Out of pocket max... UHC

[tryinagain2day 38]

I was approved with UHC, received letter (copy of what was sent to doctors office) stating approval for band removal and gastric sleeve to be performed- great news!!! The second half of the letter states that if patient has maxed visits or dollar the patient would be responsible for balance unless stated other wise with plan.

I am almost to my out of pocket max for the year so was curios if anyone else has had this letter or is it really just a form letter covering all patients?

Will be calling Monday to confirm.

Edited June 6, 2015 by tryinagain2day

[onmywaytobeingfound 163]

I have uhc and received a very similar letter. I had surgery 12/30/14 bypass, because I had already met my out of pocket max for the year, I paid nothing for the surgery, surgeon, hospital or anesthesia! Good luck.

[tryinagain2day 38]

Thanks- that's a relief to hear. So ready. How has the bypass been for you?

Edited June 6, 2015 by tryinagain2day

[onmywaytobeingfound 163]

Very good! I had a great recovery. Tiredness was an issue but around week 6 that went away. Before that though I couldn't make it through the day without a nap. Early on it was 2 naps. It's a big shock to the body. food wise has been relatively great. Eating out is becoming easier. I've only gotten sick on food about a handful of times. It's because the food I ate was too dry. The only way we learn is through trial and error :-) At my 3mo check up I was ahead of his schedule for weight loss. I go back in a month and I think he'll be rather surprised again. I'm having great losses every week. I'd drive myself nutty if I weighed in every day! I've had no negatives. The only regret I have is not doing this when I was much younger. I feel that life is mine for the taking now!

[Sharon1964 2,530]

The second half of the letter states that if patient has maxed visits or dollar the patient would be responsible for balance unless stated other wise with plan.

It's a form letter. Here is an example of what it means: If your plan allowed 10 chiropractic visits and you had already used 8, you can still get a letter authorizing 5 more, but they will only pay for 2 of those. You will max out your visits and will have to pay for the balance of the visits, or 3 of them.