United Healthcare Covers Bariatric Surgery

For individuals struggling with obesity, bariatric surgery can be a life-changing solution. However, the cost of such procedures can be prohibitive, making it inaccessible to many. Fortunately, United Healthcare, one of the largest health insurance providers in the United States, covers bariatric surgery for eligible patients. In this article, we will delve into the details of United Healthcare's coverage for bariatric surgery, including the types of procedures covered, the eligibility criteria, and the benefits of this coverage.

Key Points

  • United Healthcare covers various types of bariatric surgery, including gastric bypass, sleeve gastrectomy, and gastric banding.
  • Eligibility criteria include a body mass index (BMI) of 40 or higher, or a BMI of 35 or higher with at least one related health condition.
  • Coverage may vary depending on the specific United Healthcare plan and the patient's individual circumstances.
  • Bariatric surgery has been shown to be an effective treatment for obesity, with significant weight loss and improvements in related health conditions.
  • United Healthcare's coverage of bariatric surgery is subject to certain requirements, including pre-approval and participation in a weight loss program.

Types of Bariatric Surgery Covered by United Healthcare

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United Healthcare covers various types of bariatric surgery, including gastric bypass, sleeve gastrectomy, and gastric banding. Gastric bypass surgery, also known as Roux-en-Y gastric bypass, involves creating a small stomach pouch and rerouting the small intestine to promote weight loss. Sleeve gastrectomy, on the other hand, involves removing a large portion of the stomach, leaving a narrow sleeve-like stomach. Gastric banding involves placing an adjustable band around the upper part of the stomach to create a small pouch, restricting food intake.

Eligibility Criteria for Bariatric Surgery Coverage

To be eligible for bariatric surgery coverage under United Healthcare, patients must meet certain criteria. These criteria include a body mass index (BMI) of 40 or higher, or a BMI of 35 or higher with at least one related health condition, such as type 2 diabetes, high blood pressure, or sleep apnea. Patients must also have attempted to lose weight through other means, such as diet and exercise, and have been unsuccessful. Additionally, patients must undergo a comprehensive evaluation by a healthcare provider to determine their suitability for bariatric surgery.

ProcedureDescriptionCoverage
Gastric BypassRoux-en-Y gastric bypassCovered
Sleeve GastrectomyRemoval of large portion of stomachCovered
Gastric BandingAdjustable band around upper stomachCovered
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💡 It's essential to note that coverage for bariatric surgery may vary depending on the specific United Healthcare plan and the patient's individual circumstances. Patients should consult with their healthcare provider and review their policy documents to determine the extent of their coverage.

Benefits of Bariatric Surgery Coverage

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Bariatric surgery has been shown to be an effective treatment for obesity, with significant weight loss and improvements in related health conditions. Studies have demonstrated that bariatric surgery can lead to a reduction in BMI, as well as improvements in blood sugar control, blood pressure, and lipid profiles. Additionally, bariatric surgery has been shown to reduce the risk of obesity-related complications, such as heart disease, stroke, and certain types of cancer.

Requirements for Bariatric Surgery Coverage

To receive coverage for bariatric surgery under United Healthcare, patients must meet certain requirements. These requirements include pre-approval from United Healthcare, as well as participation in a weight loss program. Patients must also undergo a comprehensive evaluation by a healthcare provider to determine their suitability for bariatric surgery. Additionally, patients may be required to attend counseling sessions or support groups to help them prepare for and recover from the surgery.

In conclusion, United Healthcare's coverage of bariatric surgery provides eligible patients with access to a life-changing treatment for obesity. By understanding the types of procedures covered, the eligibility criteria, and the benefits of this coverage, patients can make informed decisions about their healthcare. It's essential to consult with a healthcare provider and review policy documents to determine the extent of coverage and to ensure that all requirements are met.

What types of bariatric surgery are covered by United Healthcare?

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United Healthcare covers various types of bariatric surgery, including gastric bypass, sleeve gastrectomy, and gastric banding.

What are the eligibility criteria for bariatric surgery coverage under United Healthcare?

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Patients must have a BMI of 40 or higher, or a BMI of 35 or higher with at least one related health condition, and must have attempted to lose weight through other means.

What are the benefits of bariatric surgery coverage under United Healthcare?

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Bariatric surgery has been shown to be an effective treatment for obesity, with significant weight loss and improvements in related health conditions.

Meta Description: United Healthcare covers bariatric surgery for eligible patients, including gastric bypass, sleeve gastrectomy, and gastric banding. Learn about the eligibility criteria, benefits, and requirements for coverage.