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?

It took a full 6 months. I had a 6 month supervised diet requirement. I am BMI of 40+ will all of the co-morbidities. I was submitted to insurance 12/1 and approved 12/16.

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It took a full 6 months. I had a 6 month supervised diet requirement. I am BMI of 40+ will all of the co-morbidities. I was submitted to insurance 12/1 and approved 12/16.

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Oh nice so only two weeks for insurance?? That's not bad at all. My surgeons office is submitting this week, so hopefully it's not a long wait!

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My UHC (BariatricPal Resource Services) had a time frame of 15 business days. That would have been this Thursday. It was a long 11 business days. I called several times to check status. Good luck with your approval!

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My UHC (BariatricPal Resource Services) had a time frame of 15 business days. That would have been this Thursday. It was a long 11 business days. I called several times to check status. Good luck with your approval!

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Yeah I plan on constantly checking too and thank you!

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I have Unitedhealthcare and I did not pay for nothing at all

baby girl

I have Unitedhealthcare and I did not pay for nothing at all

baby girl

Wow that's great! Did you have all your deductible paid?

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Yes

baby girl

So I met my deductible and my max out of pocket for the year but I just got a bill for over $700 for my blood work. Anyone else run into this?

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I paid $800 the day of surgery. I did not have a deductible ($600 deductible was waived) and I did not reach my out of pocket max ($3400/individual) for the year. I just got a bill for $900. Surgery was $60,000? Yikes! Considering people go to Mexico and pay $5000 (or less) and get the same results. But I can't complain with it costing less than $2000.

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Did you have to provide 5 year medical records with UHC?

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Did you have to provide 5 year medical records with UHC?

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I did not.

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Did you have to provide 5 year medical records with UHC?

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I had to

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I've been on medically supervised weight loss programs for almost two years. Do I have to do another six months for them?

Hey there! I did. Did the 6 months of nutrition visits, the physch appt and got pre approval! Great, right!? Nope. I didn’t have a COE either and went to one out of state. Still have a bill of 11k because with my plan Bariatric surgery doesn’t count under the out of pocket max. So make sure to triple ask that. I called and was told it was however did not get an official estimate and am now appealing. It’s been 3 months of appeals and all answers are no. I’m sure I’ll be on the hook for it. Ask and get written verification for it all.

On 9/20/2019 at 12:41 PM, naiad said:

Hey there! I did. Did the 6 months of nutrition visits, the physch appt and got pre approval! Great, right!? Nope. I didn’t have a COE either and went to one out of state. Still have a bill of 11k because with my plan Bariatric surgery doesn’t count under the out of pocket max. So make sure to triple ask that. I called and was told it was however did not get an official estimate and am now appealing. It’s been 3 months of appeals and all answers are no. I’m sure I’ll be on the hook for it. Ask and get written verification for it all.

I went ahead and went to Mexico for the surgery. It was five thousand dollars including my airfare. While I was unhappy with some aspects of the surgery there, I am satisfied with the surgery.