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- WALTER’S BLOGA blog authored by Walter Lindstrom, President of Lindstrom Obesity Advocacy, focusing primarily on bariatric surgery and obesity treatment insurance issues.
Pending final editorial re-writing, the Blue Cross Blue Shield Technology Evaluation Center appears poised to “endorse” the concept of gastric bypass surgery as a treatment for type 2 diabetes in people who are not morbidly obese. The ramifications are, in my mind, monumental
In its November 2012 “Medical Policy Update Bulletin” UHC announced their Coverage Determination Guidelines for Bariatric Surgery are being revised effective December 1, 2012. You can access the full new Coverage Rationale at www.unitedhealthcareonline.com. Once you are on that site open the pdf file entitled …
“Please understand that we are your health insurance plan – – we have special training in providing misinformation, acting incompetently, being argumentative and showing a complete lack of compassion or interest in your health. Now having said that . . . . . .How Can I Not Help You Today?”
At the time her doctor submitted the preauthorization request for a RNY gastric bypass, this 43 year old female patient had already completed a supervised diet and received her nutritional, psychological and medical clearances . . . just like Aetna’s medical policy (0157) requires. Easy …