United Healthcare LAP-BAND

Does United Healthcare Cover LAP-BAND Surgery?

United HealthCare of Santa Clarita will cover your LAP-BAND Surgery as long as you meet their eligibility requirements for bariatric surgery. Each United Healthcare Santa Clarita insurance policy can vary on what weight management or bariatric and gastric surgery expenses are covered or excluded, so it may be easier to have our LAP-BAND Insurance Coordinators verify your United Healthcare LAP-BAND Surgery coverage for you. Simply give us a call at 800-561-9000, or fill out our FREE LAP-BAND Insurance Verification Form. Verifying your LAP-BAND coverage is hassle-free with no obligation. Even if you don't meet your insurance policy's requirements, we can send a letter of medical necessity, request an individual need assessment and help you through the appeal process if necessary.

United Healthcare LAP-BAND Coverage

Every person has a unique set of circumstances, and every insurance policy is different, as well. United Healthcare of California’s LAP-BAND Coverage and pre-approval requirements are different for each policy and patient. A BMI (BMI) of 35 or higher is necessary for coverage, along with a medical letter of necessity. This letter should detail your previous weight loss attempts utilizing nonsurgical methods, such as diet and exercise, from the previous five or more years. You will also be required to undergo a six-month supervised nutrition program and pass a psychiatric evaluation before given coverage from United Healthcare. If your BMI is less than 40, United Healthcare may consider your entire medical profile, especially if you have weight-related medical conditions related to your weight.

United Healthcare LAP-BAND Requirements

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

  • You have a BMI of 40 or greater (about 100 pounds or more above your ideal weight for your height), or
  • Your BMI is 35 or higher, and you also suffer from weight-related medical problems, including heart 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 obese for at least five years, with provided documentation,
  • You consent to a one- to six-month supervised nutrition program.
  • Want to know if your policy with United Healthcare Insurance has LAP-BAND Surgery benefits? Please call us at 800-561-9000, 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. Formerly PacifiCare, United Healthcare offers services in Santa Clarita as UnitedHealthcare of Santa Clarita.