Thin4Anisha

Surgeons office just called, UHC denied me. :smile: My policy states you must have a 5 year history with a BMI of 40 or above. 4 years ago I went on phentermine and lost 65 pds. Because of the I was denied. Never thought I would be punished for trying to get healthy. Any suggestions on what to do? Is it worth appealing?:tongue2:

I lost 60 pounds once on phentermine and went from a size 22 to a size 14/15 in 6 month period. I would kill to be in a 15 again... Soon hopefully, waiting to hear from surgeons office today on a yay or nay from insurance.

I cannot wait until I have these problems :thumbup: Waiting for word on approval

My surgeons office submitted my preapproval request two days ago. I keep getting on the uhc website, myuhc.com, to see if it will show me they are looking at it or have even received it and am not able to find anything. I am not very familiar with that site and want to know what section I should be looking in. Maybe I am missing it?

I have not been banded either but experience these symptoms already. Salad always gives me these symptoms as well as anything spicy (red sauce on a burrito, hot sauce.. you get the idea). The minute I am done eating the food I begin getting horrible cramps. On a few occassions I honestly believed I had gone into labor (not pregnant but only thing I could relate the well timed cramping too) and was reduced to crying in the bathroom until the pain passed. It may be that my stomache cannot tolerate such things anymore but I have secret suspicions (usually dreamed up while in pain after a meal) that my body is sick of salad (ate it for every single meal for a month trying to loose weight, then this started and I stopped) and is trying to "dump" calories to try and stop gaining weight. Who knows.

Thank you for that, it gives me hope. I checked online and it does not show anything yet. Did you submit medical records or a personal journal of weights and loss attempts? I did the journal and my surgeons office thought it was very good so I am hopefull.

I work for Farmers Insurance and had my surgeons office submit the preapproval request yesterday to UHC Choice. The surgery IS covered on the policy and I have previously spoken with the reps and they gave me the specifics about the policy. That you must be over 21, a BMI over 40, you must have it done in a hospital and "you have documentation from a Physician of a diagnosis of morbid obesity for a minimum of five years" I am 25, my BMI is 44.9, I am more than happy to go to a hospital but I have had fluctuations in my weight. Five years ago I was about 218, then went on phenteramine and got to 165 by December. Than slowly began the process of gaining it all back and now I am at an all time high of 278. I wasn't even this big when I was nine months pregnant:sad:. I am terrified they will deny me because I have not had a BMI of 40 the whole five years. Cross your fingers and I will keep you posted. I am carrying my phone everywhere with me, even into the restroom!!

Wow, I am glad to see I am not the only one who has been outcasted by their partner for gaining weight. My long time bf cut me off after the first 10 pds were gained. That was 4 years ago and we have had sex a grand total of 10 times in those four years. Sad because we use to be pretty crazy :rolleyes2:. Now at 100 pds more than I was then, I weekly get the treat of hearing how unattractive I am and if I just lost weight he would want to treat me better. And how he is embarressed to introduce me to his friends or how I am "the fat girl at the grocery store". What a load of crap! My plan is to get the surgery, hopefully this July, and move on to find someone who will love me and treat me right no matter if I am big, wrinkly, sick or premenstral. There is a lot more to me than my waist size and if someone is that shallow they don't deserve to get the skinny me! He keeps saying that if I was skinny our relationship would go back to the way it was but there has been to much damage done, I can never feel the same towards him now that I know he is so shallow. Also, it does make him feel secure that I am fat and he is convinced that no one would be attracted to me. I know that me returning to the body I had when I met him would twist his world.

That is so awesome!!!!

My insurance is also UHC Choice and they to require in my plan to have a 5 year weight history with a diagnosis from a physician of morbid obesity. I went from being overweight, to being very morbidly obese while pregnant, to being obese after the pregnancy, to overweight again and back to morbid obesity. I called the coordinator and they said they understand there are ups and downs and that is part of the disease. I have not yet been asked to provide medical records but did submit a weight history for the last six years with diet and exercise attempts. I may have... um, added a few pounds here and there but heck, I am goind off my memory :thumbup: I say, give it a try. What can it hurt? I will let you know what my insurance company decides

Had another moment last night that concreted my determination for the band, which was already rock steady but not I will die trying to get it.... (Forgive me if to graphic) I had a hard time reaching my rear end in the bathroom!! Seriously, 25 years old and can't reach my A**!? Drastic change is needed here...

You are the male version of me! I turned 25 yesterday, am 268 pds and have not support from anyone I have told about this. I have a 5 year old little girl and am scared that if I do not do this that I will not get to see her graduate high school and college, get married or have babies. My work also offers insurance that covers the surgery. Stay strong. Only you live inside your skin every single day and feel the effects obesity has on you. And only you know if it is going to work. Having insurance to cover most of the cost is a blessing that you should take advantage of. Do this for you, as I am going to do mine just for me. Why do we have to live with obesity for another 20 years before people will support us? I would rather live those next 20 years healthy and to the fullest!!