Hi guys, I'm looking for info regarding employees of TWC who have UHC.

I have UHC Choice Plus EPO, I have a BMI of 48 but no co morbidities, no supervised weight loss attempts and I never tried to lose weight through something documented like Weight Watchers or Nutra System. The UHC rep I spoke to stated that I meet the initial requirements but said that there were probably other considerations when a board reviews my claim for approval. There is no way that I can pay for this out of pocket and am trying to improve my changes of approval.

Can you please describe the process you had to go through in order to get approved for the lap band surgery including any information regarding 5 year weight history, info submitted regarding several failed weight loss attempts and amount paid out of pocket?

Thanks I'm really new too all this and never have gone through a surgery before.

Lay it on THICK! Add ankle weights when they weigh you if you have to! haha High blood pressure? back pain? knee pain? pre-diabetes symptoms? sleep apnea? Whatever you can add in as a co-mobidity (weight induced problem) is to your advantage. List all the numerous weight reduction plans you've failed at.

Thanks Lori, it's true I will be adding that I have back pain, I'm pre diabetic and my mom is on insulin for diabetes among other things in a personal letter when my claim is submitted. I also have a sleep test on Thursday for possible sleep apnea.

How was the process for you was quick and simple and how is the band working out for you?

I was told that there is a way to ask UHC to pay for an out of network surgery... It's called a "Network Gap Exception"

I was also given a fax number to speed up things..

1-801-567-5498