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LAP-BAND Patients
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We have our insurance thru BOEING UHC HMO, I was just denied on appeal from this plan because I did not meet their standard or 40 on the BMI, I am 38.8 with co-morbidities however since this is an exclusion on the HMO I am thinking of switching to the PPO Choice plan in November and was wondering if anyone knows if I would qualify on that plan. HELP!!!!!:help::help::help::help::help::help:
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Well, I was denied because the UHC HMO that we have thru my husbands employer doesn't cover weight los surgery. So we are thinking of changing insurance plans with UHC in November and was wondering if anyone else has run into this and which UHC plan covers it best???? Any answers and help would be appreciated! Thanks, Donna:help::help::help:
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The NIH standards are the BMI of 40 or greater or a BMI of 35 with comorbidities, which I definitely have. My PCP sent a letter with the basic overweight with health issues related and listed my medications which I take 3 dfor the diabetes, 2 for hypertension, and I for fluid retention, and a cholesteral lower med. If I don't meet the standards I don't know what does! I really appreciate all of you fellow banders and soon to be banders, you help keep up my spirits! Thanks, Donna:clap2:
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Hi, I am also having the same problem with UHC, they sent me a letter saying that I did not meet the NHI standards and I have a BMI of 38.6 and co morbidities of hypertension, high cholesteral, family history of heart disease and Diabetes II. I am waiting for my liason with the hospital to help me see if I can appeal. This is really a bummer! Donna:help:
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Hi, All you bandsters with UHC, do you mind if I ask if you have the HMO? That would be the one we have thru my husband's employer. Also how long did it take to get approval after submission. Thanks for all the info! Donna:)
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Hi Thread, I like you am 50, I have a BMI of 38.5 and preexisting conditions of diabetesII and high blood pressure, not to forget family history of heart disease. I have gotten to the point where all of my paperwork has been sent to the weight loss program at the hospital and they will submit to my insurance UHC HMO. Has anyone had any experience with getting approval from them? This is the best present you could give yourself and your family! Keep positive! Donna, ILlinois:)