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UHC Choice plus-won't cover?

Just got off the phone with UHC....the guy on the end of the phone sounded like he had no clue. He said that it was not covered. I gave him the CPT code, he said it was not covered. So many of you have UHC...I was really suprised. He said to call my HR manager...but it is my DH job, and I don't want to talk to anyone up there if I can avoid it. Any suggestions? Should I just keep calling, or is NO a NO?:lost1.5lbs:

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Monica, I am approved. How is your recovery going? Is there anything that I should be worried about?

Yea, that was fast. Im doing great almost no pain at all. I have my 2 week postop today and plan on asking dr to go ahead and release me to return to work. Im getting bored just sitting at home all day. I was lucky, I didnt have any of the gas pains or anything that others complain about. I credit that to the fact that my dr did keep me in the hospital overnight and they made sure that I was up every couple of hours to walk.

According to my scale at home I have lost about 20lbs since the beginnning of preop. Im going to add my weight ticker after I come back from the dr with an official weight. Good luck:clap2:

I have been reading these posts for a couple months now. I am going through the process of getting insurance approval.I have UHC Choice. I went through all the preliminary lab testing, Psychological testing, seminar, and nutritonal class. My dr office submitted the paperwork to UHC on May 9th. I have contacted them every week for the last three weeks to make sure they had the paperwork. Every time I called they said they had not received anything. Finally I got my dr office to call where they found out about the fax number being changed for pre-determination. So finally after about 6 weeks they have faxed it to the RIGHT number- i should hopefully have an answer sometime next week. Just wanted to share my experience-that way if anyone else is having the same problem- they should contact uhc direct to get the correct info.

Stacy

Starting weight-277

Current weight-267

Goal weight-145

Hey Stacy. That is just awful! My paperwork was submitted to UHC today so my waiting game begins too. But hopefully since yours royally messed up, the approval will be recieved right away. And thanks for the headsup on the new number for UHC. I will call next week and if no one has recieved it, I will get the office to call.

Good Luck@

Mary, good luck to you as well. I know that once they actually get it -it should go fairly fast-that is if your Dr. submitted everything they need. Anyways, definitely follow up.

Hello all,

This is my first post, I have been a lurker.

My Dr submitted the paperwork to United HealthCare (Choice plus) 3 weeks ago. I called today and checked up and they said that UHC needs a 5 year weight history. I am really worried because here is my 6 year history:

2001: BMI=52

2002: BMI=39

2003: BMI=35

2004: BMI=39

2005: BMI=45

2006: BMI=45

I had a flunctuation and went down to a BMI of 35 because I was starving myself and working out for my wedding. Do you think this will prevent them from approving me because I haven't been over 40 BMI consistently for the last 5 years? Any advice or experience is appreciated!

Thanks,

Martie

DFW, Dr. Marsden

I have UHC, and was approved and banded earlier this month. I too was worried about what extra's they would need to approve.

My BMI was 37 and I have high blood pressure, and a family hx of diabetes and heart disease. I got a copy of my weight history from my regular doctor, from all my previous visits for things....(they always weigh you, and take your bp when you go in) Anyway, by weight fluctuated from 200-235 throughout my history. (which was since 1998)

My surgeons office submitted the paper work on a Tuesday, and told me it would probably be a few weeks till we heard anything, so I called UHC that Friday to see if they had recieved everything they needed and to check the status. They told me then I was approved, and had sent my approval letter that day. It was quick all in all. I didn't think it would be that easy, I was expecting a denial.

Hope this helps anyone in waiting. Good luck to you all.

Wow! That is great news!! I too have UHC. My info is to be submitted this coming Tuesday. I have a BMI of 43, have diabetes, high blood pressure and cholesterol, sleep apnea, chronic venous stasis, and a family history of heart disease. I provided my charts from doctors visits from the part 18 months. I am so anxious to get approved. I would like to have surgery during the time that my son is on summer break from school. That way he can spend the night with other family members and I can concentrate on healing. Thanks for some hope!!

You need to involve your Doc in a appeal of their decision. I am a nurse and have a band and take care of banded patients. Nine out of ten have to fight tooyh and nail with their insurance.

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