Common use of Morbid Obesity Surgery Clause in Contracts

Morbid Obesity Surgery. The plan covers surgical treatment of morbid obesity provided all of the following are true: • You have a minimum Body Mass Index (BMI) greater than 40 kilograms per meter squared, or equal to or greater than 35 kilograms per meter squared with one of the following co-morbid conditions: ▪ Hypertension; ▪ A cardiopulmonary condition; ▪ Sleep apnea; or ▪ Diabetes. • You must enroll in the Optum Bariatric Resource Services (BRS) program, a surgical weight loss solution for those individual(s) who qualify clinically for Morbid Obesity Surgery. Covered participants seeking coverage for bariatric surgery should notify Optum as soon as the possibility of a bariatric surgery procedure arises (and before the time a pre-surgical evaluation is performed) at a bariatric surgery center by calling Optum at (000) 000-0000 to enroll in the program. • You have completed a multi-disciplinary surgical preparatory regimen, which includes a psychological evaluation. • You have a 3-month Physician supervised diet documented within the last 2 years.