-
Content Count
78 -
Joined
-
Last visited
Content Type
Profiles
Forums
Gallery
Blogs
Store
WLS Magazine
Podcasts
Everything posted by cybergirl5710
-
I started this journey back in September. I called UHC's bariatric resources back in September and registered for the program. I followed all the rules and started going to meetings at the Bariartics center I had to go to. I called back January and was told that that center wasn't the right one and that I was totally crazy. I couldn't have been told that. I called my HR group and found out that the rules had changed I had to go to a different center--so I got all my paperwork together and went to the new place. If bariatric resources had told me that I would have been OK--but they told me I was crazy--I couldn't have been told that. All of January I called them every day and left a message for my case workers. I called every UHC number I could find to figure who was really my case worked--I left message after message after message. Nothing. I completed the 6-month dedically supervised diet, lost 5 percent of my wieght, got the psch exam, got the letter from my doctor---everything I was suppose to do. Today, I get a letter from Bariatric Resource saying that I never registered for the program therefore I don't get approved at this time. I called the number on the letter, the lady tells me I have to start over and redo the six month medically supervised diet. They cancelled my enrollment in january because I don't "respond" to their phone call. I'm so mad I say all sorts of mean and natsy things to the lady on the phone. I asked to speak to a supervisor--one is suppose to call me back--but based on previous experience--I doubt that they ever will. They have yet to EVER call me back. So, now I have to file--in writing--a dispute. I have no hope that I'll win an appeal. I'm sooo discouraged. My work has been great so far--but they are waiting for me to get through this so I can start a project. They have actually postponed a project to wait for my to get through this--they can't do this for the months I'm sure it was take to dispute this. Thanks for listening, Feeling sad in Atlanta, SAndy
-
Just wanted to let you know that I've been approved! I was approved June 2th. I'm going a nutrition class today and will hopefully get my surgery scheduled in the next week. In my program--just before surgery--you have to attend a nutrition class that goes over the pre- and post-surgery diet. . .and pay them $600. This class is in addition to the 6-moths supervised diet. After my last post, it took about 2 weeks to get my approval letter and the name of a bariatric's nurse--she was really great by the way. I didn't wait for her to call me--I started calling her right away. She returned my calls the next day every time--I wasn't like the experience in early January. (By the way, in my case, a group called OPTUM, manages the bariatric cases for United Health Care--so if you get a message from OPTUM--answer it--it's probably your bariatrics case worker) I kept my phone with me at all times and thought of an excuse to call the nurse every couple of days. I was so afraid that they would come up with some other reason to reject the claim--but they didn't. Thanks for your support and if you're waiting for approval--I hope you have success also!
-
GA - Acworth, Kennesaw, Woodstock Area
cybergirl5710 replied to mwlj_2010's topic in General Weight Loss Surgery Discussions
I'm in the Douglasville, GA are and I would love to come to these meetings. I just got approval from my insurance company and hope to have my surgery scheduled in a few weeks. -
Thanks Josh@xh, That was great information. I also started this journey in 9/23/2013. Between September 2013 and January 2014 I participated at Piedmont (Bariartric Resources gave me the name of the center) In January 2014, Piedmont was dropped from the list and I had to start at Emory. I've participated there since Janauary and I think I've meet all the requirements--but who knows what they'll change tomorrow So far, I've talked to Keesha--very nice--my first case worker and Diana.
-
Thank you for your kind words sleevexcited! Your postive outlong is very inspiring. I'm committed to the gastric sleeve--I truly believe that this surgery will help me lost the 140 pounds that I need to lose. If I start all over with UHC this would be the third time. I'm very fornature to have a great job with a great boss--but I know that my job can't wait for me to go through this again. I'll appeal but if I lose--I'm going to mexico! Enough is enough.
-
Hi Soniaj, I will get you in my prayers. Please don't worry--my situation in not the same as yours. I'm sure that the same thing won't happen to you. Sandy
-
Thank you Soniaj, I'm getting all my paperwork together now for an appeal. I'm considering Mexico as an option also--just in case. I'm such an organized and anal person--I can't believe that has happened. I guess I'm in shock--but then again why should I be surprised? I'm sure this sort of thing has happened to a lot of folks on this forum. I called UHC's bariatric resources back in September 2013 and registered for the program. I followed all the rules and started going to meetings at the Bariartics center they said I had to go to. I called back January and was told that that center wasn't the right one and that I was totally crazy--I couldn't have been told that was the "right" center. I called my company's HR group and found out that the rules had changed I had to go to a different center--so I got all my paperwork together and went to the new place. If bariatric resources had simply told me that the rules had changed--I would have been OK--but they told me I was crazy. I know I'm anal. Not crazy--and have the psch evaluation to prove it All of January I called them every day and left a message for my case worker. I called every UHC number I could find to figure who was really my case worked--I left message after message after message. Nothing. I completed the 6-month medically supervised diet, lost 5 percent of my weight, got the psch exam, got the letter from my doctor---everything I was suppose to do. Today, I get a letter from Bariatric Resource saying that I never registered for the program therefore I don't get approved at this time. I called the number on the letter, the lady tells me they "cancelled" me in January. (Remember, the same time I was calling them endlessly) She says that I have to start over and redo the six0month medically supervised diet. I'm so mad I say all sorts of mean and natsy things to the lady on the phone. I asked to speak to a supervisor--one is suppose to call me back--but based on previous experience--I doubt that they ever will. They have yet to EVER call me back. So, now I have to file--in writing--a dispute. I have no hope that I'll win an appeal. I'm sooo discouraged. My work has been great so far--but they are waiting for me to get through this so I can start a project. They have actually postponed a project to wait for my to get through this--they can't do this for the months I'm sure it was take to dispute this. Thanks for listening, Feeling sad in Atlanta,
-
soniaj, I don't have the federal UHC. I work for a large private company--Georgia-Pacific. UHC administers the program. I met all the requirements--at least the ones I know about Thanks Sandy
-
jtickle, I don't think they will fund lap bands anymore--so no the nurse didn't know what she was talking about.
-
I've had a totally different experience with UHC. I have found Bariatric Resources not to be helpful. They refused me even though I met all the criteria.
-
I hope the pain goes away very soon!
-
how are you doing?
-
I'm preparing for my surgery but I've been thinking a lot about losing weight and being visible again. My husband keeps telling me that people will treat me differently. I'm not sure how I feel about that. I "attracted" a lot of people with serious issues and I don't want to start that again
-
Hello! I'm in Douglasville.I'm just starting this journey and I expect to have the sleeve surgery in March 2014. My surgeon will be Dr. Charles Proctor with the Buckhead Surgical Associated.