United healthcare Bariatric program

[ChickenChick 30]

Yes, I got APPROVED today. So hope for an October surgery is not dead.

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Wow, That was so fast!!! Congratulations! Still no word for me, patiently waiting.

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[Lanibear 10]

Thanks, yours is coming.

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[Tryingtoloseit 20]

Well wish my luck next as I have my surgeon follow up this Friday and my opt um nurse said that once submitted I should have an answer in 15 days....

[ChickenChick 30]

Well wish my luck next as I have my surgeon follow up this Friday and my opt um nurse said that once submitted I should have an answer in 15 days....

Good Luck! It's been 15 days today for me.

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[Lanibear 10]

Thanks, good luck

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[Tryingtoloseit 20]

Well wish my luck next as I have my surgeon follow up this Friday and my opt um nurse said that once submitted I should have an answer in 15 days....

Good Luck! It's been 15 days today for me.

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Ooh yea. I am not going to count weekends or fridays... so I don't drive myself crazy. The dr office said be prepared for 30days... so we will see! I am more nervous because I've gain weight.

[Tryingtoloseit 20]

It's official I'm submitted!

[ChickenChick 30]

It's official I'm submitted!

Submitted to insurance or they approved you and it was sent to your doctor?

I thought about emailing my Optum nurse today just to check in, but decided to wait until Wednesday. The waiting is the worst! I almost want to start researching the appeal process because I'm terrified that's what's coming (a denial).

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[Tryingtoloseit 20]

It's official I'm submitted!

Submitted to insurance or they approved you and it was sent to your doctor?

I thought about emailing my Optum nurse today just to check in, but decided to wait until Wednesday. The waiting is the worst! I almost want to start researching the appeal process because I'm terrified that's what's coming (a denial).

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No, they finally submitted everything today to my insurance company. She said it does not take long to get a responds for an approval, so I should here back soon. She states that they will give them the max of 30days but it's usually way quicker thn that because there coordinator works with only works with one person from uhc. So it makes turn aroubd time quick and easy

[ChickenChick 30]

It's official I'm submitted!

Submitted to insurance or they approved you and it was sent to your doctor?

I thought about emailing my Optum nurse today just to check in, but decided to wait until Wednesday. The waiting is the worst! I almost want to start researching the appeal process because I'm terrified that's what's coming (a denial).

Sent from my iPhone using the BariatricPal App

No, they finally submitted everything today to my insurance company. She said it does not take long to get a responds for an approval, so I should here back soon. She states that they will give them the max of 30days but it's usually way quicker thn that because there coordinator works with only works with one person from uhc. So it makes turn aroubd time quick and easy

Good Luck!!!

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[Tryingtoloseit 20]

Thanks, good luck to you... please update when u get news

[ChickenChick 30]

Thanks, good luck to you... please update when u get news

I absolutely will!

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[Lanibear 10]

I finally got my date. November 3 I'm so excited thank you God.????

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[Tryingtoloseit 20]

I finally got my date. November 3 I'm so excited thank you God.????

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Congrats

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[ChickenChick 30]

Still no word from UHC on if they'll approve (or deny) coverage for my surgery. It was submitted on Aug 14 so tomorrow is a month (30 days). October 26th is 30 business days, so I guess I'll have to hold out until then if nothing comes in from them on Monday.

My PCP took me off my cholesterol medicine since it's not helping (I've tried two kinds) and it's making my liver enzymes high. (Ultrasound and MORE blood work is ordered - just had blood work done last week and now I get to do it again) She's asking for authorization for Praluent, an injectable cholesterol lowering drug. The drug without insurance is $1,200/month or $14,400/year. It looks like it will run me around $140/month if they agree to cover it under my prescription plan.

I'm guessing the only silver lining for having to wait over a month for them to review is that if they happen to see that Praluent is being ordered, maybe they'll be more inclined to pay for a $12,000 surgery vs. paying $14,000/year for cholesterol medicine. Or perhaps it MAY help in an appeal if they deny surgery.

I'm trying to stay positive.