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

United healthcare Bariatric program



Recommended Posts

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

Sent from my SM-G925T using the BariatricPal App

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

Sent from my iPhone using the BariatricPal App

Share this post


Link to post
Share on other sites

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....

Share this post


Link to post
Share on other sites

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.

Sent from my iPhone using the BariatricPal App

Share this post


Link to post
Share on other sites

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.

Sent from my iPhone using the BariatricPal App

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.

Share this post


Link to post
Share on other sites

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

Share this post


Link to post
Share on other sites

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

Share this post


Link to post
Share on other sites

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!!!

Sent from my iPhone using the BariatricPal App

Share this post


Link to post
Share on other sites

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

I absolutely will!

Sent from my iPhone using the BariatricPal App

Share this post


Link to post
Share on other sites

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.

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

    • 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.
    • BeanitoDiego

      Still purging all of the larger clothing. This morning, a shirt that I ADORED wearing ended up on top. Hard to let it go, but it was also hard to let go of those habits that also no longer serve my highest good. Onward and upward!
      · 0 replies
      1. This update has no replies.
    • Onedayatatime365

      Looking to connect with others who are also on the journey of better health. Post-Op Gastric Sleeve (4/11/24).
      · 0 replies
      1. This update has no replies.
    • jparadigm

      Happy Wednesday!
       
      I hope everyone is having a lovely week so far! 
      It's been a bit of a struggle this last week...I'm hungry ALL the time.
      · 1 reply
      1. BlondePatriotInCDA

        Have a great Wednesday too! Sorry you're hungry all the time, I'm pretty much the same..and I'm sick of eating the same food all the time.

    • ChunkCat

      Well, tomorrow I go in for an impromptu hiatal hernia repair after ending up in the ER over the weekend because I couldn't get food down and water was moving at a trickle... I've been having these symptoms on and off for a few weeks but Sunday was the worst by far and came with chest pain and trouble breathing. The ER PA thinks it is just esophagitis and that the surgeon and radiologist are wrong. But the bariatric surgeon swears it is a hernia, possibly a sliding one based on my symptoms. So he fit me into his schedule this week to repair it! I hope he's right and this sorts it out. He's going to do a scope afterwards to be sure there is nothing wrong with the esophagus. Here's hoping it all goes well!!
      · 4 replies
      1. AmberFL

        omgsh!! Hope all goes well!! Keeping you in my thoughts!

      2. gracesmommy2

        Hope you’re doing well!

      3. NickelChip

        I hope it goes well! Sending positive thoughts for a speedy recovery!

      4. AmberFL

        How are you doing? any update?!

  • 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

    ×