sahmof3
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Everything posted by sahmof3
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I am going to do this. I start my pre-op diet on Thursday, with surgery on March 20th. :cool2: My best friend is getting her band two weeks after me! We are so excited to have each other to go through this together with. We are going to take the pictures of each other. I would ask dh, but I still have in the back of my mind that he really doesn't know how bad I look or what I weigh. :eek: I can dream, right? I am so ready for this. I have been getting in my last fav's and am getting tried of them. Good luck to everyone!
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Yes, I have to do the two week pre-op. I am from Virginia and using Dr. Schroder.
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Congrats to everyone. I can't believe that it is almost here. I start me two week pre-op diet next Thursday! :blushing:
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I really think is comes down to the cost for the extra perk of WLS. Good luck and I hope you get good news.
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I would say YES! I have UHC with a BMI over 40 and no co-morbidities and they are covering it. I was told also with a BMI between 35-39 and one co-morbidity they would cover it. Good Luck and don't give up!
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If you say she works for a small business, I would think the drs office is correct about it not being covered. I have seen that with a lot of small businesses. What she needs to ask if she is going switch is if WLS is covered under their plan. I would find the plan that you don't have to jump through as many hoops. UHC does cover the LB, but you have to have WLS as a covered item. My BMI is over 40 with no co-morbidities and they are covering it. With a BMI between 35-39 with one co-morbidity would do it also found what I have seen. Good Luck!
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Insurance denied for no co-morbidities...anyone else? (United Healthcare)
sahmof3 replied to 🅺🅸🅼🅼🅸🅴🅺's topic in Insurance & Financing
I have UHC and they approved me in 4 days. I have a BMI over 40, but no co-morbidities that I am taking medicine for yet. My PCP was waiting since I was looking into having the lapband done. He knows they will go away when I lose weight. I have the beginnings of high blood pressure, sleep apnea, and high cholesterol. They submitted a 5 yr weight history (all years did not have a BMI over 40), PCP letter of support, psych evaluation, and information from the dr doing my lapband. What that letter said I don't know. Go for it!!!!! :thumbup: -
2 Denials, 3 Appeals, 1 APPROVAL!!! Date set!!!
sahmof3 replied to LynneB's topic in Insurance & Financing
Congrats! I have UHC and was approved in 4 days. Why did you have such a hard time? I see that most people get approve pretty quick, but there are a few that things just done go as smooth. My best friend was one. It took her two months and her BMI is higher then mine and she has co-morbidities where I don't. My BMI is over 40. Oh, I will be in DW in May. This must be the year. Everyone I talk to is going. -
I was told the same thing. I have a BMI over 40, but my co-morbidities are not being treated with medicine yet. I was approved in 4 days. On another note my friend had to wait ~ 1 month to get her approval. We both have UHC and are using the same doctor, but her paperwork was not received at first, not sent to the right fax number, something was missing, etc. From what I have seen most people get approved very quickly, but there are a few that it takes a while. Call the insurance company to make sure they received the paperwork. Call everyday to see if it has been approved.
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UHC/Lapband Solutions and approval - what has been your experience?
sahmof3 replied to bling's topic in Insurance & Financing
I have UHC Choice Plus and was approved in 4 days. I have a BMI over 40 and the beginnings of high blood pressure and high cholesterol but not taking medicine for the yet. Now my best friend has UHC and we are using the same doctor. She has BMI over 40 and several co-mobidities. Her information was submitted two weeks before mine and she is still waiting on approval. This has fallen back on the doctor's office not sending it to the right fax number, not sending everything, etc. I lucked out and everything was done correctly. I guess they have their good days and bad days too. -
Can't wait 6 months, I want it NOW!
sahmof3 replied to rottimom's topic in Tell Your Weight Loss Surgery Story
Don't give up! My insurance approved me with a BMI over 40 and no co-morbidities that I am taking medicine for. I have the beginnings of some though. I had to have a 5 yr weight history, psych evaluation, and support letters from my PCP. In my 5 yr weight history my BMI was a little below 40 two of the 5 yrs. It is doable. CALL your insurance company and find out everything you can for your documentations. How much details do they want from you dr. about the 6 month diet. Make sure they require the diet and it is not just your PCP.