United Healthcare (Optimum Health Bariatric Resources)

[Pastor Paula Jackson 91]

I also have uhc and in the booklet that has all of my coverage info' date=' under bariatric services it has requirements an it says to contact bariatric resource services. MyOptumhealthcomplexmedical.com

Im going to my very first visit August 6 (Tuesday) an I'm excited but at the same time a little nervous. I don't want to have to wait another 6 months to do diet program. I no one of u said that they don't have to be consecutively. With my insurance how do I find out if they have to be over a certain period of time or be consecutively?[/quote']

If you call bariatric services they will tell you if yours is consecutive or not. UHC has to follow the employers guide that they set up.. Who knows you may only have to do 2 months!

[Coreena 4]

Looking for someone that has UHC with Optimum health bariatric resources. I wanna know how long the wait is for approval once paperwork is submitted by surgeon. Not even gonna let the word denial in my head....lol

I have my 4th visit of the 6 month Dr supervised dt. next week. I should be finished up in sept. and already have a tentative surgery date scheduled for late sept. But it all hangs in the balance waiting for approval. Just trying to get some idea how long they take.

Thanks for any and all responses!!!!

I started with TR Hou in January and was told that my insurance paid up to 10k and I am pre-op 6 days and Found out just today that my portion is $24K That is "with no complications" Be sure you have the UPFRONT outline of the cost ~vs~ plan. I feel like an idiot that I found this out just today and I am scheduled for my Sleeve on Aug 12th. I have the same UHC with Optimum Health Bariatric Resources this is apparently not for the healthy but the wealthy.

[SuNMooNStaRS816 423]

I started with TR Hou in January and was told that my insurance paid up to 10k and I am pre-op 6 days and Found out just today that my portion is 24K That is "with no complications" Be sure you have the UPFRONT outline of the cost ~vs~ plan. I feel like an idiot that I found this out just today and I am scheduled for my Sleeve on Aug 12th. I have the same UHC with Optimum Health Bariatric Resources this is apparently not for the healthy but the wealthy.

That is terrible!!! So sorry that has happened to you. I have no out of pocket or deductible. Fortunately, my plan pays 100% for the sleeve as long as we use a network doc and a center of excellence. I only pay my copayment when I see my surgeon. I am so amazed at the differences in plans through the same insurance carrier.

[Aitch 2]

I started with TR Hou in January and was told that my insurance paid up to 10k and I am pre-op 6 days and Found out just today that my portion is $24K That is "with no complications" Be sure you have the UPFRONT outline of the cost ~vs~ plan. I feel like an idiot that I found this out just today and I am scheduled for my Sleeve on Aug 12th. I have the same UHC with Optimum Health Bariatric Resources this is apparently not for the healthy but the wealthy.

For about half of that you could be a self pay, couldn't you? Something seems very wrong with that.

[HoustonTexanFan 6]

I also have uhc with the bariatric resource an my plan requires me to meet my 600$ deductible an then after deductible I have to pay 20% of procedures done afterwards. Also my maximum out of pocket fees will be 3500$. The way I see it is even if I have to pay the whole 3500 it will so be worth it in the end. I would rather pay a portion than the whole thing

[ElyQuint 446]

My approval took about a week. I also have united healthcare/ oxford.

[SuNMooNStaRS816 423]

Just had to come back and let everyone know I finished up my 6 month supervised diet....had all pre op testing done....my file was submitted for approval today and I am praying it comes back in time for my surgery date of October 1st!!!!

[Pastor Paula Jackson 91]

Just had to come back and let everyone know I finished up my 6 month supervised diet....had all pre op testing done....my file was submitted for approval today and I am praying it comes back in time for my surgery date of October 1st!!!!

Way to go! I got mine back in five days. Paperwork was submitted 08/01/13. Surgeons office called me with a approval 08/06/13. Scheduling called me 08/12/13 told me to start my two week pre opt diet and get blood work done. And had surgery 08/28/13. So yea hold on to your hat because it starts to move quick from this point!

I wish all blessings to you and a speedy recovery!

[SuNMooNStaRS816 423]

Say a prayer that mine comes back that fast!!! Because of work scheduling I had to schedule for 1st of October or wait a cpl months which I just couldn't see doing after waiting over a year. Thank you!!! Can't wait to be on the losers bench...

[ribearty 544]

My doctor's office and I have received verbal approval from ins. co. for my surgery. In order to get a surgery date, my doctor's office requires the written letter. The letter was mailed on 9/18. Hope it arrives on 9/25.

I am a band to sleeve revision patient. Optum waived the six month supervised diet criteria due to band complications.

Looking at a 10/8 if available by the time I get written approval. If that date is unavailable I will have to wait until 10/25 due to work obligations.

Very excited but still a little nervous even though I know it is the right decision for me.

[SuNMooNStaRS816 423]

Got my Verbal approval today!!! I have pre op visit with the surgeon and pre admit with the hospital Monday 9/30 then surgery Oct. 1....hope you get your date quickly!!!

[mrsterry 0]

^{Did anyone gain or lose weight during the six month diet? Was it a factor at all? I have the UHC with Optimum and I started off at 293lbs month 1 then:}

^{month 2 293lbs again}

^{month 3 296lbs}

^{month 4 290lbs}

^{and I will be going tomorrow and in the month of December. I am at 297 again (had two weeks of flu and period started today )}