notsuccessfulyet

What was the reason for denial? When I was denied, I called everyday and had the representative quote to me what my benefit read. Sometimes it can take up to 30 days for an answer I was told. Be persisent and you will win. Just make sure each appeal is well documented and have your doctor appeal on your behalf. It took me 3 times before I was approved. They are hoping you give up. Good luck

Hi I also have UHC with a self funded plan. The policy states you must be over 21, have a BMI of >40 with a 5year medical history of BMI> 40 or BMI of 35 + 2 co morbidies. I have the 35 BMI with 5 co morbidies and am currently on a 2 level appeal. Make sure you check the fine print of the WLS exclusions. I'm told by many that usually after the 2 level appeal they change their opinion and give you approval. Fingers crossed, I hope so. I have already done the pre op, psych eval, nutrition and surgeon consultants and pre op diet and was denied my pre cert 3 days before surgery. Thank goodness my surgeon is fighting for me. Hope you find what you need to move forward.

I'm sorry to hear about your experience with your Water aerobics instructor. I too, have been taking water aerobics for more than a year 4-6 classes a week and have not been able to lose the weight. I have to bite my tongue not to mention it to people like those at the Y who often discourage weight loss surgery. I have been denied surgery and am currently waiting on a reply to my appeal. It is very frustrating to have people look down on you after you've done the research and the work prior to your decision to try and loss the weight and finally think you've made the right choice only to be greeted with such negativity.