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yay, UHC Choice plus approved me

Happy dance...I called and asked today just because I could'nt take it any longer and I'm approved...YAY!!!

My surgery is scheduled for April 29th At Methodist Hospital in Houston(COE)..I wanted a different hospital but it's ok.. because I'm getting sleeved next week!!!Now i have to start making broth to freeze and clean house.Thanks guys for being here.Carla:lol0:

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Wow Carla, that's exciting! You've got a quick turn around from getting your approval to your actual surgery date. The thing I'm least looking forward to is the fact that I'm going to feel compelled to do a serious cleaning in my house since I know I won't be able to afterward. But, that's a good way to stay occupied until surgery. Congratulations!

Hi Carla,

Your news has given some encouragement. :crying: I hope I will be able to hear the same new soon. I toohave United Healthcare Choice Plus, but from what I read in my benefits coverage; I don't believe they would approve me. I haven't started my process yet because I was discouraged when I read that no surgeries were covered pertaining to obeasity. Are there any tips/information you could share with me on how you received an approval from them. Please share!!!

Thanks

Danielle

  • Author

Thanks Krystal, I's scared and excited, met with the surgeon today, they didn't even want money up front which is strange, I kept asking what I needed to pay.lol

Too funny! It probably didn't feel quite "real" without money exchanging hands. But, that rocks you aren't paying anything up front. You won't know what your real balance will be til everything is submitted to UHC, discounts applied and then their portion paid. Just remember to keep up with all your copays and out of pocket and mileage so you can see if it adds up to enough next year to take as a tax deduction ;-)

  • Author

your right, it was strange, I felt like okayyy, I need to pay because nothing needs to go wrong now.lol The hospital called today and said my part is $788.11 ..wonder what the .11 is for.lol

I hope you are making progress on your test for apena. Take care. Carla

Congrats on your quick date Carla!

It is so wonderful and exciting when the scale moves!!

good luck with your surgery and hope you have an easy recovery!

  • Author

Thank you pnw218, I'm excited and scared but can't wait to be on the loser side.lol Carla

Hi Carla,

Your news has given some encouragement. :thumbup1: I hope I will be able to hear the same new soon. I toohave United Healthcare Choice Plus, but from what I read in my benefits coverage; I don't believe they would approve me. I haven't started my process yet because I was discouraged when I read that no surgeries were covered pertaining to obeasity. Are there any tips/information you could share with me on how you received an approval from them. Please share!!!

Thanks

Danielle

Danielle,

This depends on what your employer has written into their policies as a covered benefit. Some people with UHC have a weight loss surgery benefit, some don't. For my employer, different UHC policies cover different things. In my case, we have to have the HRA plan and not the HMO plan to qualify for weight loss surgery.

You'll have to make some calls to UHC customer service or to your HR/benefits department to find out if you qualify. If you don't, you might be able to change to a different plan during open enrollment in order to qualify for the WLS benefit.

  • Author

yes I have the Bariatric Resource Services and it seems to be different in some cases.:frown1:

  • 1 month later...

Can any of you tell me how long it took to get insurance approval? I finish my six month diet this week, and then my nurse at the surgeon's office will be submitting to insurance next week. I feel like I might jump out of my skin at any moment, I'm so excited and anxious about finally getting this surgery. I've read on these forums about continued denials, appeals, month long waits for approvals, etc. I have UHC, all they require is a six month diet and psych evaluation. Any advice or words of encouragement are appreciated!!! I'm new to all this!

  • Author

It took me 8 days, it may have been sooner but the office person said I'll let you know when I know but at 8 days I called her anyway and had surgery 9 days later. Good Luck and keep us posted so we can move over for you!! Carla:lol0:

Thanks! I think I'm more nervous about the insurance process than the surgery itself.... :001_tt2:

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