Jump to content
×
Are you looking for the BariatricPal Store? Go now!

United healthcare cost estimator tool



Recommended Posts

I have united healthcare choice plus. I am calling united in the morning and I have asked the bariatric center to find out if the surgery would be covered. On the united healthcare website, there is a tool that will estimate your out of pocket cost for procedures. When I click the tool it suggests that nothing will be covered. My question is has anyone ever used the tool, but then you were approved anyway? I'm not losing hope until I hear from the insurance company, but wanted to ask.

Share this post


Link to post
Share on other sites

I have UHC advantage plan and it was covered, but I had to pay my yearly out of pocket cost. My out of pocket was $6,700. The surgery itself was about $30,000. It sucked having to pay that, but totally worth it. Also, they required me to do a 3 month supervised diet with my PCP. I started the WLS journey in November 2016 and had RNY in June 2017.

Hope this helps. Every insurance plan is different. Your best bet is to call UHC directly. Good luck!

Share this post


Link to post
Share on other sites

I had uhc choice it was covered with a bmi over 35 and required a 6 month diet. Cost was 4500 for the sleeve. I opted for self pay for 8500.

Sent from my SAMSUNG-SM-G935A using BariatricPal mobile app

Share this post


Link to post
Share on other sites

Also my bmi was 35, after a six month diet I am sure I would be under that. I have been on a yoyo for the last 10 years and am over it. So yes, I didn't want to wait six months and no longer qualify. I am ready for a permanent solution.

Sent from my SAMSUNG-SM-G935A using BariatricPal mobile app

Share this post


Link to post
Share on other sites

I also have United Healthcare - DO YOU HOMEWORK. I started with the WLS program at my local hospital only to find out that the hospital itself was IN network, but the entire list of people i'd have appointments with were NOT. So months later i'm driving 1 hour away to another hospital and their program. Most of their people are in network, but some are not.. so some stuff I have to pay out of pocket for. don't rely on just the web site, and don't rely on just 1 phone call to insurance. Every time I call in I get a different answer on stuff. So be careful!

Share this post


Link to post
Share on other sites

It really depends on YOUR PLAN. I have United healthcare Through my employer ( Hospital Employee) and my surgery is 100% covered, and a supervised diet is not needed. every united healthcare plan is different. the best thing you can do is call the back of your card and see what is covered, and what is not. that is how i found out. wish you all the best :455_rosette:

Share this post


Link to post
Share on other sites

Your doctors office should tell you if there is any out of pocket expenses that you would have to pay for. The insurance company should be able to tell you that as well! Good luck!!!!


Share this post


Link to post
Share on other sites

It really depends on YOUR PLAN. I have United healthcare Through my employer ( Hospital Employee) and my surgery is 100% covered, and a supervised diet is not needed. every united healthcare plan is different. the best thing you can do is call the back of your card and see what is covered, and what is not. that is how i found out. wish you all the best :455_rosette:

Same with me 100% covered!


Share this post


Link to post
Share on other sites

I have united healthcare choice plus. I am calling united in the morning and I have asked the bariatric center to find out if the surgery would be covered. On the united healthcare website, there is a tool that will estimate your out of pocket cost for procedures. When I click the tool it suggests that nothing will be covered. My question is has anyone ever used the tool, but then you were approved anyway? I'm not losing hope until I hear from the insurance company, but wanted to ask.

Did you use the estimator tool? That's really what my question is.



Sent from my Z958 using BariatricPal mobile app

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • Tim in Tampa

      Just started my pre-op diet today!
      · 0 replies
      1. This update has no replies.
    • jenuinelygenuinely

      To working out faithfully for 5 days a week. Lets go back to that year with a more positive mind, 
       
      SKINNY SZN HERE WE COME!!!!
       
      It's Saturday!!! My fiance and I are out doing yard work and I made the mistake of not staying hydrated before going out so now my body is shaking and weak. I have my pre-op appointment Tuesday, the 2nd and I am trying my hardest to lose another 2 lbs by then. 

      · 0 replies
      1. This update has no replies.
    • jenuinelygenuinely

      Hi guys!!!
      Here is my big boy Zuko and daddy. My Great Dane/Shepherd. He was our first pup that we rescued from the Humane Society. 

      · 0 replies
      1. This update has no replies.
    • SimplySleevedCece

      Looking for new sleeve buddies! I’m 1.5 weeks post op and things seem to be getting a little difficult! I actually WANT food again eghh! Honestly, I feel like you don’t truly understand this process unless you go through it! Don’t be shy, say hello and let’s support each other during this journey 🙂
      · 1 reply
      1. jenuinelygenuinely

        You got this!! When I had the sleeve I cried every day during the liquid phase, It was during the super-bowl! I was sooo hungry I sucked on a piece of pork rind. LOL

    • jenuinelygenuinely

      A daily dose of my youngest fur boy Ozai
       
      My blue eyed Husky/Malamute

      · 2 replies
      1. SHORTY_

        Makes me wanna 'boop' it

      2. SimplySleevedCece

        😍 Aww look at his wittle teeef!

  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×