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United healthcare Bariatric program

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?

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Holy crap! They called and surgery is 11/15

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yay!!!

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Anyone get there out of pocket cost yet?

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I haven't. Still waiting on a call from the 'business dept' from the hospital. So I'll put this out there cause it makes zero difference to me. My individual deductible is $600, Family Deductible is $1250. We have only met maybe $150 of the Family Deductible and $0 of my individual Deductible. However, my (individual) Deductible is waived since I chose a COE facility. That leaves me with 10% of the surgery (insurance covers 90%). So I'm waiting to hear what my 10% is going to be.

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Edited by ChickenChick

Everyone's will be different as well as different states/hospitals/physicians equals different rules... my surgeons fee is 20% since I have not met my pop cost as of yet 20% is $400 which has to be paid before my date was set... then there is a facility fee from the hospital which is also 20% or what is needed to complete my out of pocket cost...

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I already met my deductible so I paid the 1300 for my max out of pocket. I will owe nothing else

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  • 2 weeks later...

My out of pocket to the hospital was $850. I'll let y'all know if I get other bills in.

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My out of pocket to the hospital was $850. I'll let y'all know if I get other bills in.

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yes, mine is the same 20% the lady said 850, I am just paying at least half. upfront..

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Mine is supposed to be 10%. So we shall see. I was supposed to get a call letting me know my part, but no one called. The number they gave me was never answered. I'm glad it worked out though

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  • 2 weeks later...

hello all, Surgery went well...but I feel like crap....

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Every day will get better, promise!

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hello all, Surgery went well...but I feel like crap....

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Every day will get better, promise!

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I am day 5 post op..only one incision is giving me the blues..makes it hard for me f9r me to stand, sit, or move in genreal...its frustrating... But I'm taking it day by day

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hello all, Surgery went well...but I feel like crap....

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Every day will get better, promise!

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I am day 5 post op..only one incision is giving me the blues..makes it hard for me f9r me to stand, sit, or move in genreal...its frustrating... But I'm taking it day by day

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I was the same way. Moving at night REALLY made me aware of it. I wouldn't cough or sneeze, and I suffer from allergies pretty bad. Even when I wanted to laugh I would have to take it easy and breath through it. Now I'm 16 days out and I barely notice it. I thought the one closest to the band of my bra would give me more issues, but nope...it's the one I assume he pulled my stomach out of, almost in the center of my stomach.

You are doing great! Are you able to get all of your Protein and Water in?

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hello all, Surgery went well...but I feel like crap....

Sent from my SM-N930T using the BariatricPal App

Every day will get better, promise!

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I am day 5 post op..only one incision is giving me the blues..makes it hard for me f9r me to stand, sit, or move in genreal...its frustrating... But I'm taking it day by day

Sent from my SM-N930T using the BariatricPal App

I was the same way. Moving at night REALLY made me aware of it. I wouldn't cough or sneeze, and I suffer from allergies pretty bad. Even when I wanted to laugh I would have to take it easy and breath through it. Now I'm 16 days out and I barely notice it. I thought the one closest to the band of my bra would give me more issues, but nope...it's the one I assume he pulled my stomach out of, almost in the center of my stomach.

You are doing great! Are you able to get all of your Protein and Water in?

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yes yes yes!!! I ask my Dr about it. she said yes they pulled my stomach out of it and she stitched it twice one was my tissues and then my skin. so, pretty much it's the deep stitch that kills me...and drains my energy so bad... But thanks chickenchick I'm now waiting my 16days out to feel some what normal again!! how are you with protein and water intake?

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So far so good. I do an Adkins right after my coffee (15g) then a Premier shake around lunch (30g) and I drink a Protein Water (20) between lunch and supper. Getting all the protein and water in is like a job I'm tracking everything on the MyPlate app.

Friday my schedule (provided by my surgeon and NUT) said I could have mashed potatoes, but my body said 'nope'. So I'm sticking to my cream of chicken and canned Soups. I've had homestyle chicken noodle and had a little bit of the noodles and carrots...but they are so soft it's easy to smash them on the roof of my mouth.

Any deviation of my schedule makes it hard to stay on track to get my protein and water in, so I'm trying to be vigilant. AND I think I may be going through the dreaded 3 week stall. Since Friday I gained 2.5lbs...but I haven't even eaten that many calories since my surgery so I don't even know how that's possible. I blame the mashed potatoes, I swear that's what I imagine a cleanse to be like. Who knows, maybe I'm retaining Fluid ('cause I DID suck on some sunflower seeds - my salt cravings are crazy. I sort of feel wasteful not eating the seeds, but I'm terrified after the mashed potato debacle).

Nonetheless I'm gonna keep trucking.

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  • 3 weeks later...

Received approval Friday after my 6 month supervised diet. Next to get on my Dr.'s schedule and convince my wife the surgery is safe.

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Received approval Friday after my 6 month supervised diet. Next to get on my Dr.'s schedule and convince my wife the surgery is safe.

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Congrats!! How long did it take for you to get approved??

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