UHC Weigh Ins Policy

[atPeace55 71]

I'm a week away from meeting/counsultation with the surgeon and submitting my paperwork for approval - after I had successfully transfered all my paperwork from my previous HCP to UHC PPO. My Nurse Manager who is handling my case stated that for my plan I need to provide a five year weight history - ok no problem right? Now she tells me:

I need to make sure that my weigh ins are not a BMI below 40, which would be a weight below 280. And that UHC could use this as a reason to deny surgery stating you have not been severely obese for 5 years.

REALLY! I'm very discouraged right now I can't even put this into words!

Does anyone on here have UHC PPO Choice Plus who was approved with BMI weighin less than 40 for the 5 year history? Anything encouraging right now will be great to hear.

[kalfin13 4]

I have UHC Choice Plus. My case manager just got all my stuff sent to UHC yesterday so I am still waiting to hear whether I am approved or not. I have not had a BMI over 40 for five years and I actually just barely made the weight at my last weigh in (UHC required me to do a 6 month Dr. supervised diet) and I also don't have any comorbidities so I am very nervous about what they are going to say. This really doesn't anwer your question, but I guess I'm trying to say I hope they overlook the BMI and just look at the weight gain over the years. Good luck to you!

[atPeace55 71]

I have UHC Choice Plus. My case manager just got all my stuff sent to UHC yesterday so I am still waiting to hear whether I am approved or not. I have not had a BMI over 40 for five years and I actually just barely made the weight at my last weigh in (UHC required me to do a 6 month Dr. supervised diet) and I also don't have any comorbidities so I am very nervous about what they are going to say. This really doesn't anwer your question, but I guess I'm trying to say I hope they overlook the BMI and just look at the weight gain over the years. Good luck to you!

Yes, I don't have any comorbidites either but I chose the sleeve partly because I do have very bad lower back problems and kneeanches & pains since I was 19 yrsoge and I take NSAIDS often like Naproxen, Bayer Asprin, etc. And for the Roux En Y you can not take those becasue it can cause problems. So, i'm hoping that even though I have not consistantly been at a BMI of 40 that each year even though I have tried to live a healthy lifestyle I have failed and my BMI has increased each years due to unsuccessful weight loss attempts.

Good luck to you and please let me know what your outcome is and I will let you knwo once my paperwork is submitted in March.

[Oopsseedaisy 90]

Have you taken your height measurement. If you are shorter than you thought your BMI goes up.

[atPeace55 71]

Have you taken your height measurement. If you are shorter than you thought your BMI goes up.

That's a great Idea but unfortunately I have had my height checked a couple of times and I'm 5'10. Normally, I love being tall but in the case not so much! :->