Tosha-248

I just found out my doctor's office did not submit my paperwork yet and they had it since 8/1/16 Sent from my LGLS992 using the BariatricPal App

No news is good news Sent from my LGLS992 using the BariatricPal App

Hey Brandi how are you doing? Sent from my LGLS992 using the BariatricPal App

Glad to see everyone is working hard on there success Sent from my LGLS992 using the BariatricPal App

@@LoveAlwaysKia Congrats on your 1st day to a new found you I wish you more happy days to come. Sent from my LGLS992 using the BariatricPal App

Good luck with your happy new life please keep us all informed on your success and new found adventures. Sent from my LGLS992 using the BariatricPal App

I hope everything goes well. Sent from my LGLS992 using the BariatricPal App

@@perksgirl I'm in Michigan I just hope with the 1 year diet documentation and psych evaluation and high BP and pre diabetes that they approve me Sent from my LGLS992 using the BariatricPal App

I have UHC also and my paperwork was submitted on Tuesday 8/2/16 but I was required to do 1 year weight loss supvisor diet Sent from my LGLS992 using the BariatricPal App

Good luck to everyone it will be well worth it Sent from my LGLS992 using the BariatricPal App

I understand that everyone needs some type of help and i just like others have medicaid with either molina, meridian, total healthcare, harbor health, United healthcare or etc etc etc.... but when you call and give them you insurance id number and they ask you your basic info name, dob, address, phone and etc etc.... they say what can i help you with today and sooooooon as you say i'm calling to get Bariatric Surgery requirements and all you hear in the back ground is smaaaccckkkk like you irritating them this is there job and they suuucckkk at it so bad then she says well you will need to have a prior authorization form and then when approved we can give you more information then you say i understand that but i just want to know the next step so i can better prepare myself and make sure my primary care physician is on the same page so next the rep says well if your doctor is referring you to weight loss surgery then they should be informed and up to date or you need to seek a new doctor and if you are approved you need find a surgeon and ask him for a new pcp to help guide you through the process so i'm already upset because i had insurance through my job that i was paying for but i was told i qualified for the health market insurance with Department of Human Services so i figured that money could go to my kids and get the free insurance instead of 300.00 a month but with the attitudes you get from the customer service reps with they put the state health card id number in is horrible they act like it comes out there pocket this is another reason why its so many people sick out here they refuse to ask for help because the insurance reps do a crappy job at answering question there upper management needs to call and act like a customer and start firing there reps or put them in a new training class on how to help people instead of how to piss the customer off because if we as the customer knew the information we would not call but i'm sorry to be so long and not get grammer but i was pissssed and upset and need to vent i rather pay and not deal with insurance my Blood pressure has went up 180/118 im on two bp meds and Water pills and i cant believe i let this woman get me mad today

Insurance Carrier Medically Supervised Diet Diet History Notes Aetna 6 Months OR 3 Months 2 Years 6 Months-nutrition and exercise OR 3 Months-dietician, primary care physician & exercise regimen Blue Care Network 6 Consecutive Months (180 days) 2 Years BMI ≥50 criteria for diet waived Blue Care Network Advantage Documented unsuccessful with medical treatment for obesity 2 Years At least one co-morbidity related to obesity Blue Cross Complete (Medicaid ***) 6 Months Current (Greater than or equal to 6 months) BCBS MI & BCBS Messa 6 Consecutive Months (180 days) 4 Years BMI ≥50 criteria for diet waived BCBS Out of State Contact Insurance Plan 2 Years Champ VA Failed attempts-non surgical medical treatment 2 Years Cigna 3 Consecutive Months 1 Year Cofinity Contact Insurance Plan Connect Care 3 Months 2 Years Health Alliance Plan (HAP) 6 Months 2 Years BMI ≥50 criteria for diet waived HealthPlus (*** and PPO) 6 Months 2 Years (Unless deemed High Risk with co-morbid diagnosis) Medicaid (Straight) What efforts have been taken for weight reduction 2 Years Documented medical diagnosis that may be life threatening as result of obesity Medicare Documented unsuccessful with medical treatment for obesity 2 Years At least one co-morbidity related to obesity McLaren Health Plan 6 Consecutive Months. Food & Exercise Journal Current Showing a consistent weight loss with no weight gain Molina-Medicaid 12 Consecutive Months 2 Years Showing a consistent weight loss with no weight gain Priority Health Commercial 6 Months with 12 Months (waived if BMI is > 50) 1 Year Accept commercial, PPO & Medicare only (Not contracted with Medicaid Priority Hlth) Total Health Care-Medicaid 12 Consecutive Months 1-2 Years Counseling with Psychiatrist 6-9 months and 6-9 months nutritional counseling Tricare (Standard & Prime) Prime ***-6 Months Standard-Not Specific 1 Year Sleeve is now covered effective 9/2014 United Healthcare Commercial 6 Months (not specific with consecutive) Current Check Benefits. We do not accept Optum Health through United Health Care United Healthcare Great Lakes-Medicaid 12 Consecutive Months 2 Years Showing a weight loss and no weight gain [*]Bariatric Center [*]Getting Started [*]Insurance [*]Prepare for Surgery [*]Attend a Seminar [*]Life and Success After Surgery [*]Bariatric App [*]Newsletter [*]Meet Our Team [*]Contact Us [*]

Good luck and I wish you a speedy recovery

Congratulation on everything your doing a great job

Thanks I will

Well your doing a great job now and I thank you for your help and good luck with surgery and keep everyone up to date when you can

Thanks I had that one already but it doesn't give e hat state or if it qualifies all UHC OR UHC choice or UHC Plus thanks Bethany for evening so kind. Did you have your surgery yet?

Michigan

United health care have about 3 or 4 different plans connected

Thanks also do you or anyone have united health care community plan requirements

Thanks MollyF22 i'm just going to wait it out it until March 2016 and start all over they have changed my insurance 4 times because the county has stop covering different insurance so i have been push from one to another but i will try again and i will keep my head up thanks again

Congratulation on your new self

Ok thank you very much

did you do a straight 6 months supv diet or a gap diet 3 months here then skiped two months and did another 3months

What Criteria Must A Person Have Before United Healthcare Pays For The Bariatric Surgery The criteria below will need to be met for coverage to be approved: Class 3 Obesity or 40+BMI (Body Mass Index) Class 2 Obesity of 35+BMI with any of the three following conditions: - Cardiovascular disease - Life-threatening cardiopulmonary or severe sleep apnea - Type 2 diabetes MARYLAND REQUIREMENTS FOR COMPLETELY INSURED POLICIES 40+ BMI without any health conditions 35+BMI with the following conditions - Hypertension - Diabetes - Sleep apnea - Cardiopulmonary condition - Life-threatening weight-induced medical condition Proof that you have done diets but were not successful – Weight Watchers, Jenny Craig, etc. – for the last two years: - Participated in 1 organized diet platform for six successive months - Participated in 2 organized diet platforms for three successive months At least 18 years of age or more What Kind Of Weight Loss Surgeries Does United Healthcare CoversBiliopancreatic bypass Duodenal switch Gastric bypass Gastric Sleeve Procedure Lap Adjustable Gastric Bands Vertical banded gastroplasty For adolescents Gastric bypass Gastric sleeve Lap gastric bands Lap Gastric Band Fills: Are They CoveredUnited Healthcare does cover the lap gastric band fills for patients who undergo the Realize Band surgery or the Lap Band surgery. What Weight Loss Procedures Does United HealthCare Not CoverGastric electrical stimulation Mini-gastric bypass ROSE, StomaphyX, TOGA Is a Second Surgery Allowed If The Lap Band Fails (Revisions)?Assuming you have the same conditions from the first procedures, then yes a second surgery will be covered. What If You Do Not Lose Weight?If there are complications from the surgery, United Healthcare will cover all procedures and hospital stay. Is A Center of Excellence Needed?Nope. However, if you choose an in-network doctor, you can save yourself money – no out of pocket expenses. Contact Information For United HealthcareThe contact information for United Healthcare varies by state.