diggity

My PCP came through and spoke directly to UHC. They were able to gather the correct documents and I have now been approved! My pre-op is August 23rd and surgery date is August 29th with Dr. Spiegel. :whoo::whoo::whoo:

Get your Primary Care Physician involved. They can provide the clinical documentation you need to prove that you are severely obese with co-morbidities and medically need Lap Band surgery. I'm not sure what NHI standards are though... explain? Some plans state that you must be 40 BMI or higher while others will state 35 BMI or higher with co-morbidities. Find out what the requirements are exactly. To get a straight answer call teh Care Coordination for United Health Care, 1-866-823-1807. Someone there can explain exactly what your companies stance on WLS. Good Luck!

Good news! It seems my PCP knows exactly what they need for the appeal and is faxing it to UHC on Monday. I an so excited. I really think I could have my band by the end of August. My weight has been such a struggle I can't what to be given this tool. I feel like I will have a new adult life!

Awesome Peggy1011!!! That is such good news. You have really made me feel so much better! Thanks!!!

United Health Care denieds me because of "lack of objective documentation". They cover 35 BMI or more with co-morbidities, so that isn't the issue. I have 35 BMI with Hypertension, high-cholesterol, and tons of bad family history. :help:Can anyone tell me what documentation is really needed so I can get this done ASAP?!?!? Thanks for any help!

Thank you!

Yes, if insurance denies I will self-pay, but it just wouldn't be as soon as I like. I agree and based on those health conditions my insurance may cover it. I'll just have to see at my consultation. Thanks for your response!

My bad, I just saw that...

I am curious how many of you have experienced hair loss. I have not been banded but really would like to know if this is a general problem. Thanks!

Bad news, it looks like my insurance only covers this is you have a BMI of 40 or more. I coudl have sworn when I spoke with someone early last week they said 35 or more with comorbidities...

Great, thanks for the info!

How long does it take from consultation to surgery?