Documenting diet history for bariatric surgery
Member must meet either criterion 1 ( physician-supervised nutrition and exercise program) or criterion 2 (multi-disciplinary surgical preparatory regimen). For adults aged 18 years or older, presence of severe obesity that has persisted for at least the last 2 years (24 months), documented in contemporaneous clinical records, defined as any of the following. BMI exceeding 50 with one or more of the following less serious comorbidities. This physician-supervised nutrition and exercise program must meet all of the following criteria. To qualify for weight loss surgery and have it covered by Aetna you must meet the criteria below. For adolescents who have completed bone growth (generally age of 13 in girls and age of 15 in boys), presence of obesity with severe comorbidities. BMI greater than 35 in conjunction with any of the following severe comorbidities.
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Besides the significantly higher food costs, medical costs are dramatically higher to those suffering from morbid obesity. Make sure you contact Aetna directly to find out if you policy includes weight loss surgery coverage. I would like a free evaluation to see if my insurance covers this procedure. Physician-supervised nutrition and exercise program: Member has participated in physician-supervised nutrition and exercise program (including dietitian consultation, low calorie diet, increased physical activity, and behavioral modification), documented in the medical record at each visit. BMI exceeding 40 with one or more of the following serious comorbidities. In Am I Covered by OC Staff November 13, 2015. However, you should note that most Aetna HMO and QPOS plans exclude coverage of surgical operations for the treatment of obesity unless approved by Aetna. Another good reason to have surgery is that our patients have told us that weight loss surgery can reduce your monthly food bill as much as 50% or more. I would like to schedule an appointment about this procedure.
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