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Uhc - Not Covered?

Hi everyone, first time poster here!

I'm a 21 year old female, and overweight... I was interested in doing the surgery after I saw the results a friend of mine had. He recommended his surgeon, which happens to be an in-network surgeon of UHC. I called the insurance company, and they said that this surgery wasn't covered... is that possible? UHC has an 'Estimate Health Care Costs' link, and I put in all my information, and according to that, they do... I'll I'd have to pay is $2,000 out-of-pocket.

I have insurance through my job, PetSmart.

Any suggestions on what I should do?

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Some employers insurance plans do not cover it. To be safe I would call again and speak with someone else. Maybe that person was incorrect (goodness knows we don't always get the correct information when we call). You might want to bring up the link you put your information into and ask them why it says you are covered. Good luck!!

I have uhc as well they weren't gonna cOver it but because I had a heital hernia they covered half which for me was better than nothing. Good luck

Althought UHC does cover Weight Loss Procedures each policy is different. Bariatric Surgery is usually an additional add on the policy that employers choose to add to the traditional policy. If they have told you that it is an exclusion this means that the rider is not on your policy and unfortunately there is no way around that.

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Althought UHC does cover Weight Loss Procedures each policy is different. Bariatric Surgery is usually an additional add on the policy that employers choose to add to the traditional policy. If they have told you that it is an exclusion this means that the rider is not on your policy and unfortunately there is no way around that.

They didn't say it was an exclusion, they just said they didn't cover it. Maybe there is a way around it...hm.

I hAve united health and I had my sleeve done 10/07 and had no problem with them covering it at all. Matter fact their nurses call me all the time now checking up on me.

<p>Hi everyone, first time poster here!</p> <p> </p> <p>I'm a 21 year old female, and overweight... I was interested in doing the surgery after I saw the results a friend of mine had. He recommended his surgeon, which happens to be an in-network surgeon of UHC. I called the insurance company, and they said that this surgery wasn't covered... is that possible? UHC has an 'Estimate Health Care Costs' link, and I put in all my information, and according to that, they do... I'll I'd have to pay is $2,000 out-of-pocket. </p> <p> </p> <p>I have insurance through my job, PetSmart.</p> <p> </p> <p>Any suggestions on what I should do? </p>

PetSmart's insurance policy does not include weight loss surgery. I work for them also and I'm in the same boat. I'm looking into financing or self pay. Good Luck.

I have UHC and they covered everything except my co pay which was around 3000.00.

  • 4 weeks later...

Yes, just because you have United does not mean the will or won't cover. It totally depends on the policy you have, of which United has 1,000's of different ones for different groups and employers.

My husbands company had United and the plan specifically excluded any bariatric surgery, but my girlfriends work did cover it with a $3,000 co-pay.

Your best bet is to get a copy of your plan benefit documents as well as the exclusion list from HR. That will outline everything. The people on the phone deal with 1,000's of plans.

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