JPMorgan UHC ChoicePlus

roseygirl · September 24, 2014

I have been searching and searching for info from others who used UHC and never really found the answer. Now that I received an answer from UHC thought I'd share.

The situation: Lap Band self pay in 2007. It was a fail and caused many issues (sliming, puking daily, no weight loss). BCBS paid for removal in 2012. JPM requires the 6 month diet plan. I do not have this documented as I was working w/ a trainer (doesn't count). IF UHC would approve as a revision instead of a new WLS all pre-op requirements would be waived. I do have sleep apnea as well.

Met with surgeon begin of Sept. Insurance submitted by 09/12 and APPROVAL received today 09/24!!! Drop the confetti people!! My surgery date is next week. OMG I can't believe it. So thrilled.

mmurray · September 25, 2014

Are they approving you as a revision? I'm only wondering because I like you have uhc choice plan. So I'm just trying to see what other people's experiences are.

roseygirl · September 25, 2014

Yes, approved as a revision which means I don't have to meet any of the usual criteria. Typically, they would require six months supervised diet, BMI requirements, etc.

denden2brn · September 26, 2014

Good for you!! Happy sleeve day!! Make sure you take lots of pics of your old self!! To compare. Wish I did. Sleeve 4/16/14. 54 lbs down and counting. Feeling great