Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Insurance Will Cover 100% Of Lap Band Surgery United Health Care “choice Plus”



Recommended Posts

Every policy is different with United Healthcare. It depends on what your employer has them write it up as. My husband works for BNSF Railway and the only requirement for me was a BMI over 40. I have to pay the $20 co/pay when I go see my doctor. Other than that my surgery and anesthesia is 100% covered.

My bariatric coordinator was shocked when she found out there was no waiting period or trying to lose weight for x number of months. I went to the lap-band seminar the end of July and then my first support group the first part of August. I missed the 2nd groupi August due to a friend's son dying, missed 1st group meeting in Sept. due to my son's first jr high football game. Made the 2nd one in Sept. Met with the nutritionist and psych eval in Aug, did xrays last week and surgery scheduled for Oct. 6. She said it's the quickest she's ever seen. :D I told my hubby thanks for having a good job.

Share this post


Link to post
Share on other sites

I have UHC Sig Value Advantage *** formerly Pacificare ***. I submitted 2 years of medical records to prove that I was under a medically supervised diet and my gym membership records to get approved. I have a BMI of 40 but they wanted to me to show "motivated" attempts of trying to lose weight. They denied me at first because my doctor did not submit the records with the request. As soon as they received the records I was given a consult with the dietician 10/3/11 and a consult with the surgeon 10/6/11. According to my plan I just have to pay for the drs visits $40 copay and a $300 copay for every day I am in the hospital up to $600 total out of pocket per stay. I contacted the medical group and they are not requiring a psych eval at this time. I thought that was a requirement but the lady said only if the dr deems it necessary. So I guess I will just wait and see at this point. Next week can't come fast enough!

weight.png

Share this post


Link to post
Share on other sites

Hey there,

How long did the entire process take for you? I have the same insurance. Also, I was not over 35 BMI for the entire portion. I was over 35 for about 2 1/2 years of those 5 years. I am hoping to get approved in the next week or so. My records were submitted for approval on Friday!

Congrats to you!!!

Courtney

Courtney, I have insurance through BNSF United Healthcare. Stuff was sent in last friday. I also was not 35 BMI for five years. Were you approved and how long did it take to find out. I know it has been a year almost for you but i just joined and I am now waiting.

Share this post


Link to post
Share on other sites

I also have UHC. I have excellent coverage...(which is soon to change since my company is being bought out) dry.png . But they are great! They told me they cover everything 100% after I meet my deductible of $200.00 .. which wasn't hard to do w/all these appointments. All they required at my level was a BMI of 40 or >, 5yrs weight history and a psych eval. I was submitted Oct. 17th and approved Oct. 17th! biggrin.png Got my letter on the 21st.. I love UHC!

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • Eve411

      April Surgery
      Am I the only struggling to get weight down. I started with weight of 297 and now im 280 but seem to not lose more weight. My nutrtionist told me not to worry about the pounds because I might still be losing inches. However, I do not really see much of a difference is this happen to any of you, if so any tips?
      Thanks
      · 0 replies
      1. This update has no replies.
    • Clueless_girl

      Well recovering from gallbladder removal was a lot like recovering from the modified duodenal switch surgery, twice in 4 months yay 🥳😭. I'm having to battle cravings for everything i shouldn't have, on top of trying to figure out what happens after i eat something. Sigh, let me fast forward a couple of months when everyday isn't a constant battle and i can function like a normal person again! 😞
      · 0 replies
      1. This update has no replies.
    • KeeWee

      It's been 10 long years! Here is my VSG weight loss surgiversary update..
      https://www.ae1bmerchme.com/post/10-year-surgiversary-update-for-2024 
      · 0 replies
      1. This update has no replies.
    • Aunty Mamo

      Iʻm roughly 6 weeks post-op this morning and have begun to feel like a normal human, with a normal human body again. I started introducing solid foods and pill forms of medications/supplements a couple of weeks ago and it's really amazing to eat meals with my family again, despite the fact that my portions are so much smaller than theirs. 
      I live on the island of Oʻahu and spend a lot of time in the water- for exercise, for play,  and for spiritual & mental health. The day I had my month out appointment with my surgeon, I packed all my gear in my truck, anticipating his permission to get back in the ocean. The minute I walked out of that hospital I drove straight to the shore and got in that water. Hallelujah! My appointment was at 10 am. I didn't get home until after 5 pm. 
      I'm down 31 pounds since the day of surgery and 47 since my pre-op diet began, with that typical week long stall occurring at three weeks. I'm really starting to see some changes lately- some of my clothing is too big, some fits again. The most drastic changes I notice however are in my face. I've also noticed my endurance and flexibility increasing. I was really starting to be held up physically, and I'm so grateful that I'm seeing that turn around in such short order. 
      My general disposition lately is hopeful and motivated. The only thing that bugs me on a daily basis still is the way those supplements make my house smell. So stink! But I just bought a smell proof bag online that other people use to put their pot in. My house doesn't stink anymore. 
       
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      Oh yeah, something I wanted to rant about, a billing dispute that cropped up 3 months ago.
      Surgery was in August of 2023. A bill shows up for over $7,000 in January. WTF? I asks myself. I know that I jumped through all of the insurance hoops and verified this and triple checked that, as did the surgeon's office. All was set, and I paid all of the known costs before surgery.
      A looong story short, is that an assistant surgeon that was in the process of accepting money from my insurance company touched me while I was under anesthesia. That is what the bill was for. But hey, guess what? Some federal legislation was enacted last year to help patients out when they cannot consent to being touched by someone out of their insurance network. These types of bills fall under something called, "surprise billing," and you don't have to put up with it.
      https://www.cms.gov/nosurprises
      I had to make a lot of phone calls to both the surgeon's office and the insurance company and explain my rights and what the maximum out of pocket costs were that I could be liable for. Also had to remind them that it isn't my place to be taking care of all of this and that I was going to escalate things if they could not play nice with one another.
      Quick ending is that I don't have to pay that $7,000+. Advocate, advocate, advocate for yourself no matter how long it takes and learn more about this law if you are ever hit with a surprise bill.
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×