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UNITED HEALTHCARE PPO

taweedeegirl

By taweedeegirl, in Insurance & Financing

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GreenEyes604    753

GreenEyes604
Posted

What state are you in? I have UHC in Maryland and was approved with no problem. Depending on your location and employer, the plans differ.

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Sleeve_Sistah85    193

Sleeve_Sistah85
Posted

You have to call your insurance. I have United Healthcare Choice Plus through my employer in NY.

I called them up and they required:

-BMI 40 or 35 with co-morbidity

-6 month physician supervised diet

-Psychiatric consult

I was also linked up with a Bariatric nurse who referred me to a Bariatric center of excellence.

Good luck!

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wannaBthinsoon    1,634

wannaBthinsoon
Posted

I will have UHC PPO as of Jan 1, so I started the 6 month Dr supervised diet 6 months ago. Today was my last weigh in. I gained. :angry: Dang it! I scheduled another appt for the end of the month, and I will be eating chicken and green Beans twice a day to lose what I gained, so I can show a loss. Anyone know if UHC would deny me if I failed to lose in those 6 months? I'm in Kansas.

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Sleeve_Sistah85    193

Sleeve_Sistah85
Posted

I will have UHC PPO as of Jan 1, so I started the 6 month Dr supervised diet 6 months ago. Today was my last weigh in. I gained. :angry: Dang it! I scheduled another appt for the end of the month, and I will be eating chicken and green Beans twice a day to lose what I gained, so I can show a loss. Anyone know if UHC would deny me if I failed to lose in those 6 months? I'm in Kansas.

I gained 1lb at my last weigh-in and asked that very question. They physician assistant said they would not deny for that reason.

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cassaundra    0

cassaundra
Posted

I have UHC Choice Plus in Texas and they said that my plan excludes weight loss surgery. I am just wondering if there is anyway I can fight them to cover WLS at all. I was told that it was because my husbands company must have chosen to exclude WLS. Texas is a state that opted out of requiring insurance companies to cover WLS.

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taweedeegirl    68

taweedeegirl
Posted

You have to call your insurance. I have United Healthcare Choice Plus through my employer in NY.

I called them up and they required:

-BMI 40 or 35 with co-morbidity

-6 month physician supervised diet

-Psychiatric consult

I was also linked up with a Bariatric nurse who referred me to a Bariatric center of excellence.

Good luck!

what status are you currently in with them ?

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taweedeegirl    68

taweedeegirl
Posted

What state are you in? I have UHC in Maryland and was approved with no problem. Depending on your location and employer, the plans differ.

what was your starting and ending BMI?

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taweedeegirl    68

taweedeegirl
Posted

Sooo happy , I just found out that I've been approved. .it was pretty quick..6 days. .I have UHC.. waiting for my surgery date!

did u have your surgery already?!

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AquariusDiva    15

AquariusDiva
Posted

I had UHC last year and went through the whole process but was denied bc they required a 5 year med history of obesity. I was missing a year and one year was deemed too low. Dr appealed and got it overturned (probably bc they had 8 year history with me being overweight. But it came through at the end of the year :( and my dr was on vacay. So did another submission to my new insurance in January Cigna- they denied it bc the surgeon, Nut and psych were over a year old 12/13. Appealed with new visit to the 3 of them and they overturned it. So I'm now scheduled for 3/16.

I did gain a few lbs during the 6 mom supervised program ... But that wasn't why they denied it ...

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wannaBthinsoon    1,634

wannaBthinsoon
Posted

UHC no longer requires your weight history...5 years or otherwise. I know they denied a few people I know last year due to that requirement, but this year it was dropped. I assume all UHC,

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AquariusDiva    15

AquariusDiva
Posted

Argh - that would figure that UHC dropped it this year!

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Go To Topic Listing Insurance & Financing

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    • Alisa_S

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      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 0 replies
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    • Alisa_S

      Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

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