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mylastchance21

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mylastchance21    82

mylastchance21
Posted

Hi everyone! I'm wondering if anyone has any experience with you UHC group insurance. Bariatric surgery is covered under my employee's plan. However I called to get specific information about the diet history and no one can give me anything specific. My question is does the 6 months of supervised dieting have to be a specified number of days apart or just in separate months. I have my 5th appt on the 27th which will be like 27 days since my last appt and if possible I want to schedule my last appt for October as soon as earliest as possible so I can get everything submitted. I have called UHC, I have chatted with them and they keep saying there is nothing in the policy that specifies how many days apart the visits have to be. They just have to be 6 monthly visits

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katie09/21/2016    137

katie09/21/2016
Posted

I have the same insurance & I just had to weigh in once a month (didn't matter what day of the month) but had to lose weight at each appointment for 6 months.

I had my surgery approved, but it's "shared responsibility" - so UHC will cover 80% of the surgery. On the day of my surgery (21st September) I have to pay the remainder which is going to be around $2600. This is for the gastric sleeve.

No one told me about the payment even after my surgery was approved - I had to make 100 phone calls to find out for sure and then 100 more to get the amount I need to pay the day of surgery.

Goodluck with everything :)

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mylastchance21    82

mylastchance21
Posted (edited)

Well I haven't met my out of pocket max. So at the most I will have to pay $2400. I have only paid $100 towards the $2500 so far. I don't know if I will have to put before or after surgery I guess I will find out soon. My policy doesn't specify that I have to lose any weight but if lose I have been and plan to be less then my initial weigh in. Good luck to you as well! I'm hoping a can get a surgery date before the end of the year. I'm doing the sleeve also

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Edited by mylastchance21

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MHBTS    14

MHBTS
Posted

I have UHC and just got my date. I just had to go to the doctors once a month for 6 months to weigh in. Not specific on # of days in between. Good luck.

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cperetz3    4

cperetz3
Posted

I had uhc and I had to have 6 apps in different months not any specific days apart. App 5 was on the 29th and the final on the 6th of the next month. Got approved 2 weeks later

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chycky    671

chycky
Posted

I would say in the insurance world when they say 6 months they mean 180 days exactly.

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ToriTori    1

ToriTori
Posted

when weighing in on these 6 months, did everyone have to show weight loss? I have gone up in weight actually being on a diet.

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katie09/21/2016    137

katie09/21/2016
Posted

when weighing in on these 6 months, did everyone have to show weight loss? I have gone up in weight actually being on a diet.

I had to show weightloss every month I weighed in, even if it was only one pound.

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Shauny85    31

Shauny85
Posted

Hi everyone! I'm wondering if anyone has any experience with you UHC group insurance. Bariatric surgery is covered under my employee's plan. However I called to get specific information about the diet history and no one can give me anything specific. My question is does the 6 months of supervised dieting have to be a specified number of days apart or just in separate months. I have my 5th appt on the 27th which will be like 27 days since my last appt and if possible I want to schedule my last appt for October as soon as earliest as possible so I can get everything submitted. I have called UHC, I have chatted with them and they keep saying there is nothing in the policy that specifies how many days apart the visits have to be. They just have to be 6 monthly visits

Sent from my iPhone using the BariatricPal App

I am not sure I have the same insurance company. I live n Washington state and they require 2 appts a month. It doesn't matter how spread out they are as long as its 2 so I had to do a total of 12 appts so 2 every month for 6 mos.

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mylastchance21    82

mylastchance21
Posted

Just a quick update- for whatever reason my doctors office submitted my info for approval to the insurance company before I completed my 6 visits. I had only completed 4 and the insurance specialist submitted it because she said she thought I was through. Nonetheless it was somehow approved without me completing those last two visits! So my surgery is scheduled for 11/3!!!!! Super excited and nervous as well

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Go To Topic Listing PRE-Operation Weight Loss Surgery Q&A

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    • Doughgurl

      Doughgurl

      2 days until I fly out to San Diego to have my Bypass Surg. in Tiajuana Mexico. Not gonna lie, the nerves are starting to surface. I don't fear the surgery itself, or the fact that I'm traveling alone, but its the aftermath that I'm stressing about the most, after this 8 week wait. I'm excited to finally be here, but I am really dreading the post surgical chapter. I know its going to be tough, real tough and I think I'm just in my head to much now that the day i here. Wish me luck, Hopefully I'm one of the lucky ones, and everything goes smoothly. Cant wait to give an exciting update,. If there is anyone else have a June bypass or even a recent one, Id love to have someone to compare war stories with. Also, anyone near San Antonio Tx? See ya soon with the future me. 💜
      · 1 reply
      1. Phil Penn

        Phil Penn

        Good Luck this procedure is well worth it I am down to 249.6 lb please continue with the process..

    • LeighaTR

      LeighaTR

      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      Doughgurl

      Hey everyone. I'm new here so I thought I should introduce myself. I am 53y/o and am scheduled for Gastric Bypass on June 25th, 2025. I'm located in San Antonio, Texas. I will be having my surgery in Tiajuana Mexico. I've wanted this for years, but I always had insurance where bariatric procedures were excluded. Finally I am able to afford to pay out of pocket.  I can't wait to get started, and I hope I'm prepared for the initial period of "hell". I know what I have signed up for, but I'm sure the good to come will out way the temporary period of discomfort and feelings of regret. I'd love to find people to talk to who have been through the same procedure or experience before. So I look forward to meeting you all. Hope you have a great week!
      · 2 replies
      1. Selina333

        Selina333

        I'm so happy for you! You are about to change your life. I was so glad to get the sleeve done in Dec. I didn't have feelings of regret overall. And I'm down almost 60 lbs. I do feel a little sad at restaurants. I can barely eat half a kid's meal. I get adults meals often because kid ones don't have the same offerings at times. Then I feel obligated to eat on that until it's gone and that can be days. So the restaurant thing isn't great for me. All the rest is fine by me! I love feeling full with very little. I do wish I could drink when eating. And will sip at the end. Just a strong habit to stop. But I'm working on it! You will do fine! Just keep focused on your desire to be different. Not better or worse. But different. I am happy both ways but my low back doesn't like me that heavy. So I listened (also my feet!). LOL! Update us on your journey! I'm not far from you. I'm in Houston. Good luck and I hope it all goes smoothly! Would love to see pics of the town you go to for this. I've never been there. Neat you will be traveling for this! Enjoy the journey. Take it one day at a time. Sometimes a few hours at a time. Follow all recommendations as best you can. 💗

      2. Doughgurl

        Doughgurl

        Thank you so much for your well wishes. I am hoping that everything goes easy for me as well. We don't eat out much as it is, so it wont be too bad in that department. Thankfully. Also, I hear you regarding your back and feet!! I'd like to add knees to the list. Killing me as we speak! I'm only 5' so the weight has to go. Too short to carry all this weight. Menopause really did a doosey on me. (😶lol) My daughter also lives in Houston. with her Husband and my 5 grand-littles. I grew up in Beaumont, so I know Houston well, I will be sure to keep in touch and update you on my journey. I may need some advice in the future, or just motivation. Thank You so much for reaching out, I was hoping to connect with someone in the community. I really appreciate it. 💜

    • Alisa_S

      Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. LeighaTR

        LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • Alisa_S

      Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

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