stacy71

I called them and I basically wasting a week getting no where! After speaking with them yesterday I found out that I needed to go through accolade and they will be sending a referral to optum. So we begun that process.

When I called they told me someone will call me...I’m gonna call back tomorrow bc it’s been a week

I’m in pompano and have UHC choice plus. I’m still awaiting to hear from the case manager nurse

But are you already scheduled to receive the phone call? When I called to UHC they asked basic questions in order to know if I was or not a candidate for the Weight loss program and during the same call the representative scheduled my phone call with Nurse for 3 weeks later.

I waited less than 2 weeks to get an answer. They had submitted my paperwork the same day. I believe I was approved on the 10th day of waiting. My surgery was scheduled the same day I got approval.

I have UHC and also and contacted Optum per requirements (this year lol). I think besides the diet, psychological testing and meeting with a dietitian the rest are based on what the Center of Excellence doctor wants per individual.
Your list is extremely helpful for anyone looking for information ??

Grerchen57 may I ask how old you are? If you are 60 or above there are quite a few of us active on Bariatric Pal. Look us up and let's chat. I'm 72 haven't completed my surgery yet, will Lord Willing and the Creek don't rise, this spring. Pretty upbeat except when this tired old Buckeye gets the blues. I first started seeking WLS August 2015 so I have quite a tale to tell myself. Don't be a stranger, none of us bite, be difficult for me cause I have dentures, good for chewing food but not very sharp. Technically I'm not a Baby Boomer, I missed it by just 5 days. I am an Occupation Baby, a select group, we were born August 6 to December 31 1945, we tend to hang with the Baby Boomers, shoot most of my oldest and dearest friends are Boomers. So pull up a chair and talk with all of us. I will be a RnY but sleevers are fine in my book, as are SIPS, mini bypasses and even lap-banders, RnY just will work better for me.
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Adding my bit....I have UHC Choice Plus. The only requirement noted in my specific plan is a BMI of 35+ w/two comorbidities or 40+ without. I don't have to use the bariatric resources or undergo a supervised weight loss plan for any duration of time. From what I've noticed from other posts, it seems the nuances of your specific coverage is really driven by your employer. That said, I still have to complete a number of pre-approval things that my surgeon required; you know, the standard stuff that everyone else seems to be doing like psych eval, nutrition consult, and GI imaging.

I'm glad I found this forum. I have UHC as well. I just scheduled my 1st appointment with the surgeon after have registered and done my 1st phone call with the Case Manager Nurse from UHC.
Anyone in the Tampa FL area?

I also have UHC and I’m in Texas!! My paperwork was sent off this morning for prior authorization! I’m in Houston and having surgery with TLC surgeons!! I’m so glad I found your post! It says they can take 15 days to approve or deny!! I’m hoping I will hear something next week sometime!!

Oh my gosh this is good news I also have uhc my criteria is 6mo diet,psych evaluation and 40+ BMI my consult is today any other pointers would be great

Hi all.
Just want to give my experience with the UHC process. I made the decision to go this route in may of 2017. I made the call to UHC who set me up with Optum Health which is part of the bariatric sub division. I was simply required to complete 6 months of guided weight loss which I did through the Center of Excellence facility that I chose as everything was on site there. I completed this process in December. The facility tried to submit my info to optum only to find out my case had been closed. Finding this odd I called them, got scheduled to a call with a case worker on February 8th. Had the call and at that point the case was ready for review with optum for the "letter of medical necessity" However, I found out today that I have to do another call with a place called CBA which will take place on Feb. 15th. It is nice to see however that it seems like once it finally gets to UHC for approval they seem to have a pretty quick turnaround. Once that approval is given, surgery will be 2 weeks from that day!

Good luck !

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Great info for a current 2018 UHC pre-op. After talking to my UHC Bariatric nurse I already had my appointment set with the Center for Excellence Dr as required. I have slightly different requirements but still the 6 month monitored diet, endoscopy and psychological testing. Everything else is held at the Bariatric Center. It’s really a great place that the doctors work together to have the dietitian, workshops ... whatever is needed right there! I’m hoping I do correctly for the monitored diet plan and progress enough to get approved but not enough to get denied!!