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?

Thanks, yours is coming.

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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....

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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Thanks, good luck

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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.

It's official I'm submitted!

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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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

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

Good Luck!!!

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

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

I absolutely will!

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

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

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Congrats

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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.

Wow! What a long wait. Have u called to check and make sure they received your paperwork? Mine was submitted yesterday morning.

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