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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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