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

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



Recommended Posts

Congratulations!!!!!!

Share this post


Link to post
Share on other sites

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.

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.

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

Share this post


Link to post
Share on other sites

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!

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. :)

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!

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

    • 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.
      · 0 replies
      1. This update has no replies.
    • 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.
    • KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
      · 0 replies
      1. This update has no replies.
    • bellaamey

      https://alluniqueguide.com/java-burn-coffee-reviews/
      · 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

    ×