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Anyone With Uhc

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  • Everlag - you should have a WLS coordinator who will get all of your benefits in writing before you begin the process. In my case, she got the policy details at the beginning of March. When they a

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Has anyone that has UHC not have to do the 6 months diet thing?

Hello anyone out there. Plz answer my question. Please!!!

I have UHC and did not have to wait 6-months...

My wife and I have a UHC Options PPO plan...we were required to do a 6 month diet.

I have UHC Choice Plus program and had to do the 6 month diet. it's good, as you get time to really think about the surgery and how it will affect you for the rest of your life - it gives you time to do your homework, to work on eating slower and work on any eating issues you may have. I already cut my food in half automatically - and I am quite satisfied with that. Already been logging all my food into myfitnesspal - and keeping at 1200 a day or lower. My last appointment is Aug. 1 - then we submit to UHC and set the surgery date.....

I was happy to have the 6 months - it gave me time to really learn about this tool - it went by pretty quickly too.....

good luck.

Although I did not have to go through what others are referring to as a 6-month waiting period, I've been in the process of LB diagnostic tests (sleep study 2 nights, full cardiac workup, MRI's, sonogram AB, X-Rays and BL's) for over 14-months -- yes, 14 months -- all spread out due to various reasons out of my control. Several Pre-Authorizations and multiple chronic health issues plus a change in insurance right in the middle of the process. I agree with the others about taking the time to learn as much as possible during the wait period as there is much to know about the various aspects of choosing the band. Feel free to contact me directly. All the best!

SAM017 - it doesn't matter where you live - it's all about your employer and what bariatric options they selected for your insurance benefits. Nobody on these forums can answer your questions with 100% accuracy unless they have the same insurance plan and work at the same company.

general rule for most insurance companies is BMI over 40 or BMI under 40 with 1 or 2 co-morbidities (ie diabetes, hypertension, etc).

the only way to get answers is to call the phone number on the back of your insurance card and ask about bariatric surgery coverage, then ask about requirements.

I have UHC in NJ and was told by my physician there is a 6-month diet period.

I have UHC and had to do a 6 month diet plan.

Sent from my iPhone using LapBandTalk, SW: 225CW: 201 GW: 130

UHC has tons of plans. My plan is specific to Georgia Pacific (the company) and I did not have to do any pre-op diet. It varies by plan though.

  • 4 weeks later...
SAM017 - it doesn't matter where you live - it's all about your employer and what bariatric options they selected for your insurance benefits. Nobody on these forums can answer your questions with 100% accuracy unless they have the same insurance plan and work at the same company.

general rule for most insurance companies is BMI over 40 or BMI under 40 with 1 or 2 co-morbidities (ie diabetes' date=' hypertension, etc).

the only way to get answers is to call the phone number on the back of your insurance card and ask about bariatric surgery coverage, then ask about requirements.[/quote']

Hi, I have a question. I just called uhc twice, spoke with benefits and eligibility dept and both reps stated that only requirement it BMI over 35 with comoridity or BMI over 40. As much as I would love to believe that, I'm struggling to. Any suggestions on how else to verify requirements? TIA

Hi' date=' I have a question. I just called uhc twice, spoke with benefits and eligibility dept and both reps stated that only requirement it BMI over 35 with comoridity or BMI over 40. As much as I would love to believe that, I'm struggling to. Any suggestions on how else to verify requirements? TIA[/quote']

I have UHC and I did not have to wait the 6 months. Only thing they required was a Phycologist visit and a Bmi over 35. Ohhh and a 5 year documentation of being over weight.

Everlag - you should have a WLS coordinator who will get all of your benefits in writing before you begin the process.

In my case, she got the policy details at the beginning of March. When they applied mid-May for auth, UHC denied it because I didn't have two comorbidities (even though the three different people we spoke to said 1 comorbidity was fine, as did the paperwork she was able to reference). I technically did have two, high cholesterol and high blood pressure, but when the surgeon submitted paperwork he didn't put "Uncontrolled Hypertension", just simply "Hypertension". The surgeon had to do a conference call with the approval board at UHC and they approved it - - the DAY before surgery!

I totally believe that the patient is responsible for knowing their benefits, but the technical stuff I left to my coordinator. They actually told us in our WLS Seminar that most times if you call and talk to two different people you will get two different answers.

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