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UHC

So super discouraged I was denied by my insurance even though my bmi 52!!! Anyone with UHC what is your plan??

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  • oldoneyoungagain
    oldoneyoungagain

    I would like to add my two cents as I work for a company that provides prescription benefits to employers for their employees. First my company, just like UHC offers "your" employer various plans, so

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I have UHC with a custom wls plan. 35 bmi with 2 co-morbidities or 40 bin. Must have policy 2 yrs before wls covered. I have NUT training with UHC which takes about 2-4months, but my surgeon requires a little more so all in all process MAY take up to 6 months. I did not have to provide 5yrs of records or anything like that. I have an amazing case manager I work with that answers and helps me with all my crazy questions. All you can do is call. Like so many have said there are many different UHC plans

UHC PPO

I am so confused about the plan requirements. Yes, gastric bypass is covered. BUT, you have to have 1) BMI 35 < with commodities, or 2) BMI +40. Now were my confusion comes in is about the 6 month diet. Has anyone gotten an approval without being required to do the diet? I'm concerned because i don't want to be put in this tug of war where i start the diet, loose weight and then the insurance (or surgeon) denies me because i no longer meet the requirements. I have been doing the yo-yo weight loss for years and it almost always comes back. Im tired of being so big.

My stats are, 5'3", 282 lbs, 49.9 BMI. I have always been big/heavy and it has gotten out of control. My mother died at 47 from diabetic complications and had HBP and heart disease. My father is diabetic, hypertensive & high cholesterol. I have been treated for weight loss with pills, thyroid (post pardum) and pre-diabetes with in the 12-18 months. My consult is 11/26/13. I am so anxious about what to expect.

My plan is effective January 1.

I have UHC. My plan does not require a 6 month diet or a psych evaluation. Like many other people have said in this thread, it depends on what your employer wants to require. I would call UHC and get your requirements in writing because everyone will tell you something different.

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