My husband informed me today that his company sold to another company and our insurance is switching and my deductible is starting over. I had BCBS of Texas. My deductible was met and I was almost done with everything to be submitted to insurance. I am so frustrated and feel defeated.

I don't know what plan we will have yet so I don't know if WLS will be covered or not.

If you have UHC can you tell me what plan you had, if it was covered and what the requirements were? Also if you had UHC and used Dr. Nicholson in Plano that would be a plus since that was who I've started my process with.

Hey I had the basic UHC plan along with my insurance. Anyway They require 6months pre-op which means monthly appts to help you create a healthy lifestyle before surgery so that you can be successful after surgery. After this they will be able to decide if you're a candiate for surgery based on weight history, previous attempts to lose the weight and the pre-op evaluations made while working with your hospitals bariatric team. I'm sure they will be able to transfer all of the work you've put in thus far over to the new bariatric team. Try speaking with someone that is head of the bariatric team on both sides and letting them know of your previous efforts and work that was done before hand. Do not be afraid to be a little defiant and insisting as this journey sometimes requires us to be with possible set backs or denials. Please stay strong, and know that your journey is not far away. You will thank yourself for the struggles you face now in a year or two! And trust me, time flies! lol Stay positive!

Edited September 29, 201510 yr by ZombieQueen

You may be better off to go the hiatal hernia route.

You may be better off to go the hiatal hernia route.

How does that work?

Hey I had the basic UHC plan along with my insurance. Anyway They require 6months pre-op which means monthly appts to help you create a healthy lifestyle before surgery so that you can be successful after surgery. After this they will be able to decide if you're a candiate for surgery based on weight history, previous attempts to lose the weight and the pre-op evaluations made while working with your hospitals bariatric team. I'm sure they will be able to transfer all of the work you've put in thus far over to the new bariatric team. Try speaking with someone that is head of the bariatric team on both sides and letting them know of your previous efforts and work that was done before hand. Do not be afraid to be a little defiant and insisting as this journey sometimes requires us to be with possible set backs or denials. Please stay strong, and know that your journey is not far away. You will thank yourself for the struggles you face now in a year or two! And trust me, time flies! lol Stay positive!

Thank you! Trying to stay positive but knowing I was less then a week away from a surgery date kind of stinks!

I have uhc care mark and my requirements were 6 month controlled diet meet with psychiatrist and to be insured with them for a year hopefully you won't need the last bit

I have UHC and it couldn't have been easier. I need ed 6 months doctor supervised weight loss and either a bmi of 35 with an issue or 40 without. No psych visit needed. I have done more pre-op testing for the Nicholson Clinic than for my insurance company.

My husband informed me today that his company sold to another company and our insurance is switching and my deductible is starting over. I had BCBS of Texas. My deductible was met and I was almost done with everything to be submitted to insurance. I am so frustrated and feel defeated.

I don't know what plan we will have yet so I don't know if WLS will be covered or not.

If you have UHC can you tell me what plan you had, if it was covered and what the requirements were? Also if you had UHC and used Dr. Nicholson in Plano that would be a plus since that was who I've started my process with.

I went through the Nicholson clinic and had UHC which my plan excluded any WLS so I went the hernia route. Insurance pays to repair the hernia and while the doctor is in there he does the sleeve which cost me 4000 dollars out of pocket but my bmi was to high for them to do it out patient so it was done at forest park hosital in Dallas my wife also had hers done but she was able to go through True Results in Plano and have it done outpatient she has UHC also and the financed the sleeve. Dr Rosek done both of our surgeries.

My husband informed me today that his company sold to another company and our insurance is switching and my deductible is starting over. I had BCBS of Texas. My deductible was met and I was almost done with everything to be submitted to insurance. I am so frustrated and feel defeated.

I don't know what plan we will have yet so I don't know if WLS will be covered or not.

If you have UHC can you tell me what plan you had, if it was covered and what the requirements were? Also if you had UHC and used Dr. Nicholson in Plano that would be a plus since that was who I've started my process with.

I went through the Nicholson clinic and had UHC which my plan excluded any WLS so I went the hernia route. Insurance pays to repair the hernia and while the doctor is in there he does the sleeve which cost me 4000 dollars out of pocket but my bmi was to high for them to do it out patient so it was done at forest park hosital in Dallas my wife also had hers done but she was able to go through True Results in Plano and have it done outpatient she has UHC also and the financed the sleeve. Dr Rosek done both of our surgeries.

Wanted to find out your experience with dr rosnek? I had planned to go with Nicholson but I may have to switch doctors due to available appointments.

I like Dr roshek he did a good job on me I had very little pain. I'm nearly 3 weeks post op