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United Healthcare (Optimum Health Bariatric Resources)

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!!!!

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I have United Health Care - Optimum Bariatric Resources and I was told I did not need the 6-month dr. supervised diet - I have not gotten final approval yet but I have been told it looks "good" so I am optimistic.

I have United Healthcare and Optimum. I spoke with a case manager a week ago and she told me the approvals generally take 15 business days. She said right now the approvals are taking 10-15 business days. I am waiting to here back from my surgeon office for my final approval. I am hoping to have surgery sometime in September....start training for a new position next week so I have to push it out a little.

First post...Monday I finished my 6 month weigh in. Dr faxed over everything to surgeon this afternoon and was submitted late this afternoon. I also have optum health with united. So ready for this to happen. I was also told to not worry if it goes to 15 days, they are slammed right now. Having the surgery in St. Petersburg FL. With Dr. Rehnke.

After reading these posts, I can see that my story was unique. My last nutritionist visit was 7/13, all paperwork was faxed off on 7/16. My dr's office was so confident of the approval, I started my pre-op diet that day and was scheduled for surgery the following week. I called UHC to verify the receipt of my info. I was approved 7/22 and sleeved on 7/23. I'm one week out and adjusting to the "sleeved life"!!

I have The same insurance but for Rail Roaders so different guidelines. A nurse name Lynn called me! That was the worse phone call of my life. She was beyond rude, and insensitive to how this decision to have surgery is a emotional one on anyone! I called the supervisor and was greeted with a handful of I'm sorry's and let's make this better! They assigned me a new nurse, who suppose to call me ASAP. "that was Thursday. Then Friday 8/1/13. my surgeons office call me to tell me called and requested my file! OMG! Monday can't get here fast enough! I'm just hoping for the best! Everybody pray for me! Because that woman is a Vacation!

I have The same insurance but for Rail Roaders so different guidelines. A nurse name Lynn called me! That was the worse phone call of my life. She was beyond rude' date=' and insensitive to how this decision to have surgery is a emotional one on anyone! I called the supervisor and was greeted with a handful of I'm sorry's and let's make this better! They assigned me a new nurse, who suppose to call me ASAP. "that was Thursday. Then Friday 8/1/13. my surgeons office call me to tell me Lynn called and requested my file! OMG! Monday can't get here fast enough! I'm just hoping for the best! Everybody pray for me! Because that woman is a Vacation![/quote']
I have The same insurance but for Rail Roaders so different guidelines. A nurse name Lynn called me! That was the worse phone call of my life. She was beyond rude' date=' and insensitive to how this decision to have surgery is a emotional one on anyone! I called the supervisor and was greeted with a handful of I'm sorry's and let's make this better! They assigned me a new nurse, who suppose to call me ASAP. "that was Thursday. Then Friday 8/1/13. my surgeons office call me to tell me Lynn called and requested my file! OMG! Monday can't get here fast enough! I'm just hoping for the best! Everybody pray for me! Because that woman is a Vacation![/quote']
  • Author
I have The same insurance but for Rail Roaders so different guidelines. A nurse name Lynn called me! That was the worse phone call of my life. She was beyond rude' date=' and insensitive to how this decision to have surgery is a emotional one on anyone! I called the supervisor and was greeted with a handful of I'm sorry's and let's make this better! They assigned me a new nurse, who suppose to call me ASAP. "that was Thursday. Then Friday 8/1/13. my surgeons office call me to tell me called and requested my file! OMG! Monday can't get here fast enough! I'm just hoping for the best! Everybody pray for me! Because that woman is a Vacation![/quote']

I am so sorry you had at bad experience. I also have UHC through the rail road. I hope all goes well for you from here on out. Keep us updated!!! Prayers and good vibes sent your way!!!

I am so sorry you had at bad experience. I also have UHC through the rail road. I hope all goes well for you from here on out. Keep us updated!!! Prayers and good vibes sent your way!!!

How long after the surgeons office submitted your file did you receive a approval? And why in the world did this woman request my file after I had her supervisor switch her for another nurse?

  • Author

How long after the surgeons office submitted your file did you receive a approval? And why in the world did this woman request my file after I had her supervisor switch her for another nurse?

I am also pre op. I have 2 visits left in a 6 month supervised diet. I have no idea why she would be requesting your file. I was told by April, my nurse, that they have 14 days to respond. I would definitely call Monday to find out what's going on.

I am also pre op. I have 2 visits left in a 6 month supervised diet. I have no idea why she would be requesting your file. I was told by April' date=' my nurse, that they have 14 days to respond. I would definitely call Monday to find out what's going on.[/quote']

You know our policy do not need 6 visits in a row! But it has to be 6 over all visits in the past 24 months and you discussed weight loss or diet and you are all good! I got my 6 month done in one! I just had all my visit notes sent over, along with my Psych eval and letter of reference sent to surgeons office. I complained about my weight for the past 3 years, and if i started a new diet i went to see my doctor first to get cleared because i have lung disease and don't want any flare ups. So that part we easy for me. But I am going to defiantly call to see what the dragon lady wanted with my medical records! Especially when the nurses have nothing to do with approval! That's a different department.

  • Author

Unfortunately, my PCP did not keep great notes. She had note wgts and hadn't made enough notes about my wgt at all. So had to start from scratch on that. But it's all gone great no issues and I have seen the nutritionist and gotten to know my surgeon really well over this time. It has been a great experience and I feel I am very well prepared for surgery and post op. I feel it will make transitioning in to a new healthier lifestyle much easier. The worst part of this has been stressing over the part of the insurance company. It feels like the hold our lives in their hands.

Hope it goes well for you and your headed to the losers bench soon!!! Good luck!!! Let us know what happens...

I also have uhc and in the booklet that has all of my coverage info, 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?

  • Author
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']

Call bariatric resources. They will outline all of your requirements and tell you exactly what you have to do.

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!

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