United Healthcare - Just Beginning

[GranadoM74 41]

@@ChefSaraKay Were all of your Supervised Diet appts 30-day apart?

I'm curious if mine will do. We pulled some past appointments that were sporadic but in the consecutive months.

[ChefSaraKay 21]

I had talked to a few of my doctors about weight loss on a few occasions and they documented what we talked about. Some of the appointments were in the same months so my surgeons office said they could only count one of the visits out of the ones that happened in the same months because it has to show 6 different months. I hope that answers your question. Good luck with your journey! I am almost 3 months out and 53 lbs down!

[BabyNewYear 31]

Had UHC and approval was easy but did have to do the six mos nutrition classes. Needed clearance from cardio, polmonologist, & psych, too. They required co-pays and there was a $250.00 inpatient deductible, too. The total bill said $26,000+ so I feel like it's a small outlay of cash in retrospect.

Sent from my iPhone using the BariatricPal App

[Angelica90 13]

Did you have to lose weight to get approved? I gained 5 pounds and I am towards the end.

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[Crystal Ann Keister 49]

• I have United Healthcare Gold Compass HSA 1600.
• I took my Online Seminar at Bariatric Specialist of NC on 1/19/16
• Initial Consultation 2/18/16
• Started my 6 month supervised weight program 2/4/16 - 7/18/16
• Worked with my case manager to get all required documentation 7/18/16 - 8/26/16
• Documentation will be submitted to Insurance for approval on 7/28/16
• The Dr. office is tell me its a 7 to 30 day approval process. But on average they get a response back in 15 Business days. We will see. I'm soooo nervous.
• Then I have to wait for the final results consultation appointment.
• Then they say it will probably take 3 weeks to get on the table.

If your just starting now, and trying to get it for 2016 out of pocket with insurance. I don't think you will meet it. I'm sorry I know how stressfull this is. I am so ready for my surgery. I really pray I get approved and fast.

These are the requirements my case manager says my insurance requires.

• A referral from your PCP
• BMI above 35 with obesity-related health problems (or BMI above 40 without health problems)
• Participation in consecutive 6 month "clinically supervised" weight management program
• Letter of Medical Necessity from your PCP
• Medical clearance (Psychological Clearance for surgery from a mental health physician, Nutritional evaluation from a Registered Dietitian, Gastroenterology, Blood Labs, Pulmonary, sleep Study)
• 5 Year weight history

I hope this helps,

CK