I was approved with UHC, received letter (copy of what was sent to doctors office) stating approval for band removal and gastric sleeve to be performed- great news!!! The second half of the letter states that if patient has maxed visits or dollar the patient would be responsible for balance unless stated other wise with plan.

I am almost to my out of pocket max for the year so was curios if anyone else has had this letter or is it really just a form letter covering all patients?

Will be calling Monday to confirm.

Edited June 6, 201511 yr by tryinagain2day

I have uhc and received a very similar letter. I had surgery 12/30/14 bypass, because I had already met my out of pocket max for the year, I paid nothing for the surgery, surgeon, hospital or anesthesia! Good luck.

Thanks- that's a relief to hear. So ready. How has the bypass been for you?

Edited June 6, 201511 yr by tryinagain2day

Very good! I had a great recovery. Tiredness was an issue but around week 6 that went away. Before that though I couldn't make it through the day without a nap. Early on it was 2 naps. It's a big shock to the body. Food wise has been relatively great. Eating out is becoming easier. I've only gotten sick on food about a handful of times. It's because the food I ate was too dry. The only way we learn is through trial and error :-) At my 3mo check up I was ahead of his schedule for weight loss. I go back in a month and I think he'll be rather surprised again. I'm having great losses every week. I'd drive myself nutty if I weighed in every day! I've had no negatives. The only regret I have is not doing this when I was much younger. I feel that life is mine for the taking now!

The second half of the letter states that if patient has maxed visits or dollar the patient would be responsible for balance unless stated other wise with plan.

It's a form letter. Here is an example of what it means: If your plan allowed 10 chiropractic visits and you had already used 8, you can still get a letter authorizing 5 more, but they will only pay for 2 of those. You will max out your visits and will have to pay for the balance of the visits, or 3 of them.