Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Recommended Posts

Just wanted to throw some hope out there for those looking for approval from their health insurance company. I have United Healthcare and my employer is Walgreens. They require a 6 month supervised diet and 5 years of documented weight history that shows a BMI of over 40 without co-morbidities or 35 with co-morbidities.

I had some major fears about getting denied because I didn't have any health insurance coverage for most of the last 5 years, thus did not go to the doctor to have my weight documented. I decided to go for it anyway!

I went to my first seminar at the end of February and began my diet in April. I contacted every hospital I had ever visited and requested my records. I had to fill out forms and mail them in. One hospital charged me $18 and the other $40. I ended up with two pieces of proof where my weight was documented. One from late 2006 and the other from the beginning of 2010. I then gathered two pictures from each year going back to 2007.

My insurance rep from the surgery center gathered all of this together and sent my case to insurance on November 6th. Then I held my breath...for a long time... Once the three week mark hit, I was convinced I'd receive a denial. Then I wondered how would I even appeal if the reason is due to lack of documentation? Figured I was done. Yesterday my insurance rep called me and apologized again and let me know the case was still pending (she was so awesome throughout the process and provided me updates several times a week). Then...

10 minutes later she called back to tell me I was approved! I'm so excited, nervous, anxious and happy!

So, all in all, I wanted to share my experience because I know how it is to wonder...and wonder....and wonder...

Share this post


Link to post
Share on other sites

How exiting! Best of luck to you and let me know the outcome!! If you have any ?'s or concerns hit me up.

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • cryoder22

      Day 1 of pre-op liquid diet (3 weeks) and I'm having a hard time already. I feel hungry and just want to eat. I got the protein and supplements recommend by my program and having a hard time getting 1 down. My doctor / nutritionist has me on the following:
      1 protein shake (bariatric advantage chocolate) with 8 oz of fat free milk 1 snack = 1 unjury protein shake (root beer) 1 protein shake (bariatric advantage orange cream) 1 snack = 1 unjury protein bar 1 protein shake (bariatric advantace orange cream or chocolate) 1 snack = 1 unjury protein soup (chicken) 3 servings of sugar free jello and popsicles throughout the day. 64 oz of water (I have flavor packets). Hot tea and coffee with splenda has been approved as well. Does anyone recommend anything for the next 3 weeks?
      · 1 reply
      1. NickelChip

        All I can tell you is that for me, it got easier after the first week. The hunger pains got less intense and I kind of got used to it and gave up torturing myself by thinking about food. But if you can, get anything tempting out of the house and avoid being around people who are eating. I sent my kids to my parents' house for two weeks so I wouldn't have to prepare meals I couldn't eat. After surgery, the hunger was totally gone.

    • buildabetteranna

      I have my final approval from my insurance, only thing holding up things is one last x-ray needed, which I have scheduled for the fourth of next month, which is my birthday.

      · 0 replies
      1. This update has no replies.
    • BetterLeah

      Woohoo! I have 7 more days till surgery, So far I am already down a total of 20lbs since I started this journey. 
      · 1 reply
      1. NeonRaven8919

        Well done! I'm 9 days away from surgery! Keep us updated!

    • Ladiva04

      Hello,
      I had my surgery on the 25th of June of this year. Starting off at 117 kilos.😒
      · 1 reply
      1. NeonRaven8919

        Congrats on the surgery!

    • Sandra Austin Tx

      I’m 6 days post op as of today. I had the gastric bypass 
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×