Anyone have a problems getting approved by United Health Care

There are many different plans administered by UHC. My plan is through Delta Airlines and they require you go through Bariatric Resource Network to get approved to seek coverage. Check with your individual plan to see what their requirements are. Each plan seems to be different. Good Luck in your journey!

Thanks so much for your response. I

m hoping everything will go smoothly. I pray for a cancellation so you can get a earlier date for your surgeon appointmet.

hello, my husband works for a Govt contractor and we have United HealthCare. I did not get approved for the surgery as it was not a covered item under our plan..but I have read about other people getting approved. It definitly depends on the plan you have with your employer. I went through trying to get approved though for about 3 months because we were mislead by the customer service people we spoke to at United Healthcare. The lady who handled the insurance at my WL clinic also got misinformation so it lead us on this wild goose chase. I originally was told it could be covered if they evaluate my case so I submitted all the documentation required only to waste 2 months and be told we were told the wrong info for our plan and they wont cover it anyway. The wouldnt even speak to me about it they had to speak to the clinic directly. they did cover all of my appts at the office though just not the surgery. I am now going in as selfpay but still plan to submit everything I can to United just to see if I can get anything back.. !! Good luck with your process.

I have UHC and it my plan covers WLS with conditions spelled out. BMI 40+, 5 years of medical history with weight noted and one other item. The paperwork, that takes the longest, once submitted, I was approved in 2 business days by UHC. Check with your HR department for your UHC plan or log on to your UHC website, that's where I found my documents. Good luck!

I went through UHC, I was a low bmi patient (bmi around 39) with other health problems, hypertension, sleep apnea and a family history of diabetes. I had to take a psych test and provide 5 year history of being obese. They also asked me to list all the diets i had tried. It took 9 months from the day I applied to the day of my surgery. My doctors office has a patient advocate who helped me through the whole process, she knew exactly what they were looking for.

hi, i am getting banded very soon i hope. i have united healthcare choice plus. i was wondering why it took 9 months for the surgery. i have completed all the paperwork except psy, which is next week. the dietician is this friday. did they require you to do a series of diets. i wish you well on your surgery.

I have UHC and it my plan covers WLS with conditions spelled out. BMI 40+, 5 years of medical history with weight noted and one other item. The paperwork, that takes the longest, once submitted, I was approved in 2 business days by UHC. Check with your HR department for your UHC plan or log on to your UHC website, that's where I found my documents. Good luck!

I also have UHC, I had the same conditions you had for insurance, the one other item was a psych eval. I was approved in less than 2 weeks!

how are you doing. are you still on the liquids. you lost 23lbs already. that's great! i had my consult with the nutritionist. Good info. keep me updated. have a good weekend

There are many different plans administered by UHC. My plan is through Delta Airlines and they require you go through Bariatric Resource Network to get approved to seek coverage. Check with your individual plan to see what their requirements are. Each plan seems to be different. Good Luck in your journey!

i noticed your goal weight is 120. what is your height. mine is 5'5 and goal weight is 130. i weigh 215 now. what happens when you meet with the Dr? when is the surgery? wow, i hope i'm approved right away. i would like to have the surgery before i go back to work on August 16. i am in the school dept and i have the summers off. thanks

It's nice that UHC is helping out a lot of people, but they were not willing to help me. I can't blame them, though, my crappy employer naturally picked the crappy plan. In essence, I was given the usual weight loss surgery run around -- we'll pay for all the complications due to obesity, but we will not pay for the surgery. At least finding and executing a back-up plan to get the surgery lessened the blow of them blowing me off :cool:

I have UHC. I called customer service (1) to find out if they covered it (2) prerequisites to qualify. BMI over 40 and history of obesity. They denied me at first. So, I called again to ask them why they denied me since I met there requirement. They told I was denied because doctors office asked for approval for outpatient procedure and they only cover overnight. so the office resubmitted the paper work and I was approved. Banded 7/13/10

hello, my husband works for a Govt contractor and we have United HealthCare. I did not get approved for the surgery as it was not a covered item under our plan..but I have read about other people getting approved. It definitly depends on the plan you have with your employer. I went through trying to get approved though for about 3 months because we were mislead by the customer service people we spoke to at United Healthcare. The lady who handled the insurance at my WL clinic also got misinformation so it lead us on this wild goose chase. I originally was told it could be covered if they evaluate my case so I submitted all the documentation required only to waste 2 months and be told we were told the wrong info for our plan and they wont cover it anyway. The wouldnt even speak to me about it they had to speak to the clinic directly. they did cover all of my appts at the office though just not the surgery. I am now going in as selfpay but still plan to submit everything I can to United just to see if I can get anything back.. !! Good luck with your process.

Hi There,

I know you posted this a while back, but I was just denied by UHC for lap-band. My policy states I need a BMI of 40 or over OR a 5 year history of morbid obesity. I am over 40 BMI but only have 4 yrs of morbid obesity and was just under 40 on the fifth year. I appealed twice since it states I need either BMI 40 OR 5 yr history- but they advise due to a typographical error (on their part) it Should say "and", so they wont cover. I have retained an attorney who feels I have a very good case, I work in the insurance industry myself so I am very fimiliar with reading a plan. I was wondering if your case is similar to mine, I'm looking for others who have been denied for a similar reason.

Thanks for your time

Suzanna

I'm new to this site...I have been overweight since middle school and have tried diet after diet...I can loose weight but the weight always comes back with extra poundage....I have severe sleep apnea, hypothyroidism, high blood pressure, insulin resistance, and knee problems......needless to say, I need to do something....I am a teacher in Georgia and have the United Health Care HRA plan....This plan will pay for the surgery if you meet the pre-op requirements: 6 month supervised diet with doctor, a psychological evaluation, attend a seminar by the surgeon, and 6 months attending support group. I have one support group meeting and one doctor visit under my belt....I will attend my seminar on Dec. 18 and I have my psychological evaluation on Dec. 20.....I have a wellness coach that helps/advises me about diet and exercise and I have a case manager....I'm excited, happy and hopeful!!!....If things go as planned, I hope to have the surgery in June.....United Health Care employees have been helpful and supportive....Now, it's my time to complete the requirements....

hi,

i am working on getting all of my information/records for my pre-approval. i am currently a 42 bmi but i do not have a full 5 years of records stating that i was over 40 bmi. i have struggled with weight over and over but do not frequent the dr, nor do i have a physician i go to....just OB. I am having psycological eval and nutritional eval in the next week or 2. our united healthcare will pay 80% if approved but i am worried bc of my records being under 40 although i am over 40 now. any advise?!?!

thanks,

jen

I have uhc and they told me I have to be approved by nation wide better health for lap band. Does anyone know anything about this