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United Health Care Insurance Approval



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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

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@@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

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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

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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

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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

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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

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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

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

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      · 1 reply
      1. Phil Penn

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    • Doughgurl

      Hey everyone. I'm new here so I thought I should introduce myself. I am 53y/o and am scheduled for Gastric Bypass on June 25th, 2025. I'm located in San Antonio, Texas. I will be having my surgery in Tiajuana Mexico. I've wanted this for years, but I always had insurance where bariatric procedures were excluded. Finally I am able to afford to pay out of pocket.  I can't wait to get started, and I hope I'm prepared for the initial period of "hell". I know what I have signed up for, but I'm sure the good to come will out way the temporary period of discomfort and feelings of regret. I'd love to find people to talk to who have been through the same procedure or experience before. So I look forward to meeting you all. Hope you have a great week!
      · 2 replies
      1. Selina333

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    • 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. LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • 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

        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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