Jump to content
×
Are you looking for the BariatricPal Store? Go now!

UHC Choice plus-won't cover?



Recommended Posts

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?

Share this post


Link to post
Share on other sites

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

Share this post


Link to post
Share on other sites

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.

Share this post


Link to post
Share on other sites

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!

Share this post


Link to post
Share on other sites

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.

Share this post


Link to post
Share on other sites

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

Share this post


Link to post
Share on other sites

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.

Share this post


Link to post
Share on other sites

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.

Share this post


Link to post
Share on other sites

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

Share this post


Link to post
Share on other sites

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!:)

Share this post


Link to post
Share on other sites

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

Share this post


Link to post
Share on other sites

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.

Share this post


Link to post
Share on other sites

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!

Share this post


Link to post
Share on other sites

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.

Share this post


Link to post
Share on other sites

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? :D

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • Prdgrdma

      So I guess after gastric bypass surgery, I cant eat flock chips because they are fried???  They sell them on here so I thought I could have them. So high in protein and no carbs.  They don't bother me at all.  Help. 
      · 1 reply
      1. NickelChip

        It's possible for a very high fat meal to cause dumping in some (30% or so) gastric bypass patients, although it's more likely to be triggered by high sugar, or by the high fat/high sugar combo (think ice cream, donuts). Dietitians will tell you to never do anything that isn't 100% healthy ever again. Realistically, you should aim for a good balance of protein, carbs, and fat each day. Should you eat fried foods every day? No. Is it possible they will make you sick? Maybe. Is it okay to eat some to see what happens and have them for a treat every now and again? Yes.

    • NovelTee

      I'm not at all hungry on this liquid pre-op diet, but I miss the sensation of chewing. It's been about two weeks––surgery is in two days––and I can't imagine how I'll feel a couple of weeks post-op. Tonight, I randomly stumbled upon a mukbang channel on YouTube, and it was strangely soothing... is it just me, or is this a thing? 
      · 1 reply
      1. NickelChip

        I actually watched cooking shows during my pre-op, like Great British Baking Show. It was a little bizarre, but didn't make me hungry. I think it was also soothing in a way.

    • Clueless_girl

      How do you figure out what your ideal weight should be? I've had a figure in my head for years, but after 3 mths of recovery I'm already almost there. So maybe my goal should be lower?
      · 3 replies
      1. NickelChip

        Well, there is actually a formula for "Ideal Body Weight" and you can use a calculator to figure it out for you. This one also does an adjusted weight for a person who starts out overweight or obese. https://www.mdcalc.com/calc/68/ideal-body-weight-adjusted-body-weight

        I would use that as a starting point, and then just see how you feel as you lose. How you look and feel is more important than a number.

      2. Clueless_girl

        I did find different calculators but I couldn't find any that accounted for body frame. But you're right, it is just a number. It was just disheartening to see that although I lost 60% of my excess weight, it's still not in the "normal/healthy" range..

      3. NickelChip

        I think it's important to remember that the weight charts and BMI ranges were developed a very long time ago and only intended to be applied to people who have never been overweight or obese. Those numbers aren't for us. When you are larger, especially for a long time, your body develops extra bone to support the weight. Your organs get a little bigger to handle the extra mass. Your entire infrastructure increases so you can support and function with the extra weight. That doesn't all go away just because you burn off the excess fat. If you still had a pair of jeans from your skinniest point in life and then lost weight to get to the exact number on the scale you were when those jeans fit you, chances are they would be a little baggy now because you would actually be thinner than you were, even though the scale and the BMI chart disagree. When in doubt, listen to the jeans, not the scale!

    • Aunty Mamo

      Tomorrow marks two weeks since surgery day and while I'm feeling remarkably well and going about just about every normal activity, I did wind up with a surface abscess on on of my incision sights and was put on an antibiotic that made me so impacted that it took me more than two hours to eliminate yesterday and scared the hell out of me. Now there's Miralax in all my beverages that aren't Smooth Move tea. I cannot experience that again. I shouldn't have to take Ativan to go to the lady's. I really looking forward to my body getting with the program again. 
      I'm in day three of the "puree" stage of eating and despite the strange textures, all of the savory flavors seem decadent. 
      I timed this surgery so that I'd be recovering during my spring break. That was a good plan. Today is a state holiday and the final day of break. I feel really strong to return to school tomorrow. 
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      Now that I'm in maintenance mode, I'm getting a into a routine for my meals. Every day, I start out with 8-16 ounces of water, and then a proffee, which I have come to look forward to even the night before. My proffees are simply a black coffee with a protein powder added. There are three products that I cycle through: Premier Vanilla, Orgain Vanilla, and Dymatize Vanilla.
      For second breakfast on workdays, I will have a low-fat yogurt with two tablespoons of PBFit and two teaspoons of no sugar added dried cherries. I will have ingested 35-45 grams of protein at this point between the two breakfasts, with 250-285 calories, and about 20 carbs.
      For second breakfast on non-workdays, I will prepare two servings of plain, instant oatmeal with a tablespoon of an olive oil-based spread. This means I will have had 34 grams of protein, 365 calories, and 38 carbs. Non-workdays are when I am being very active with training sessions, so I allow myself more carbohydrate fuel.
      Snacks on any day are always mixed nuts, even when I am travelling. I will have 0.2 cups of a blend that I make myself. It consists of dry roasted peanuts, cashews, pumpkin seeds, sunflower seeds, pistachios, and Brazil nuts. This is 5 grams of protein, 163 calories, and 7 carbs.
      Breakfast and snacks have been the easiest to nail down. Lunch and dinner have more variables, and I prepare enough for leftovers. I concentrate on protein first, and then add vegetables. Typically tempeh, tofu, or Field Roast products with roasted or sautéed vegetables. Today, I will be eating leftovers from last night. Two ounces of tempeh with four ounces of roasted vegetables that consist of red and yellow sweet peppers, sweet potatoes, small purple potatoes, zucchini, and carrots. I will add a tablespoon of olive oil-based spread, break up 3 walnuts to sprinkle of top, and garnish with two tablespoons of grated Parmesan cheese. This particular meal will be 19 grams of protein, 377 calories, and 28 grams of carbs. Bear in mind that I do eat more carbs when I am not working, and I focus on ingesting healthy carbs instead of breads/crackers/chips/crisps.
      It's a helluva journey and I'm thankful to be on it!
       
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×