Jump to content
×
Are you looking for the BariatricPal Store? Go now!

New United healthcare



Recommended Posts

I'm in Alabama and I have uhc. I got the booklet and it say bariatric surgery is not covered. On exclusion list. Is this point blank or do I just need a doctors referral?

Share this post


Link to post
Share on other sites

If it is on the exclusion list that means they do not cover it. I would also call the insurance company just in case and ask a representative if it is included in your plan. But honestly, if it states that then they do not cover it.

Share this post


Link to post
Share on other sites

Thanks. My plan hasn't started yet but they told me it was covered. The rep didn't sound too sure I may just need to cancel my plan. It's hard finding someone to cover bariatric in Alabama

Share this post


Link to post
Share on other sites

I had surgery on 9/30 and started my 6 month supervised diet in march 2015. I had UHC at the time and bariatric surgery was covered. I ended up changing employers and switching to BCBS AL halfway through but UHC did cover it last year. Maybe they changed it this year but I would call them just to be sure. Also check with your employer. It may be an employer exclusion, rather than a provider exclusion.

Share this post


Link to post
Share on other sites

I looked into having this done several years ago and my insurance was uhc and bariatric surgery was on the exclusion list. I contacted uhc and they said that it was add to the exclusion list by my employer. I was devistated. I'm with bcbs of Michigan now and it is been a very simple process. My surgery is scheduled for March 8th. Good luck to you with your journey!!!

Sent from my LG-D850 using Tapatalk

Share this post


Link to post
Share on other sites

I have UHC in MO and looked online at my plan about a year ago and it said it was not covered. However, I checked with a surgeon 6 months or so ago and they submitted it and it is covered. I have to do 6 months of a dietitian supervised diet (on month 5 now) then I should be good to go. It's worth looking into. Good luck!

Share this post


Link to post
Share on other sites

For most national healthcare insurance it is the employer that determines whether it is covered or not.

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • Eve411

      April Surgery
      Am I the only struggling to get weight down. I started with weight of 297 and now im 280 but seem to not lose more weight. My nutrtionist told me not to worry about the pounds because I might still be losing inches. However, I do not really see much of a difference is this happen to any of you, if so any tips?
      Thanks
      · 0 replies
      1. This update has no replies.
    • Clueless_girl

      Well recovering from gallbladder removal was a lot like recovering from the modified duodenal switch surgery, twice in 4 months yay 🥳😭. I'm having to battle cravings for everything i shouldn't have, on top of trying to figure out what happens after i eat something. Sigh, let me fast forward a couple of months when everyday isn't a constant battle and i can function like a normal person again! 😞
      · 0 replies
      1. This update has no replies.
    • KeeWee

      It's been 10 long years! Here is my VSG weight loss surgiversary update..
      https://www.ae1bmerchme.com/post/10-year-surgiversary-update-for-2024 
      · 0 replies
      1. This update has no replies.
    • Aunty Mamo

      Iʻm roughly 6 weeks post-op this morning and have begun to feel like a normal human, with a normal human body again. I started introducing solid foods and pill forms of medications/supplements a couple of weeks ago and it's really amazing to eat meals with my family again, despite the fact that my portions are so much smaller than theirs. 
      I live on the island of Oʻahu and spend a lot of time in the water- for exercise, for play,  and for spiritual & mental health. The day I had my month out appointment with my surgeon, I packed all my gear in my truck, anticipating his permission to get back in the ocean. The minute I walked out of that hospital I drove straight to the shore and got in that water. Hallelujah! My appointment was at 10 am. I didn't get home until after 5 pm. 
      I'm down 31 pounds since the day of surgery and 47 since my pre-op diet began, with that typical week long stall occurring at three weeks. I'm really starting to see some changes lately- some of my clothing is too big, some fits again. The most drastic changes I notice however are in my face. I've also noticed my endurance and flexibility increasing. I was really starting to be held up physically, and I'm so grateful that I'm seeing that turn around in such short order. 
      My general disposition lately is hopeful and motivated. The only thing that bugs me on a daily basis still is the way those supplements make my house smell. So stink! But I just bought a smell proof bag online that other people use to put their pot in. My house doesn't stink anymore. 
       
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      Oh yeah, something I wanted to rant about, a billing dispute that cropped up 3 months ago.
      Surgery was in August of 2023. A bill shows up for over $7,000 in January. WTF? I asks myself. I know that I jumped through all of the insurance hoops and verified this and triple checked that, as did the surgeon's office. All was set, and I paid all of the known costs before surgery.
      A looong story short, is that an assistant surgeon that was in the process of accepting money from my insurance company touched me while I was under anesthesia. That is what the bill was for. But hey, guess what? Some federal legislation was enacted last year to help patients out when they cannot consent to being touched by someone out of their insurance network. These types of bills fall under something called, "surprise billing," and you don't have to put up with it.
      https://www.cms.gov/nosurprises
      I had to make a lot of phone calls to both the surgeon's office and the insurance company and explain my rights and what the maximum out of pocket costs were that I could be liable for. Also had to remind them that it isn't my place to be taking care of all of this and that I was going to escalate things if they could not play nice with one another.
      Quick ending is that I don't have to pay that $7,000+. Advocate, advocate, advocate for yourself no matter how long it takes and learn more about this law if you are ever hit with a surprise bill.
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×