united healthcare- railroad employees?

[HYCIERRA 144]

we have united healthcare insurance, if we go to a center of excellence, it pays 100%- yay- but I have a question about the guidelines- like most insurance companies, they require a 6 month physician supervised diet. I've seen my OB/gym (as my primary dr) for the past 7 years. He filled out the supervision form inputting the last 6 appointments I've had with him (non-consecutive, but all in the past 2 years)- he stated that we discussed weight issues/exercise. Do you think this will be enough to satisfy that 6 month requirement or do you think I'll need to start the 6 month process all over again? I'm meeting with the surgeon tomorrow, so my paperwork hasn't been sent to the insurance company as of yet- I have a 46+ BMI, monitored for high blood pressure (no meds), lower back issues, depression due to self image, high cholesterol... I am so ready for this that waiting another 6 months seems like an eternity.

[Jersrose43 837]

I know my carrier required more than that

They wanted to monitor my diet - so they had to send in what I ate

But I don't have uhc

You can try

[pancake1271 57]

I have UHC and I'm a railroad employee (BNSF) I had the lapband back in 2011 and they covered it 100% no deductable, no copay. Then in Jun 2012 insurance changed. I had a revision from band to sleeve in Jan 2014 and had to pay a deductable and copay ( it came to about $900.When I went for my lapband I just had to document my weight loss attempts over the years. UHC was very easy to work with on getting it covered.

[HYCIERRA 144]

pancake, thank you for the reply. How did the revision go and how are you liking your sleeve? I just got the call this past Friday that UHC approved me!! They just accepted my dr's notes from the past few years, so I didn't have to do 6 months supervision! I'm having my ultrasound and pulmonologist appointment on 6/17 and then I'll get my surgery date. So excited I can believe everything is falling into place finally!!

[pancake1271 57]

Im loving my sleeve. I just wish I would have done it the first time around and skipped the band all together. I feel can eat more than those who have sleeves. I can eat 1200 calories easy and I probably could eat more but i try and limit it to about 1000-1200 calories. I try to stay away from processed sugars but my sweet tooth gets the best of me sometime! Since January ive only lost about 22lbs but I guess its better than gaining! Im just glad I have really good insurance that has cover all my surgeries and fills when I had the band. Now I can focus on me and not worry about food getting stuck or my band slipping.

Im glad you got approved with no problems. UHC has been really great to work with on getting approved and all my appointments and surgeries. I had 2 other surgeries between my lap band and revision and had no problems each time. They were for when my band slipped the first time. My dr just unbuckled it then a couple months later repositioned it. Then it slipped again and he said it needs to come out and revise to the sleeve. Never had any problems with getting the approvals. Now I just wish they'd cover a tummy tuck!!