I will be starting a new work at home job on the 25th. Benefits start day 1. YESSS!! I got the email about the benefits today and called the provider. The benefits are UHC choice plus. I called them to find out if they cover the sleeve and they do. The only requirements are a 5 year weight history and my out of pocket maximum is $3333( I know, right?). They also offer a FSA for up to 5000 bucks. So, I have two questions: If I get the FSA, can I use that to pay my deductible and expenses up to my out of pocket max/ 2.) Can I get weights from emergency rooms or does it have to be more substantial?

Thanks everyone in advance!!!

I'm sorry that I don't have the answers you ask. But, I wanted to say congrats on the new job and for having coverage. Good luck on your journey.

~Amy

Thanks anyway!!

I was sleeved 4/10/12 and have UHC Choice Plus. Weight has to be documented by a physican like your PCP or supervised visits.BUT I would call the bariatric service number and ask a case manager. Thankfully I didn't require 5 years of history or maybe I did and just didn't know they pulled my records LOL. Been fat all my life so ya know. You can use the FSA to pay the expenses. Best way to prepare is call 1 -888-936-7246 (UHC Bariatric Services) they will set you up with a case manager that will go over your benefits (what your plan does blah blah), answer any questions and give you piece of mind. They will also send you a packet too. Definitely takes the stress out of guessing what you have to pay and etc. good luck and congrats!

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Thanks!! I appreciate the info!!

anybody??

I have a FSA and have been using one for several years. Yes you can pay any copays, deductibles, and for prescriptions using this. The great thing about a FSA once you determine what Amount you want extracted yearly the amount becomes immediately available to use even though it will take the complete year to withdrawal from your paychecks and it is tax free. As far as 5 year weight history- any medical documentation showing your weight regardless what doctor it comes from is sufficient. I had documentation from several sources which included a orthopedic doctor, my primary physician, a emergency outpatient facility. You can request your records from any of your sources and just ask fir last 5 years and they usually provide at no charge. I have even seen some post that people who had not been to a dr for 5 years were able to supply pictures of themselves that were date stamped to provide as a history. Hope this info helps.