This is the insurance I have and I am so frustrated and confused. I contacted my insurance company three times before my seminar to see if I would be required for the 6 month supervised diet so I could get started with that ASAP and they said NO. So I went to the seminar, met with the surgeon, met with the bariatric nurse and today I meet the nutrionist. I have my psych eval scheduled for April 8th. So yesterday the drs office secretary calls me and says I need the 6 mos diet I was like Um ok but my insurance says its not required. She tells me they are wrong :cursing: So I call insurance back get forwarded all over the company and again I am told no I just need 40 BMI (which I have) 5 years of weight history and the nutionist and psych eval. Then I get all 5 yrs of weight history faxed to her and call her and she says who told you you needed that me or the insurance and I said Both???? She says Oh no you dont need that!?!? WHAT THE HECK!!! So if you have this insurance can you tell me what was required for you.

Thanks in advance :tt2:

Thanks so much Aurelia! That gives me hope. She is definitely sending the request, but she painted a very doom and gloom forecast this afternoon. Hopefully the documents that she received since then helped. Please keep your fingers crossed for me .

This is my first post. But I am extremely frustrated. I have been denied by UHC for my request to have lap band surgery. My BMI is 34.9 but I have high blood pressure that is responding to medication and diabetes mellitus that is no longer responding to oral medications.

Does anyone out there have advice on steps I can take to win approval? I'm 57 and I'm running out of time. My kidneys have begun to shut down due to the diabetes. I need help from anyone with any pointers. Thank you.

Carmen, ss UHC pretty good to send letters to you as they send them to the doctor?

When I called to see if my policy covered the lap band, I was told yes and then the representative read me an Explanation of Benefits. I asked her if I could get a written copy of the explanation, and she told me to go to Health Insurance Quotes for Medical Insurance, from UnitedHealthcare. I have looked and looked and cannot find the information anywhere under my Benefits section. Under "Bariatric Services," it says "Not applicable."

Any ideas??

Carmen, is UHC pretty good to send letters to you as they send them to the doctor?

When I called to see if my policy covered the lap band, I was told yes (depending on qualifications such as BMI over 40, 5-year documentation of weight, etc.) and then the representative read me an Explanation of Benefits. I asked her if I could get a written copy of the explanation that she read to me, and she told me to go to www.myuhc.com to find all the info. I have looked and looked and cannot find the information anywhere under my Benefits section. Under "Bariatric Services," it says "Not applicable."

Any ideas??