Cayden'sMa

Hi! I'm new to the site and was wondering if anyone has dealt with United Healthcare (Caterpillar)? I've been to see the surgeon and after talking with the adminstration was told that in order for United Healthcare to pay, I would have to have five years of documentation along with a BMI of 40. So, I'm guessing, I'm already going to be denied, since my BMI has never been 40. Has anyone ever been denied because their BMI was 39 and not 40? Thank you!:confused2:

:frown:Melisa1, sorry for the delay in response. I just received my denial today. Now I don't know what to do. I was told that my bmi hasn't been 40 or over for 5 years. I'm sooo upset. 5 years ago, my bmi was 36. I do have high blood pressure however, and COPD. I believe the letter from my doctor also listed joint disease. Probably what scares me the most is my mom passed from complications of diabetes, and all 3 of my brothers have diabetes. Although, I don't have it yet, my blood sugar levels are slowly creeping up. It seems if I lose a pound, I gain 5. Hope you have better luck!

Hi csmith1612! I see you work at Caterpillar. Can you tell me what you needed to get approved? My BMI is 39, I have hypertension, COPD, elevated lipids and probably more that I'm not thinking of. Any insight would be greatful! I've been too Dr. Marshall (not so sure that's who I want to use though). Haven't heard anything from my insurance.