UHC Choice plus-won't cover?

[stI24nger 1]

I am currently trying to get approved by UHC Choice Plus. My BMI is 40, I've had my psych eval, and I'm going through the process. I just need one more thing....a letter from my PCP saying that I have documented failure at weight loss under 6 months of medical supervision.

I have LOTS of weight loss failure, but never medically supervised. My bariatric facility is saying that my PCP should/can use the experiences I have had to draw up a letter.

I'm nervous about that....

Has anyone gone through this, and if so, what was the outcome?

[marywalker20 0]

Each time I visit my PCP they register my height and weight. When the insurance needed this from them, they just used those records and the insurance accepted them. And it only took my PCP a moment to write the letter and I got a copy to take home with me.

Good Luck!!

[Chris61 0]

I Have UHC and was approved within 30 days along with my wife. I would check your policy manaual and see what it says. Our plan was changed this year with the same insurance company. I will forward you a copy of my letter that got us both approved. If you have any questions e-mail here or at vcw61@excite.com.

Chris

Pre band

St. Louis

250/

[Ready4it 0]

I Have UHC and was approved within 30 days along with my wife. I would check your policy manaual and see what it says. Our plan was changed this year with the same insurance company. I will forward you a copy of my letter that got us both approved. If you have any questions e-mail here or at vcw61@excite.com.

Chris

Pre band

St. Louis

250/

Can you send it off to me? I have UHC as well, my email is ready4band@gmail.com. Thanks! And congratulations to you and your wife. :bounce:

[gingerbug 3]

Thanks everyone, such good advice. I am waiting for more details regarding what my insurance will cover and what kind of hoops I have to jump through. I was told that my weight makes me really close to a BMI of 40 whichmeans I would not need comorbidities. I am in freakishly good health for being obese! I need to 'weight heavy' ina couple of weeks at my appointment. She told me I would weigh fully clothed and with shoes, height with no shoes. "Weighing heavy' leaves so much room for interpretation!! I had taco bell for lunch, I thought that would be a good start. LOL

[BadGirlinFL 0]

I just wanted to give those of you that have United Healthcare Choice Plus that there is hope that your surgery can be approved if covered under your policy.

I was just approved today after my ppw was submitted just last week for the first time.

I did everything they told me I would need to qualify for the surgery and I am now awaiting a surgery date.

Good Luck to everyone on your surgery journey!

[Jessie45 1]

I got my approval letter from UHC yesterday!:whoo: It only took 1 week for the approval to go through. I did send alot of medical record in to support the reason for the surgery.. Good luck to all of u!

[NancyL 0]

Hi all! I am new to LapBand and go in for my consult Oct 3,2007 My BMI has been between 36-39 for over 12 years and is currently 38. My question would these conditions count as co-morbidity -Abdominal Fat(54" last time I measured),<br /> -Heart Arrythmia's<br /> -Low Back Pain<br /> -Chronic Fatigue<br /> -slightly elevated BP (130/80-96)<br /> -SOB with exertion<br /> -Family Hx of Heart disease (Father 1st heart attack@38 and Grandmother deceased in her 30's)<br /> -YoYo dieting<br /> I am female 5'4" weight (5 years ago 170)now 235lbs<br /> I am really wanting this surgery! I have UHC and alot of questions. Thanks for any info you have....

[Shalee04 7]

I Have UHC and was approved within 30 days along with my wife. I would check your policy manaual and see what it says. Our plan was changed this year with the same insurance company. I will forward you a copy of my letter that got us both approved. If you have any questions e-mail here or at vcw61@excite.com.

Chris

Pre band

St. Louis

250/

Hi Chris,

I too have UHC and would love a copy of your letter to read and reference for my approval.

Thanks so Much,

Kelly :help:

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[NancyL 0]

BadGirl, May I ask why you decided to do the bypass? I am considering changing also. I don't really know which I want. The Lapband or RNY

[destiny79 0]

I have uhc choice plus and I just found out that they do cover lap band I have a consult. on oct.31. I am from New Orleans so I cannot locate my primary physcian, but I do have medical eval. from 2002-2005 showing how much I weighted at that time I have always had a BMI over 40, I also wrote a letter. wHAT R MY CHANCE OF GETTING APPROVED. the insurace company want have a way to verif my doc. anyone else had this type of problem:rolleyes:

[TulipStar 2]

Tomecia25,

You should call UHC and ask them specifically what you need to get approved. Each plan is different. sometimes they want a 5 year history, sometimes they want you to try a diet for 6 months. If you only have a history from 2002-2005, then that will have to do.

I never did go to the dr much, but I did go to the OB/GYN annually for my check-up. That's where I got my 5 year documentation from. Is there any change you went to you OB/GYN??

[destiny79 0]

I can't located any of my Dr. from home, I am using the same Dr. you used Dr. john from lapband solutin dallas cool. I called Idon't have to do the 6 months diet just 5 year history and current bmi of 40

[destiny79 0]

Just found out today that my UHC Choice Plus Texas the only requirements is 5 year weight history and Dr. recommendation and I have both of those, so it's look like I am on my way to a more healther me. Good Luck to everyone here. (crossing my fingers hoping everything work out)

[NancyL 0]

I talked with my Doctors office today and I have been approved (UHC choice plus) for LapBand Surgery November 30, 2007 I am sooo excited and nervous at the same time. The unknown can be a little scary, but my excitement of really having good weight loss is greater. I have tried to lose weight by exercising (walking 3 miles a day, when that didn't work I started running 1 mile a day) usually 4X's a week. Still, I might have lost a pound, but my clothes started feeling tighter. Also, I was watching what I ate but maybe I didn't do as good as I thought I was. Very Discouraging!!! Anyway I am looking forward to Nov. 30 and a New Life!