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

United Health Care Insurance Approval



Recommended Posts

I have UHC also and my paperwork was submitted on Tuesday 8/2/16 but I was required to do 1 year weight loss supvisor diet

Sent from my LGLS992 using the BariatricPal App

Share this post


Link to post
Share on other sites

@@perksgirl I'm in Michigan I just hope with the 1 year diet documentation and psych evaluation and high BP and pre diabetes that they approve me

Sent from my LGLS992 using the BariatricPal App

Share this post


Link to post
Share on other sites

I received a call today saying my coordinator had received my weight loss record for the pass nine years and they were going to submit to UHC I too have high bp and sleep apnea plus arthritis very bad I hope they approve me and you also

Sent from my iPad using the BariatricPal App

Share this post


Link to post
Share on other sites

I have UHC as well I had to do 6 months supervised weight loss, I lost 17 lbs and gained 9 back. Psyc eval, I had to have 5 yrs of records proving I have weight issues. Bmi over 40 or under with 2 comorbidities. Letter of medical necessity. Nutritionist consult. Surgeon consult. Now the surgeon is making me lose 15lbs before he will schedule surgery. He gave me 6 weeks. My paperwork was submitted to ins Tuesday 8.2.16 I was approved 8.4.16

Sent from my SAMSUNG-SM-G870A using the BariatricPal App

Share this post


Link to post
Share on other sites

I have UHC and am just waiting to hear back from them. Doctors office submitted the medical necessity on 8-4-16. I had to have 6 months medical supervised weight loss, psych evaluation, join their resources program, and bmi of 40 or more unless I have 2 or more comorbity. I have type 2, blood pressure and borderline sleep apnea. Hope they can get this done so I can get my time scheduled off and my husband since he works for the railroad in Utah

Sent from my SM-N920V using the BariatricPal App

Share this post


Link to post
Share on other sites

They did mine on Thursday and today I went to my primary for regular checkup and she said I got a call or fax you are approve but it didn't say for what so I got home and called to verify and she checked I'm approved for me vsg and hernia repair I go to my surgeon on the 16th

Sent from my iPad using the BariatricPal App

Share this post


Link to post
Share on other sites

I'm trying to get a revision procedure so I was initially denied due to not having 5 years 40 bmi. But my case is I had a procedure in place 5 years ago which explains why I only have 3 years. I'm praying my surgeon can overturn UHC's denial thru the peer to peer next week. It's giving me so much anxiety and depression right now

Sent from my iPhone using the BariatricPal App

Share this post


Link to post
Share on other sites

Is your annual deductible waived if you use a Center of Excellence facility and surgeon?

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

    • 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.
    • BeanitoDiego

      Some days I feel like an infiltrator... I'm participating in society as a "thin" person. They have no idea that I haven't always been one of them! 🤣
      · 0 replies
      1. This update has no replies.
    • ChunkCat

      Thank you everyone for your well wishes! I totally forgot I wrote an update here... I'm one week post op today. I gained 15 lbs in water weight overnight because they had to give me tons of fluids to bring my BP up after surgery! I stayed one night in the hospital. Everything has been fine except I seem to have picked up a bug while I was there and I've been running a low grade fever, coughing, and a sore throat. So I've been hydrating well and sleeping a ton. So far the Covid tests are negative.
      I haven't been able to advance my diet past purees. Everything I eat other than tofu makes me choke and feels like trying to swallow rocks. They warned me it would get worse before it gets better, so lets hope this is all normal. I have my follow up on Monday so we'll see. Living on shakes and soup again is not fun. I had enough of them the first time!! LOL 
      · 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

    ×