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



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Congratulations!!!!!!

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Congrats!. UHC is a patient bt patient thing but I think they relaxed their requirement this year. Last year, my wife and I started out togther to get the procedure, I sailed right through because of my co-morbidities. She on the other hand was denied 3 times even though she had a higher BMI. The Dr resubmitted in January, nothing had changed and they approved her. Insurance companies can be a real pain to deal with. In the end, she is 9 months behind me, it really would have been nice to go through this together. There was a lot of guilt on my part for having it done without her and I can't speak for her but she was really disappointed because she wasn't doing it with me and was still stuck in a morbidly obese body. I suppose that in the end it really doesn't matter.Good luck on your upcoming surgery.

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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.

Woohoo!!! I'm so happy for you, I had UHC and they were great!

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Thank you all!!! Yes, UHC is awesome!!! One of the ladies at the doc's office told me before I went through the approval process that UHC was the easiest insurance company to deal with. I sure do believe it!

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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. :)

Wow, it's kinda crazy how parallel our experience are. Last year I looked at the lapband but my family was against it and I had a weird nurse that said that i would have no chance of being approved if i didn't have a BMI of over 40 for 5 years. I changed my mind and wanted the sleeve. hopefully my experience will be just like yours and i can have the surgery in july/august.

thanks for all of the info!

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    • LeighaTR

      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      Hey everyone. I'm new here so I thought I should introduce myself. I am 53y/o and am scheduled for Gastric Bypass on June 25th, 2025. I'm located in San Antonio, Texas. I will be having my surgery in Tiajuana Mexico. I've wanted this for years, but I always had insurance where bariatric procedures were excluded. Finally I am able to afford to pay out of pocket.  I can't wait to get started, and I hope I'm prepared for the initial period of "hell". I know what I have signed up for, but I'm sure the good to come will out way the temporary period of discomfort and feelings of regret. I'd love to find people to talk to who have been through the same procedure or experience before. So I look forward to meeting you all. Hope you have a great week!
      · 2 replies
      1. Selina333

        I'm so happy for you! You are about to change your life. I was so glad to get the sleeve done in Dec. I didn't have feelings of regret overall. And I'm down almost 60 lbs. I do feel a little sad at restaurants. I can barely eat half a kid's meal. I get adults meals often because kid ones don't have the same offerings at times. Then I feel obligated to eat on that until it's gone and that can be days. So the restaurant thing isn't great for me. All the rest is fine by me! I love feeling full with very little. I do wish I could drink when eating. And will sip at the end. Just a strong habit to stop. But I'm working on it! You will do fine! Just keep focused on your desire to be different. Not better or worse. But different. I am happy both ways but my low back doesn't like me that heavy. So I listened (also my feet!). LOL! Update us on your journey! I'm not far from you. I'm in Houston. Good luck and I hope it all goes smoothly! Would love to see pics of the town you go to for this. I've never been there. Neat you will be traveling for this! Enjoy the journey. Take it one day at a time. Sometimes a few hours at a time. Follow all recommendations as best you can. 💗

      2. Doughgurl

        Thank you so much for your well wishes. I am hoping that everything goes easy for me as well. We don't eat out much as it is, so it wont be too bad in that department. Thankfully. Also, I hear you regarding your back and feet!! I'd like to add knees to the list. Killing me as we speak! I'm only 5' so the weight has to go. Too short to carry all this weight. Menopause really did a doosey on me. (😶lol) My daughter also lives in Houston. with her Husband and my 5 grand-littles. I grew up in Beaumont, so I know Houston well, I will be sure to keep in touch and update you on my journey. I may need some advice in the future, or just motivation. Thank You so much for reaching out, I was hoping to connect with someone in the community. I really appreciate it. 💜

    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
      1. This update has no replies.
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