UHC & Weight History!

[JPSnAZ 33]

With my United Health Care Plan, they require 2-3 years weight history. My weight has been up & down through the years. 2010, my BMI was over 40. In 2011 & 2012, it was JUST UNDER 40 (39.8 & 38). I have no co-morbidities.

My surgery coordinator says I need to find some professionally recorded weight for 11' & 12' or they wont cover. I havent been to the dr other than the ones I gave them, which were under 40. WHAT CAN I DO! I would hate for something so dumb & so close to qualifying prevent me from getting surgery. Is there ANY way I can get around this? Or is it pretty much hopeless?

Do you think that since 3 years ago, I was over a BMI of 40 I could get away with it since it shows Ive been "morbidly obese" & struggling?

DOES ANYONE KNOW????

[ebonisekim 1,713]

I think that you can its only a couple points off I think at the end if the day it depends on who reviewing at the insurance companies although I have found that UHC I one of the insurance companies that us strict one it comes to their policies but I say give it a try w what you have

[JPSnAZ 33]

I think that you can its only a couple points off I think at the end if the day it depends on who reviewing at the insurance companies although I have found that UHC I one of the insurance companies that us strict one it comes to their policies but I say give it a try w what you have

Yeah, theres no harm in trying! I just really really hope they will allow it. :|

[oklafarmgal 31]

I have UHC also. My policy requires 5 years of weight history. I didn't hit 40 bmi until 2012. I have all the years recorded with my pcp. The lowest I have is 36.1. The nurse practicioner in my surgeons office said she did not see a problem with approval. The insurance company wants to make sure that you have had a weight problem for a while and that you didn't weight 150 pounds a couple of years ago and gained a bunch recently. But, you need someone to fight for you at the surgeon's office. You may be denied at first, but they need to fight for you. If nothing else the surgeon needs to write a letter on your behalf. Hang in there. Keep fighting for yourself. Let me know how it turns out.

[C_TimesThree 64]

I think it shows you need the surgery more, you OBVIOUSLY tried to lose weight and got no where since you are back up to 40. I think you should try see how it goes then move from there.

[JPSnAZ 33]

I think it shows you need the surgery more, you OBVIOUSLY tried to lose weight and got no where since you are back up to 40. I think you should try see how it goes then move from there.

Yeah, Im going to call her and talk to her... Tell her that I dont have any other recorded weights I could find and see if theres something else we can try to do, like write letters or something. UGH.