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Hi! New here. United Health Care Coverage



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My first time on this forum and looking forward to reading many of the posts.

I do have a question that I am hoping someone can help me with. I have United Health Care and today saw a surgeon that performs lap banding. She said I would be a great candidate for the surgery. :thumbup: The only thing I am concerned about is that even though I have made many attempts over almost the last 30 years to diet and excercise, I have none of that on record with my doctor. All my attempts were done on my own. Every attempt I have made to lose weight has always met with failure. :ohmy: Can anyone tell me if UHC is a tough one to get approval from since I do not have diet history on my medical files other than what I told my doctor about recently? I meet all the criteria, morbid obesity with BMI of 45, high blood pressure, acid reflux, back problems, history of obesity over 5 years. Also there is a lot of family history of heart problems and diabeties 2.

I am really nervous :unsure:that I will be denided because I do not have diet and excercise history with my PC doctor. However, I have made an appointment with my PC doctor in about a week to talk to her about having her give me a diet plan to follow and I am signing up for a walking club at my place of employment. I really hope that will help once my doctor sends all my records to UHC.

I would greatly appreciate any answers anyone has or experience they have had dealing with UHC.

Thanks all!!:(

Maggi

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maggie glad you are thinking of banding.

as far as UHC I have them also and didn't have to provide diet history... just weight history for 5 years and a dr. approval which I also had him send my sleep study. My lapband dr. provided all the other symptoms I gave him. to the insurance. I was approved in a week. I get banded the 3rd in a week.

ps. my lapband dr. did all the work in getting all the infor from my PC dr. and sent in all the info for me. surely yours would do the same.

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Thanks exumtam!That sounds very encouraging!! I sure hope you are right. The surgeon told me that UHC usually likes to have some diet history on your files with your PC doctor. I sure hope she is wrong!! I am really happy for you that you are going to be able to take this step and get your banding soon! Good luck and thank you for your reply!!!!Maggi

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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 0 replies
      1. This update has no replies.
    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

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    • KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
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