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Denied!!!

Hello everyone,

I have waited for a couple of days to post as I have been overwhelmed with hopelessness and anger. I recd my denial letter from United Healthcare in the mail on Thursday evening.

Of course this came as a shock as I was completely pursuaded that uhc would pay- I am a nurse and we do lots of bariatric surgery at my hospital- frequently pts that are around my weight with the same insurance. So of course, that, combined with most everyone conveying the attitude of " oh you have uhc, no problem, lucky you"- had me in a fools paradise. I never doubted for a second that it would be covered.

The reason is that my plan only covers "wls for the morbidly obese" and although I am severely obese, with 100lb + to lose and at least 3 comorbidities, they are sticking to the rules.

Can some one please help? I know I am not the only one who has been here. I feel so hopeless and frustrated. I have already tried to contact all the drs I have seen in the past 10 years or so to get my medical records, so that I can offer proof of comorbidity. Unfortunately I have only done 2 medically supervised wt loss attempts and don't even know if one of those companies (LINDORA wt Loss clinic, Glendale/Pasadena, Ca ???) still exists.

And as for pursuading my husband to go for the Mexico option.....That was met with contempt and a flat NO! His advice was- go on the exercise bike every day and you will lose 2 lb a month. can y'all imagine how that made me feel? That would only take me 50 months right, lets see, thats about 4 years. Boy I can see my resolve lasting that long. LOL.

Thanks for allowing me to vent!

:think :cry

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mkcarpen, did you have the 5 year history of obesity?

My insurance is changing to UHC in January. I would really like to have the surgery, but I haven't been over 40 BMI for five years, and probably haven't been over 35 that long either.

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