UHC Choice plus-won't cover?

[pamla68 1]

Well today is looking up...I just talked to the doctor's office and they have gotten three approved my UHC Choice this week and that they have not received mine back yet but my case was the same so she told me mine should go through but did not want to discourage me if it didn't....so i am taking this bit of information as a forward step to being banded....Thank you all for listening to me yaw are great!!!!!:confused:

Which UHC plan do you have and how much will they pay?

[bamagirl36526 0]

Which UHC plan do you have and how much will they pay?

Pamla68 I am not sure what they will pay yet....any will be better than what I can do you know...but I am not sure hopefully I can get back with you on this one but I have United Healthcare Choice Plus...the top of what they offered my company ....we have about three levels we could have chosen from when I hired in to the company...hope this helps...I will keep you updated when I find out more though...Hang in there

[Bikergirl 0]

I have UHC Choice Plus - they paid 100%, I was banded for $40, so far. Free Seminar, $20 co-pay for consultation, $20 co-pay for pre-op. I went to an appointment today which was a follow-up from my surgery and didn't have to pay anything. I think you should be ok - you should be able to go online to myuhc.com and get information on your insurance policy. Can't wait until you guys are banded.

[spectacularone 0]

Waiting is the hardest part. Waiting on my medical records to give to the attorney who's going to file an appeal on my behalf. I've really lost faith in United Healthcare and don't really beleive anything they say. I'm hoping the attorney will be the one to deal with them from now on. I just pray and pray that my denial gets overturned. I wish I'd have read all of this information BEFORE I turned in my first predetermination--maybe I wouldn't have gotten turned down.

Keep your fingers crossed for me!

[bethicle 0]

Hey everoyne, I am new to this site. I am waiting on approval through UHC and I have a question from the people that have been approved in 2007 through UHC. Did you have to submit a 5 year history of a BMI 35 or higher?

I called my insurance like 3 times last month and they said they didnt need a 5 year history with my benefits, but then when my Drs office submitted my paperwork the UHC today they said they needed a 5 year history even thought it doesnt say this in my benefits. Im so frustrated.

[pamla68 1]

I called my insurance like 3 times last month and they said they didnt need a 5 year history with my benefits, but then when my Drs office submitted my paperwork the UHC today they said they needed a 5 year history even thought it doesnt say this in my benefits. Im so frustrated.

See this is the mess I'm talking about. They received myt papers on March 1st, and it is still being decided yet yours reached their office and you got a response on the SAME day! BS

[spectacularone 0]

I mentioned this earlier but UHC once told me to go ahead and have the lap band--that because it was outpatient I didn't need approval. Then two days later I got a denial letter. We're appealing but I swear I've never seen a insurance company so inconsistant.

[bethicle 0]

See this is the mess I'm talking about. They received myt papers on March 1st, and it is still being decided yet yours reached their office and you got a response on the SAME day! BS

No I didnt get a response, my Dr.s office submitted my paperwork on friday and I have no response yet. But they did tell us that I need to submit a 5 year history of a BMI over 35. Which is what makes me mad because I was told 3 times that I didnt need that.

[pamla68 1]

I called yesterday and was told the file was CLOSED on March 10, 2007 but there was nothing in the system that could be seen to say whether that was a approval or denial! What kind of crap is this! BTW they gave me yet ANOTHER number 866-297-9393

[pamla68 1]

I have UHC Choice Plus - they paid 100%, I was banded for $40, so far. Free Seminar, $20 co-pay for consultation, $20 co-pay for pre-op.

That is a blessing bikergirl360. Congratulations!

[bethicle 0]

So I am pretty upset, I found out that I am probably going to be denied from UHC because I do not have a 5 years worth of hisory having a BMI of 35 or over, eventhough

[bethicle 0]

oops my computer freaked out and messed up my last post...but it was supposed to be....

I am pretty upset, I found out that I am probably going to be denied from UHC because I do not have a 5 years worth of hisory having a BMI of 35 or over, eventhough they told me three times that they did not need it! And now they are throwing in that I have to be 21 (I am 20) which they NEVER said anything about before! I am really sad about this, I guess in July when I am 21 I will try and appeal.

[pamla68 1]

I spoke with someone at UHC and they stated give them 30 days WTH? They began to review on 3/3/07, so that's giving them 4/2/07. Or is that working days? This doesn't sound too good. Anyone on here, UHC told you to give them 30 days to make a descision and got approved?:omg: Please tell me yes!

[spectacularone 0]

I waited 30 days and then got denied by UHC. But, they sent mine to the wrong department.

I am in the process of appealing now. But, I was never given a reason for denial. I know my plan covers it but they didn't tell me what I was lacking to qualify. So, I had to get an attorney and I hope they can make sense of it. If I had it to do over, I'd get a copy of my "plan booklet" and find out what they were looking for BEFORE I submitted it. I had to call my husband's work and request one, UHC doesn't give them out because they are different from employer to employer.

I am concerned about the 5 years of BMI over 35. I don't have that. The diets I have tried would work and then I'd gain it back so I have weights in the last 5 years that are under 35.

If you lose an appeal can you just go and apply again? I read somewhere on here that this girl applied 3 times in 4 months and eventually they said yes. Is that the case? Seems like they'd just see that you just appealed and deny you right off the bat.

I may need to build my case better next time. I haven't been formally diagnosed with any major health problems either and I'm only a 38 BMI.

[Annie 0]

I'm in the process of getting all my ducks in a row to have this surgery, so I've called UHC 4 times in the past 2 weeks, just to make sure I have everything I need to get this approved. I have UHC choice, a BMI of 37, and HBP. Each of the times I have called, I've got a slightly different answer. :mad:

At first I felt positive about this, that I would qualify without any problems, but each time I talk to someone else there, it sounds more bleak...I meet the criteria, but I still worry that it won't go through....this waiting and wondering is awful! Can you tell I'm a little impatient?