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Any one with United Health Care insurance

  • Replies 47
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Featured Replies

Whats the question? No one can tell you if you are covered or not, you have to call YOUR insurance company with YOUR plan number to discuss the benefits about YOUR plan, through YOUR employer.

Hi Lizy, I have United Health Care, Choice Plus PPO. My plan required a BMI over 40 but what they didn't tell me up front was that they required a BMI over 40 for the past 5 years, or a BMI over 35 for the past 5 years with 2 co-morbidities. Since I didn't qualify my doctor fixed my hernia and at the same time did the sleeve and I self paid just for the sleeve.

I have read on here that UHC has another plan that doesn't require 5 years weight history, and instead requires you to go thru 6 months of weigh ins supervised by your doctor...I wish I had that plan, lol. Oh welll the $5,000 out of pocket was soooo worth it!

Good luck with your journey, and I hope you are approved! :-)

  • Author

Hi Royalsecret, I haven't united health care *** requires six months only. I'm in the last month before I had the lap band for over 8 yes they had to remove it because sledded. I'm worried because my primary doctor wish I have seen for the last past eight months he recommended me the bariatric surgery. Last week I saw him and I told him that I was in my last month of dietitian, he didn't remember anything at all. My concern is if I don't have his approval they will Denied.

I have UHC choice plus. It all depends on your particular plain and what your employer chooses to cover. I have a bmi of 40 no co morbities. They required 2 years if weight history. I did the whole phsyc thing and dietitian as my Dr requested. I was approved in 24 hours for the surgery. Have them email you the exact requirements and deductible amount then you will know what you gotta do.

Sent from my iPhone using VST

You shouldn't have to suffer because your pcp has a bad memory...good luck Lizzy, I sure hope you get approved!

  • 2 weeks later...

Hi Lizy, good luck, my fingers are crossed for you! Let us know when you get approved. :-)

I have United Healthcare, and I don't have to have had a history of high BMI, nor do I have to follow a 6 month supervised diet -- the only 'catch' is that I have to schedule surgery 6 months out - so as soon as I meet for my first pre-op appointment, I will schedule the surgery then for in 6 months (so probably October/November)

Go my first approval to see surgeon.

Hi Lizy - does this mean you were approved?

  • Author

Hi Royalsecrete

No not yet. I saw my surgeon yesterday now mI have to get the clearance of a Phycologist & primary Dr. & get the EKG & labs. After I do all this they submitted to the insurance. Ughh a lot of work but more then half way don. Thanks

  • Author

Hi Royals. No not yet, I saw my surgeon yesterday gave me what I need to take to my primary. I need Dr. Clearance & physiologist clearance, EKG & labs. After this they submitted to insurance. Nervous because I don't have any sick time at work and I have so many Dr. Appointments. But more then half way. Thanks

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