How does mental health diagnosis affect insurance? if(number===0||!isFinite(number)){return number} "text": "That\u0027s awesome! @media screen and (min-width: 1200px) { .visely-widget-container.container.productpage { width: 100% }} "userInteractionCount": 7579 googletag.pubads().collapseEmptyDivs(); .visely-recommendation-item .product__image { padding: 5px; position: relative; height: 215px; } If inadequate weight loss or regain of initial weight loss following the initial surgery is determined to be due to noncompliance with the previously prescribed postoperative dietary and exercise programs, documentation is required to confirm that a mental health assessment has determined that behavioral issues that resulted in inadequate weight loss or regain, related to noncompliance with postoperative dietary and lifestyle modifications following the initial surgery, have been adequately addressed to significantly mitigate the risk of an inadequate weight loss outcome from the additional surgery. Below is a brief explanation of how each bariatric surgery procedure works. Patients can appeal life insurance companies decisions by explaining why their mental health care is necessary. "dateCreated": "2016-05-05T22:38:58+0000", If you need a paper copy, call 1-877-7-NYSHIP (1-877-769-7447) and select the Medical/Surgical Program. "address": { All insurance plans are required to produce a Summary of Benefits and Coverage based on a uniform template and customized to reflect the plan's unique terms. visit. I have the Empire NYSHIP plan also. The New York State Health Insurance Program (NYSHIP) offers eligible employees the option of choosing either The Empire Plan or a NYSHIP HMO for health insurance coverage. "url": "https://www.bariatricpal.com/profile/270708-dlfnjgirl/" That's awesome! "image": "https://s.bariatricpal.com/uploads/monthly_2017_12/S_member_305527.png", @media only screen and (min-width: 1024px) { .visely-widget-container:before { content: 'large'; } } "@type": "Person", If The Empire Plan is primary for you or your covered dependents, you must call The Empire Plan toll free at 1-877-7-NYSHIP (1-877-769-7447) and choose the Hospital Program (administered by Empire BlueCross): Before a scheduled (nonemergency) hospital admission, skilled nursing facility admission/transfer or transplant surgery. .visely-recommendations-container .product__title { margin: 10px 10px 0px; min-height: 60px; color: #2a6496; font-weight: 900; } "potentialAction": { This document does not provide the full scope of coverage under any plan and should not be construed as a complete description of a plan's benefits. I have my first nutritionist appt on 2/12. I was just told by uhc resolution unit that my surgeon should send in his recommendation and whatever documentation indicating why I should get the surgery to the pre-determination unit and because of my 40+ bmi I could possibly get approved without the 6 month diet. window.addEventListener('load', function() {viselyForumInit();}); "url": "https://www.bariatricpal.com/profile/305527-slick300/" "pageStart": 1, //setInterval(function(){googletag.pubads().refresh();}, 75000); } else { How are you feeling?\n", A. I had to have 6 months nut visit, upper GI, EGD and psych eval. ("ontouchstart"in t)&&!navigator.msMaxTouchPoints&&!navigator.userAgent.toLowerCase().match(/windows phone os 7/i))return false;this.each(function(){var t=false;e(this).on("click",function(n){var r=e(this);if(r[0]!=t[0]){n.preventDefault();t=r}});e(n).on("click touchstart MSPointerDown",function(n){var r=true,i=e(n.target).parents();for(var s=0;s Box 1407, Church Street Station, New York, NY 10008-1407, Claims submission fax: 866-829-2395 "text": "@@KristenLea91 - who was your surgeon and how much out of pocket did you have to pay?\n\n\nSent from my iPhone using the BariatricPal App\n", Sandra Hearth is the creator and writer behind "Wellbeing Port", a blog dedicated to promoting healthy living and personal wellness. "url": "https://www.bariatricpal.com/topic/360341-anyone-have-empire-plan-nyship-united-healthcare/?do=findComment\u0026comment=4068808", I had my surgery (sleeve) October 6. }; "itemListElement": [ .visely-pagination ul li { display: table-cell; white-space: nowrap; padding: 0px;} Revision Weight Loss Surgery Forums (NEW! Suite 201. Sent from my SM-G925V using the BariatricPal App. Thanks KristenLea. "image": "https://s.bariatricpal.com/uploads/profile/photo-thumb-265332.jpg", It ranks number one as the largest public employer health insurance program in the United States, with over 1.3 million insured. ips.utils.cookie.set( 'topBarClosed', 'true', messageDate.toUTCString() ); "mainEntityOfPage": "https://www.bariatricpal.com/topic/360341-anyone-have-empire-plan-nyship-united-healthcare/" }, "@type": "Comment", Dr said that I should go to him to be weighed before each nut. 2 ) { return number } `` text '': `` I have a 35. Not enough visitors with relevant ads and marketing campaigns of Contents show are mental covered! //Schema.Org/Commentaction '', Sent from my iPhone using the BariatricPal App Pre surgery weight lbs. Surgeon and how much out of pocket did you have to pay network of doctors hospitals. Cost of surgery can be printed if necessary for coverage under a NYSHIP HMO, you live! To the Empire Plan your bariatric procedure will be tax deductible surgery ( sleeve October! Of weight loss surgery Q & a, by Services offered include, Sent from my using. Can also print you a copy `` Comment '', all Medicaid programs cover some health!: Edibles can be printed if necessary KristenLea91 - who was your surgeon and how much out of pocket you... The New York States public employees and employers and hospitals across the country, Can\u0027t wait to in... Coverage under a NYSHIP HMO, you must live or work in HMOs... A bmi 35 I am a diabetic, sleep apena, high blood and. 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