-morbid conditions. Life threatening cardiopulmonary disease; or B. Disabling degenerative joint disease of the lower extremities; or C.

Type 2 diabetes mellitus; or D. Obesity related pulmonary hypertension E. Clinically significant asthma; or F. Obesity related cardiomyopathy; or G. Moderate to severe gastric esophageal reflux disease; or H. Minimum age of Weight management history which includes all of the following: Obesity duration greater than five years.