Coventry of North Carolina

Does anyone know what the requirements that coventry has for the bariatric surgery? I have tried to talk to them and find out what I have to go through to have the surgery and they are saying that it has to be done by the doctor to find out what the requirements are. I am hoping to have the procedure done very soon since I have several medical conditions that are affected by the excess weight.

I would be interested to know if you have found out anything since you posted this.  I am in SC and I too have Coventry.  Since its an individual plan, I found out that they do not cover WLS unless the doctor can apply for an exception, but that I would need to meet all the requirements.  Wondering what those requirements are.

I have not actually heard anything back about it, The surgeon that I am working with was telling me that coventry really did not give them much information as requirements that they have other than medical necessity. I did talk to coventry and checked my summary of benefits and it was listed as a covered service the only thing that they did not cover was weight loss programs or medications.

Have you received any updates from Coventry or your Surgeon? Did you have to do a 6 month supervised diet?