UHC Choice Plus & 6 month requirement experience?

[Tatted_Wanderer 3]

Guys i need some help. I have tried getting more specific answer from UHC and they literally only spit out the policy at me verbatim.

My policy states i need 6 months minimum before surgery for dr visits and/or weight loss logs from a structured program.

So my question is, how far back in my medical history can i go to get 6 months? Also, it says and/or weight loss logs so does that mean i can getapproved on 4 months dr visits and 2 months worth of weight loss logs?

Ive gotten no help in clarification from UHC and the bariatric coordinator at my surgeon is hell bent on 6 straight months of dr visits and she dont wanna hear anything about my weight loss logs or my gym check ins my coworker under the same policy got hers approvedby her just logging 6 months without dr intervention!

Thoughts? Suggestions? Anyone had similiar experience with the coordinator at ATL Bariatric Surgery - Dr. Hart?

[crocodoxie 223]

Not in ATL. I'm in NJ.

When I went in for my first visit, I spoke with the surgeon, and then sat with the nutritionist. I have to have six visits (one each month - not like two in June, etc, has to be in separate months)...they counted that visit as my first, so I had to have five more. My last one is this week, then surgery in August.

There are a lot of hoops to jump through, other doctor visits, etc...so the six months actually flies by. I had files from previous visits at other doctors, but they only counted my weight at that first visit -- and said that by following these rules to a tee, it makes the approval process at the end go much smoother. We check things off as I go. I can only offer my experience, as I'm sure others will chime in with theirs. Good luck.

Some insurance only requires 3 months, but ours is 6. I ended up being glad in the long run, because it's allowing me to absorb the changes I need to make and I've been changing my habits to make the transition easier after surgery. Best of luck to you.

[Beijaflor 3]

I'm also on UHC Choice Plus and was told they aren't allowed to provide the requirements in writing (which seems a bit dodgy). Do you have a nurse from UHC assigned to you yet? Mine seems very helpful so far and will hopefully help me navigate all the hoops.

[laurileet 86]

I also have UHC.. and I have to fight tooth and nail for every little bit of information. I found them on Facebook and complained and PRESTO someone contacted me. give it a try.