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United Healthcare LAP-BAND Surgery

Does United Healthcare Cover LAP-BAND Surgery?

United Healthcare will cover your LAP-BAND Surgery as long as you meet your insurance plan’s requirements for bariatric surgery. While you can review your insurance policy package to see what weight surgery expenses are covered or excluded in California, you may find it easier to simply give our offices a call at 1-855-690-0560, or fill out our free, no obligation United Healthcare LAP-BAND Insurance Verification Form so that our LAP-BAND Insurance Coordinator can verify your United Healthcare LAP-BAND Surgery coverage for you. There is absolutely no obligation to have us verify your LAP-BAND coverage and if you don’t meet your insurance policy’s criteria, we can request an individual need assessment, send a letter of medical necessity and help you through the appeal process if necessary.

United Healthcare LAP-BAND Coverage

Just as each person is different; United Healthcare’s LAP-BAND Coverage and pre-approval criteria varies with each insurance plan and prospective patient. Prior to covering any bariatric surgery, United Healthcare requires a Body Mass Index (BMI) of 35 or greater along with a written letter describing your weight history for the last 5 years including all attempted diets, exercise and weight loss programs. You will also be required to undergo a nutritional evaluation and a psychological evaluation prior to qualifying for United Healthcare’s LAP-BAND Coverage. If Your BMI is below 40, United Healthcare will also evaluate your weight-related medical conditions prior to granting authorization for a LAP-BAND Surgery.

United Healthcare LAP-BAND Requirements

You may automatically pre-qualify for United Healthcare LAP-BAND Surgery Coverage if:

  • You are 100 pounds or more above ideal weight, or
  • You have a Body Mass Index of 40 or greater, or
  • You have a Body mass Index of 35 or greater and suffer from medical problems associated with obesity such as cardiovascular disease, mechanical arthropathy, lower extremity lymphatic or venous obstruction, hypertension, hyperlipidemia, type 2 diabetes, severe obstructive sleep apnea, coronary artery disease or pulmonary hypertension.
  • You have been overweight for at least two years, and
  • You have failed all weight-loss attempts including diets, exercise and weight loss programs.

To see if your United Healthcare Insurance Plan covers the LAP-BAND Surgery, please call us at 1-855-690-0560, or fill out our FREE, No Obligation LAP-BAND United Healthcare Insurance Verification Form and we will verify your United Healthcare coverage for you!

UnitedHealthcare was created in 1977 and is an operating division of UnitedHealth Group, the largest single health carrier in the United States. UnitedHealthcare provides healthcare insurance coverage with a nationwide network that includes approximately 632,000 physicians and health care professionals along with 5,060 hospitals.

Disclaimer: This site is not affiliated with or endorsed by Anthem and is for informational purposes only - The following UnitedHealthcare LAP-BAND guidelines have been compiled from various public sources. It is presented online for informational use only, and without warranty as to its accuracy, timeliness, or completeness. This site does not replace any official versions of the information presented, nor does inclusion on this list guarantee coverage. Please check your UnitedHealthcare policy before proceeding with your surgery.