RachaelThomas

Aww thanks girl!! I just now saw this. I love that fact that we met on here and have become such good friends. I know that I can count on you for support and vice/versa...

I am so thankful for Bariatric Pal. It is going to make this whole process alot easier!!!!

What hoops? Don't scare me. All I was told was a diet and a letter from my doctor. Were you denied initially?

Congrats! That is wonderful news!! We will be submitting in less than a week. Hopefully I will be joining you!! I am getting so nervous!!!

I have UHC Community Plan of Ohio and my last appointment is Nov the 13th. It will be my Psy evaluation. Once I complete that, they will be submitting for approval for the surgeon that. Originally, we thought I would have to do the 6 month diet but last week I was informed it was infact only 3 consecutive months (which would be 4 total weigh ins ) and so instead of having to wait til the beginning of the new year to submit I should have an answer before then. Yay!!

Apparently the standard UHC plan requires 6 months but the Community plan here was different. Its crazy to think I am almost finished. This has been a long process for sure.

I have no comorbidities but I have a BMI of 45 and I am hoping that will be enough. Hopefully I didnt go through this whole process for nothing. I was told to prepare myself for a denial initially because alot of people do not appeal and fight it. This is a major surgery. I am most definitely starting to get anxious!!! Once that is submitted it can take up to 2 weeks to hear something back from UHC. It is going to be a long month!!! But I shall remain positive!!! Best of luck to you!

Congrats on a surgery date!! That's so exciting.

I have UHC but it is a medicaid plan so that might be why our stuff is different. I am also a resident of Ohio. I just hope that it works out for you as well. Don't worry about buggin them. I will be right there along with you as soon as I can get my info submitted. I am sure that they will be sick of me before I can get a final answer. LOL I am not sure about the whole letter thing but both the surgeon and my doctor have to write notes for me.. anyways good luck!! hopefully we know something soon!

I have UHC and yesterday I found out I do not have to complete the 6 month diet ( I only had nov and dec left). Apparently, there was some miscommunication and certain UHC plans make you do the 6 month diet and so that is what they have had me doing since July. BUT my plan did not require that so I spoke with the insurance woman at the weight loss center and I was told to come back for my psy clearance on the 13th. Once I am finished with that, they will be submitting all the info the same day. She told me I have completed all of their requirements and the surgeons requirements. She has all of my medical records and I am good to go. I was told that I need a medical necessity letter from my PCP. I stopped by her office and talked to her yesterday and she will have that letter ready to go by next week. I heard it can take up to 2 weeks to hear something back. I am gettin nervous! Good Luck to you!!

I currently have UHC Community Plan of Ohio and I am having trouble figuring out what the requirements are. I have called the insurance company several times myself and all I can be told is medically necessary and that I have to do the 6 month diet. My PCP and Surgeons office called and thats all they were told, medically necessary, and a 6month diet.

I have been going to a weight loss program since July and I have completed all of the requirements on their end and the surgeons end. I just have to meet a few more times with the dietitian and nut and pcp to complete my 6 months. My last weigh in is in December. After that, they will submit an approval for the surgeon.

BUT is it really going to be that easy? I feel like I am going to get a denial.

I have a BMI of 45. I have no real comorbidities. I have gerd, pcos, depression, plantar fascitis, and hip problems. I just feel like because this is a medicaid plan, it is not going to be covered. I hope that I have not been going through this whole process since July for nothing. I finally emailed these questions this morning to my insurance company hoping to finally get an answer in writing.

Any information that anyone has would be great.