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

United healthcare Bariatric program



Recommended Posts

Hi, so I'm new to this site, but I decided back in may I wanted to do wls, when I first talked to my insurance company about requirements I met all of them, so I picked a Dr. and got my consultation date. Then when I was speaking to them about something completely different I decided to ask about requirements again. Good thing I did because the first time I asked they failed to tell me I must do their bariatric program and get surgery at one of their hospitals of excellence. The only problem was there is not one in my state. However they reimburse me for travel expenses. It was just so frustrating because I was excited to begin with my consultation and everything. Now I feel like I'm starting all over again. I'm pretty nervous about having to do it through their program and want to know if anyone here has done United healthcare's bariatric program and how that went for you?

Share this post


Link to post
Share on other sites

I have United healthcare and they required me a 6 months supervised doctor diet, they approved me within a week after i met their requirements...the only thing is that my insurance went up right before my surgery and instead of paying $1700 i will be paying $4800...

Sent from my SAMSUNG-SM-G890A using the BariatricPal App

Share this post


Link to post
Share on other sites

I have United healthcare and they required me a 6 months supervised doctor diet, they approved me within a week after i met their requirements...the only thing is that my insurance went up right before my surgery and instead of paying $1700 i will be paying $4800...

Sent from my SAMSUNG-SM-G890A using the BariatricPal App

Oh wow, did your insurance plan require that you get a case manager and go through their bariatrics program?

Share this post


Link to post
Share on other sites

No case manager and i went through my primary doctor and he referred me to the nutritionist in my same health plan

Sent from my SAMSUNG-SM-G890A using the BariatricPal App

Okay great thanks for the info!

Share this post


Link to post
Share on other sites

I also have an option to go with a Centers of Excellence (COE), if I do, my annual deductible is waived (whatever that means). My UHC also requires the 6 months of weight loss visits and whatnot.

At first I was going through True Results but they permanently closed a few days before my 5th appointment. Other than my 5th and 6th appointments I had done everything. My 'case manager' or my nurse through Optum (I was required to sign up and speak to a nurse through my insurance) gave me a list of surgeons I could choose from. When I picked True Results the surgeon was on that list, however I didn't realize he didn't do his surgeries at a COE facility (he has hospital privileges at a COE facility, but didn't do his surgeries there). So when I was forced to find a new surgeon, I was sure to pick one from the 'list' and make sure he does surgeries at a COE facility.

I've been a little aggravated having to switch to a new surgeon in the middle of this process. Not all of my records with True Results was sent...most of them, however my psych evaluation is missing. But I guess it was a blessing in disguise because I wasn't aware that the first surgeon I picked didn't do surgery at a COE. I had a consultation with the new surgeon and I really like him. With True Results I had never laid eyes on the surgeon. Now if I could just get the psych evaluation sent to my new surgeon I would only have one more appointment.

Having to switch surgeons has set me back, I would be having surgery in September...now I'll be lucky to have it before the end of the year.

Edited by ChickenChick

Share this post


Link to post
Share on other sites

I also have an option to go with a Centers of Excellence (COE), if I do, my annual deductible is waived (whatever that means). My UHC also requires the 6 months of weight loss visits and whatnot.

At first I was going through True Results but they permanently closed a few days before my 5th appointment. Other than my 5th and 6th appointments I had done everything. My 'case manager' or my nurse through Optum (I was required to sign up and speak to a nurse through my insurance) gave me a list of surgeons I could choose from. When I picked True Results the surgeon was on that list, however I didn't realize he didn't do his surgeries at a COE facility (he has hospital privileges at a COE facility, but didn't do his surgeries there). So when I was forced to find a new surgeon, I was sure to pick one from the 'list' and make sure he does surgeries at a COE facility.

I've been a little aggravated having to switch to a new surgeon in the middle of this process. Not all of my records with True Results was sent...most of them, however my psych evaluation is missing. But I guess it was a blessing in disguise because I wasn't aware that the first surgeon I picked didn't do surgery at a COE. I had a consultation with the new surgeon and I really like him. With True Results I had never laid eyes on the surgeon. Now if I could just get the psych evaluation sent to my new surgeon I would only have one more appointment.

Having to switch surgeons has set me back, I would be having surgery in September...now I'll be lucky to have it before the end of the year.

Oh wow that's is a set back! I hope you get all your stuff sent over. I'm just glad I decided to ask about requirements again with my insurance because the first time they said my doctor just needed to be in network, but come to find out I have to have surgery at a COE. The closest is 4 hrs from where I live, and it's inconvenient but I just keep reminding myself how inconvenient it is to be unhealthy and morbidly obese, so it's totally worth the drive! Good luck to you though keep me posted!

Share this post


Link to post
Share on other sites

Yikes! Mine is only an hour away. I'm just gonna keep my mouth shut ;)

Share this post


Link to post
Share on other sites

Yikes! Mine is only an hour away. I'm just gonna keep my mouth shut ;)

Lol lucky you, luckily I get reimbursed so it's not all too bad lol

Share this post


Link to post
Share on other sites

Hi there - I have UHC and was required to enroll in their bariatric resources program through Optum Health as well as use a surgeon at one of their Centers of Excellence. Unlike you, there were about a dozen COEs in my city so I can't speak to the travel aspect however I can speak to the program. I was grateful for the guidance through the insurance approval process provided to me by the registered nurse they assigned me and she played a big part in helping me stay on track with paperwork and required pre-op appointments and testing. I was approved in a few short days after completing all the pre-op requirements and I credit the RN for that efficiency.

Edited by higher

Share this post


Link to post
Share on other sites

Hi there - I have UHC and was required to enroll in their bariatric resources program through Optum Health as well as use a surgeon at one of their Centers of Excellence. Unlike you, there were about a dozen COEs in my city so I can't speak to the travel aspect however I can speak to the program. I was grateful for the guidance through the insurance approval process provided to me by the registered nurse they assigned me and she played a big part in helping me stay on track with paperwork and required pre-op appointments and testing. I was approved in a few short days after completing all the pre-op requirements and I credit the RN for that efficiency.

That's great to hear! I spoke with my nurse and she seems really good, I'm actually happy to have that extra help from her. It's like added reinsurance that I will get approved, I was definitely nervous about it at first, but I feel more comfortable

Share this post


Link to post
Share on other sites

I also have UHC. I enrolled in the Bariatric program but I am still completely confused about the out of pocket costs I will have. The nurse has not been very helpful when it comes to that component, and UHC customer service is vague. They keep saying it, "depends on my doctor!" Im thankful I have an appointment tomorrow to discuss these concerns.

Share this post


Link to post
Share on other sites

I also have UHC. I enrolled in the Bariatric program but I am still completely confused about the out of pocket costs I will have. The nurse has not been very helpful when it comes to that component, and UHC customer service is vague. They keep saying it, "depends on my doctor!" Im thankful I have an appointment tomorrow to discuss these concerns.

I agree uhc is very vague and not helpful. I haven't even thought about out of pocket expenses yet...hopefully it isn't too much. Good luck to you! Let me know what your doctor says!

Share this post


Link to post
Share on other sites

I also have UHC. I enrolled in the Bariatric program but I am still completely confused about the out of pocket costs I will have. The nurse has not been very helpful when it comes to that component, and UHC customer service is vague. They keep saying it, "depends on my doctor!" Im thankful I have an appointment tomorrow to discuss these concerns.

I agree uhc is very vague and not helpful. I haven't even thought about out of pocket expenses yet...hopefully it isn't too much. Good luck to you! Let me know what your doctor says!

I will be sure to give you a follow up once I leave Dr Chavda's seminar!

Share this post


Link to post
Share on other sites

I have UHC. Enrolled in the Bariatric resource program. I too have to travel out of state. My surgeon is in Texas and I live in Oklahoma. My employer only requires 3 months of NUT visits. My last appt is 10/07. I'm getting so anxious. I just want a surgery date already so I can quit stressing.

Sent from my iPad using the BariatricPal App

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

  • Recent Topics

  • Most popular:

  • Recent Status Updates

    • veisor  »  Panda333

      Hi!
      Thank you for replying.   It means the world to me.  It also confirmed what I been feeling about which procedure to choose.   I fall into the category as you do and elected the sleeve as it seemed to be less invasive and recovery would be better and faster,  however I am so afraid to regain the weight back since I rarely eat and obesity runs in my family.   I have two siblings that had the bypass and they have been successful.  My sister was in the high 400's and is about 140 now and has been for several years since her procedure.  I guess I felt that the sleeve would allow me to have more control, however I realized that I can't control my genetics and that is one of the biggest reasons that I am here.  Yes, I have not always made the best choices but trust me when I say that I have been on the loss and regain + more rollercoaster weight ride for yrs! I have spent so much money as I am sure you have as well as many others who are going through this.  It is not easy and anyone who thinks this is a copout is crazy!!! This has been harder than anything I have done including hiring a personal trainer to kick my butt in the gym! And still with all the gym hours, clean eating "not to mention the clean eating cost" I knew it was time that I moved to the next step to finally be who I know in my head and heart cause when I see myself in the mirror,  well let's just say is not the girl I see in my mind. 
      So thanks again for your reply and I hope that we can keep in touch through our journey. 
      😊
      · 0 replies
      1. This update has no replies.
    • AggiG

      · 0 replies
      1. This update has no replies.
    • Pookeyism

      I'm going in for a sleeve revision October 4th. It worked well for me, and I am not back to my starting weight. However, a revision is strongly encouraged at this time (there are additional medical issues). I have decided to forgo the insurance process, even though I know I would eventually be approved. "Eventually" is the key issue here. I have a small window to create this to where it will not impact my work or home life as much, and waiting for the insurance approval would take over a year.
      · 0 replies
      1. This update has no replies.
    • ms.sss

      I just read @BoredCW's status post and also want to lament the loss of my butt.  Looking at me the side, my back is basically flat from my neck to my knees.  My jeans have lovely fabric folds draping from my backside from lack of filling.
      Two days ago, I was sitting on a worn couch at the gym and I could feel the springs and count how many I was sitting on.  Told the Kid and she said she wants to find her childhood alphabet fridge magnets in the basement to spell out words and have me sit on them and do some "butt-braille-reading" 😂
      · 5 replies
      1. FluffyChix

        HI-LAR-ious! I love your kid!!!

        Yeah, we all suffer from noassatall syndrome. :(

      2. 2Bsmaller18

        Yes. I think the spandex in jeans is the only thing that helps keep the sag below the pockets form looking ridiculous. Even leggings wrinkle there.

      3. ms.sss

        Ah, our disappearing collective butts.

        I am seriously considering changing my plastics plan. I am booked for an arm lift in December, but my summer obsession with arm exercises has improved the look of them quite a bit to the point that I think I may hate my butt more than my arms. Should I do a butt lift instead?!?! In conjunction with?!?!?

        I am trying to cultivate an obsession with butt exercises but its not working so far...

      4. 2Bsmaller18

        I don't think you could do both at the same time. For me personally it's arms. I have granny wrinkles down to my elbows. I can always dover my body with tshirts, pants, etc but unless I wear long sleeves my arms are an issue. I also can't wear a small enough jacket since it fits everywhere but too tight in the arms. They measure around 13.5 inches. Can you compromise and get the smaller arm lift. I don't know if that saves much $ or recovery but if your arms improved that much maybe just a tweek will work?

      5. ms.sss

        The difference in price for a mini arm lift and the full arm lift at my surgeon is less thank 2K and probably not worth the savings. May as well pay the extra bit and get the full arm lift as my sag also reaches my elbows. You are right though, my arms see the light of day way more than my butt does...I'll have to see if the continued butt exercises will change my mind down the road (but it's looking more and more that a butt lift is in my future)

        P.S. At the beginning of my 2 week pre-op diet, my upper right arm measured 17.75 inches in circumference. Now its 10. And that is with the extra skin still.

    • BoredCW

      On the 3 week plateau from hell.. It seems like an endless desert with sand dunes that represent the 1-2 pounds gain then dropped from day to day. Met with my weight loss group tonight and was told its normal. That this is sometimes like a step, plateau then drop, plateau then drop. Only for the plateau's to go on longer the farther away from the surgery date I get. Much like EDM, I can't wait for the drop. 
      On top of it all, I lost my ass. Seriously.. its gone. All that cushion that I enjoyed lounging on eating what ever I ate, watching what ever was on the computer or tv... is gone. That glorious support system is vamoosed. I know this because my ass (tailbone) hurts all the time. I'm sitting on bone now and its sore. I am my own literal Pain in the Ass! (My family would say whats new, but who cares about them.. my butt hurts.) I have yet to bring a pillow with me everywhere I go to sit on, but I'm getting ready to as I sit for my job working on computers. So far losing the weight is a Pain. I hope it gets better. 
      · 2 replies
      1. ms.sss

        Hang in there, the plateau will end eventually. Also I feel you on the butt thing.

      2. FluffyChix

        I have a butt pillow. I'm not proud. :D

        The plateaus suck!!!! Keep the faith and motor on!

  • Trending Topics

  • Together, we have lost...
      lbs
    ×