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Has anyone successfully appealed United Health Care?

sassyatty

By sassyatty, in Insurance & Financing

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sassyatty    0

sassyatty
Posted

Hello Everyone -

I am new here but have been reading posts on this board for months now. I just got denied from United Health Care EPO Choice Plus today. I am extremely upset and am looking for some appeal success stories. I was not approved due to the fact that my BMI is 38.2 and I did not have evidence of any co-morbidities. My policy covers those individuals with a BMI of 35+ if there are one or more co-morbidities present.

I am planning an appealing as I do have a family history of heart disease and diabetes, and I also have knee, back, hip and foot pain. I have not seen an orthopedist for the joint health issues but plan to do so if the medical diagnosis would help the insurance company approve my sleeve surgery.

Has anyone here been successful with a UHC appeal? If so, coul you tell me a bit about how you did it and what information you submitted?

Thanks in advance!

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