Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Insurance Approval



Recommended Posts

I am getting so nervous I have been waiting since September 3 for an approval or denial from my insurance. I have called 3 times and all they keep telling me is that it is pending. I have Empire Plan/United Healthcare. Anyone else have that insurance and how long did it take to get a denial or approval? I guess I am more nervous because I am on the lower end of the BMI mine is 35.8 but I do have HBP and high cholesterol.

Share this post


Link to post
Share on other sites

Waiting is the worst!

Share this post


Link to post
Share on other sites

IT is the worst my surgery is scheduled for October 14 what happens if I don't hear anything before that? My stomach is in knots all I want to do is eat. Uggggggggghhhhhhhhhhh!!!

Share this post


Link to post
Share on other sites

I absolutely agree that waiting is the worst. My doctors office called me with a surgery date. October 19th is the day, pending insurance approval. I've about drove myself crazy thinking about it. I hope your alls approvals come in soon! Waiting is absolutely agonizing.

Share this post


Link to post
Share on other sites

I was approved on Tuesday 9/22, they submitted to UHC on 9/8 I believe. I called a few times, just to check on it. Both times they gave me the option to "elevate" the authorization... which I believe means puts a red flag on the case, or moves it to the "top of the pile". My surgery date is also October 19th.

Share this post


Link to post
Share on other sites

So get ready for this.

At my initial appointment, I was told that my insurance required me lose at least 10% of my initial weight during my 6 month supervised diet.

I lost 20 pounds.

The denial reason is that because I lost 20 pounds over the 6 months, the surgery is not deemed "medically necessary" because I can lose weight on my own.

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • Bashbee91

      Hey guys new to the process looking forward to this new life. 
      · 0 replies
      1. This update has no replies.
    • Bugg

      Hi everyone! I’m brand new here. I just went through all my pre-op requirements per my insurance company and now everything has been submitted and I’m just waiting for final approval and my surgery date. I’ve been doing research, watching YouTube videos, TikTok’s, ect.. trying to prepare my mind and what to expect so I’ll be ready for the surgery. I was so sure and so set and so ready and excited. However, now that I’ve done everything & it’s almost here, I am sooooooo scared! I know why I want it bc I’ve tried everything and I just don’t feel like I can lose weight by myself. I’m tired of being overweight my entire life. I’m miserable, but I keep psyching myself out afraid of GERD bc I know how that can be and I don’t want to have to get a bypass after already gaining the courage to even get VSG. I’m scared of complications like I’mgoing to regret doing it and be depressed that I didn’t just be more disciplined and try again to lose the weight on my own even sitting here typing this knowing in my mind i just can’t and don’t possess the discipline. I’m also afraid I won’t be able to handle the restrictions of the sleeve. What do I eat? I don’t know how to eat healthy really and don’t enjoy healthy food. I don’t know how to do this! I feel so defeated!Someone tell me they felt anything similar to this or am I not ready? I thought I was. I am so tired of being sick and tired and so tired of myself and so tired of being stuck and stuck in this body and somebody different on the outside from what I feel inside. I just want to ball up and cry.
      · 0 replies
      1. This update has no replies.
    • buildabetteranna

      over 20 lbs down since4 the pre surgery diet and surgery on the 14th
      · 1 reply
      1. Selina333

        Yay!! Congrats. I know how good that feels. 🤩

    • Jenopolis

      Had a sleeve in 2017, lost over 100 pounds. Had a DS surgery this year (2025) for more sustainable weight loss. 🤞
      · 0 replies
      1. This update has no replies.
    • buildabetteranna

      The 14th was my day. I am home and recovery is going pretty smooth. They even let me walk out of the hospital. Picture of me in recovery curtesy of my boyfriend lol. 

      · 3 replies
      1. DaisyChainOz

        Glad it went well!! Wishing you a speedy recovery and wonderful success!! 🤗

      2. buildabetteranna

        Thank you ❤️

      3. Selina333

        Neat you have a pic of this day! I was sooo happy to get my surgery. It was well worth it! And I'm not even near my goal. I had surgery Dec. 2!

  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×