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

I am APPROVED !!!!!!!!!!!!!!!!!



Recommended Posts

I got a call today from my doctor's office and UHC has approved my surgery!!!!! YaY!!! :D It took them a whole 9 days to approve it. Wow!!! :blink: I went in for my doc's appointment 16 days ago but it took them a week to send it to the insurance for approval. I'm so excited :rolleyes: but am scared to death :unsure: at the same time. When I got off of the phone, I wanted to jump up and down!!! Ten minutes later, I wanted to cry! Ha! The emotions have already started flowing. Now, I'm waiting for a call to schedule the surgery.

Share this post


Link to post
Share on other sites

Haha, I think I would have jumped up and down, screamed, and about lost my mind. Congrats! I hope you get the call to schedule a date much sooner than it took for approval. I hope UHC gives me the same news in a couple of months. Congrats again!

Share this post


Link to post
Share on other sites

Congrats!!!!!! Best wishes!!!!

Deb

Share this post


Link to post
Share on other sites

Congrats!!!!!!!!!!!!!!!!!!!!

Share this post


Link to post
Share on other sites

SWEEEEET! I'm so happy for you!

Share this post


Link to post
Share on other sites

Thank you all!!! I'm so happy right now! I can't wait to be on the losers' bench. It's crazy to think that I would be so excited about having something so major removed. It just feels like I'm counting the days down to a new me...a new way of life!! :) Awwwwww!

Share this post


Link to post
Share on other sites

:) CONGRATS!!!! You will love it!

Share this post


Link to post
Share on other sites

I got a call today from my doctor's office and UHC has approved my surgery!!!!! YaY!!! :D It took them a whole 9 days to approve it. Wow!!! :blink: I went in for my doc's appointment 16 days ago but it took them a week to send it to the insurance for approval. I'm so excited :rolleyes: but am scared to death :unsure: at the same time. When I got off of the phone, I wanted to jump up and down!!! Ten minutes later, I wanted to cry! Ha! The emotions have already started flowing. Now, I'm waiting for a call to schedule the surgery.

Hey. I have UHC too. I have my letter from my PCP and have seen the cardiologist. My meeting with the surgeon is 6/17. So does the surgeon submit your paperwork for approval after that meeting or do you have to do all of the other visits like the psych eval and meetings with the nutritionist first? I'm confused as to how all of that works.

Also, I REALLY don't want to have to deal with a 6 month supervised diet requirement. No one at UHC has been able to tell me whether or not my plan requires it. How did you know what your plan required for you to get approved?

I'm so nervous because I go back to school in September and I would like to have the surgery in July/August so I'll be healed by the time I start school.

Any info would help. Thanks!

Share this post


Link to post
Share on other sites

Hi chunkymonky91! Okay, I was very confused as to what UHC would cover and would require for this surgery. I had actually gone to a doc a little over a year ago to see about getting the lap band. They told me that they thought UHC would make me do a 6 month supervised diet but then about 10 days out I got a call from them saying that lap band was approved and that I had to do nothing else as far as the insurance was concerned. I didn't have it done because my husband was completely against it.

Now that my husband is on board and I discovered the sleeve. the process has gone so smoothly. I did call UHC before finding my doctor but they could not tell me anything ... Just that everything they consider is based on that individual and their coverage. They do not have a set standard for everyone across the board. This was really nerve racking because of course, I wanted an answer right then.

So, here's a timeline of what happened. My husband and I attended the seminar on 5-4-11. I had my first appointment with my doc on 5-11. Now, I had to sign something giving my permission for my other doctors to send records over. I thought that they were having to gather all this past medical history and everything to send to the insurance company. So I waited until 5-24 to call my doc's office to find out if they'd heard anything because the ins co has 30 days to make a decision. I was told that they sent my case to UHC on 5-18 and that usually if UHC had any request they would have heard back from them within 48 hours. I asked if they had any trouble with getting my medical records and was told that they never requested them...that they would only request them if UHC asked for them. Wow, i was really surprised by that. The doc's office seemed to think that this was a good sign. Then on 5-27, doc's office called and said I was approved and UHC required nothing from me. I couldn't believe it.

Now I have my preop class next Wednesday. But I started my preop diet 3 days ago. My surgery is on 6/23.

I don't know how they decide but if it matters, I am 5'5" and was 280 when I was weighed at the doc's office. My BMI was 46.6. Also, I'm not taking any meds for health problems although I have slightly high cholesterol and blood pressure...I was always told to watch what I eat to control both. Then in the last couple of months my blood sugar levels have been a little high and I'm actually waiting for results from in-depth blood work done last week to see if I'm diabetic. Also, had my back out last year and was almost completely bed ridden for a month. All of this the doctor said he would put in my case because the insuance co wanted a good reason or two to have this surgery done besides the fact that I wanted to lose weight. I really don't know what was the big decider for UHC.

I hope this helps. :)

Hey. I have UHC too. I have my letter from my PCP and have seen the cardiologist. My meeting with the surgeon is 6/17. So does the surgeon submit your paperwork for approval after that meeting or do you have to do all of the other visits like the psych eval and meetings with the nutritionist first? I'm confused as to how all of that works.

Also, I REALLY don't want to have to deal with a 6 month supervised diet requirement. No one at UHC has been able to tell me whether or not my plan requires it. How did you know what your plan required for you to get approved?

I'm so nervous because I go back to school in September and I would like to have the surgery in July/August so I'll be healed by the time I start school.

Any info would help. Thanks!

Share this post


Link to post
Share on other sites

I cried when I got approved LOL I just couldn't believe it! You would have thought I won the lottery or something!!

Congrats!

:cheer2:

Share this post


Link to post
Share on other sites

Congrats PENPEN!!! Who is your Doc? I see you are in the DFW area, me too!! I have my first meeting with Dr. Wade Barker on Thursday JUne 9. I also have UHC choice plus (something, the most expensive one!!) They say I am covered at 90% and my BMI is 41.4. I am curious if I am going to have hoops to jump through! Maybe I will be right behind you! I live south of fort worth, where are you? I am very happy for you!!

Share this post


Link to post
Share on other sites

I want to say thank you to all of you for being so encouraging. As you know, this journey is not easy.

Share this post


Link to post
Share on other sites

Hi fattymcfatterson! Thank you! My doctor is Dr. James Davidson. I actually considered using Dr. Barker but went to see my doctor first and decided he was the one. My husband works with a lady that had the bypass done by Dr. Barker last September. She really liked him.

I live east of Dallas...past Mesquite. I hope you get approved super quick! Maybe you'll be able to have yours done in July. That would be so awesome.

Congrats PENPEN!!! Who is your Doc? I see you are in the DFW area, me too!! I have my first meeting with Dr. Wade Barker on Thursday JUne 9. I also have UHC choice plus (something, the most expensive one!!) They say I am covered at 90% and my BMI is 41.4. I am curious if I am going to have hoops to jump through! Maybe I will be right behind you! I live south of fort worth, where are you? I am very happy for you!!

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

    • 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.
    • BeanitoDiego

      Some days I feel like an infiltrator... I'm participating in society as a "thin" person. They have no idea that I haven't always been one of them! 🤣
      · 0 replies
      1. This update has no replies.
    • ChunkCat

      Thank you everyone for your well wishes! I totally forgot I wrote an update here... I'm one week post op today. I gained 15 lbs in water weight overnight because they had to give me tons of fluids to bring my BP up after surgery! I stayed one night in the hospital. Everything has been fine except I seem to have picked up a bug while I was there and I've been running a low grade fever, coughing, and a sore throat. So I've been hydrating well and sleeping a ton. So far the Covid tests are negative.
      I haven't been able to advance my diet past purees. Everything I eat other than tofu makes me choke and feels like trying to swallow rocks. They warned me it would get worse before it gets better, so lets hope this is all normal. I have my follow up on Monday so we'll see. Living on shakes and soup again is not fun. I had enough of them the first time!! LOL 
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      Still purging all of the larger clothing. This morning, a shirt that I ADORED wearing ended up on top. Hard to let it go, but it was also hard to let go of those habits that also no longer serve my highest good. Onward and upward!
      · 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

    ×