UHC Bariatric Resources

[AKessler731 2]

Well that was new...I called UHC to check on the status of my paperwork and I was transfered to the bariatric resources department. I had to enroll in their program and set up an appointment for their nurse to call me next Monday at 1:00 to go over my paperwork. The surgery is approved on a case by case basis. Anyone else go through this?

[haleymarie 35]

It's different for everyone...I have Uhc and they told me there was no bariatric nurses with them...

[jonfsgirl 1]

OMG...I just got a call from my doc and UHC has denied me because my BMI isn't 40 and my BP is controlled with medicine. Now I have to submit my sleep study report and my doc is going to try to get it approved with that info. I am sooooooo upset. I want to cry and give up. This is the hardest thing I have ever tried to do.

[AKessler731 2]

OMG...I just got a call from my doc and UHC has denied me because my BMI isn't 40 and my BP is controlled with medicine. Now I have to submit my sleep study report and my doc is going to try to get it approved with that info. I am sooooooo upset. I want to cry and give up. This is the hardest thing I have ever tried to do.

What is your BMI? I'm just curious...what if you gained a little weight? Would you BMI be over 40 then?

[Thinny 30]

I spoke to that muse today. She went through her checklist but I was like did, done, next etc. The only good thing I got from. Her was a form for my pop to document my 6 months. Also something to show 5 years with BMW over 40. Those forms are good because she kept asking me to send her a sample. Now I have it in uhc approved format. She said she'll check in the day after surgery then 30 days after. That's all!

[Susan Michelle Autry 10]

OMG...I just got a call from my doc and UHC has denied me because my BMI isn't 40 and my BP is controlled with medicine. Now I have to submit my sleep study report and my doc is going to try to get it approved with that info. I am sooooooo upset. I want to cry and give up. This is the hardest thing I have ever tried to do.

What is your BMI? I'm just curious...what if you gained a little weight? Would you BMI be over 40 then?

My BMI is 37.1 I would have to gain 16 lbs to be a 40 and I don't want to do that at all

[JennWeb 28]

I have UHC and was approved today, a week after it being submitted. Never had to talk to anyone from my insurance. When it was submitted my BMI was listed at 38 but has dropped to 35. I have sleep apnea.

[Susan Michelle Autry 10]

That's great news for you. Congrats! Hopefully I will hear good news next week once my surgeon resubmits with my sleep study report. I really don't want to go to Mexico unless I have no other option.

[karen091866 120]

We're covered by United Health Care through my spouse's employer- and registering with a Bariatric Resource Coordinator was required. I think it must have to do with the specifics of your group.

I'm 3 months post-op & the Bariatric Resource nurse was a great help- she made sure that all of the requirements were done in a timely manner, she helped facilitate appointments in a timely manner, was the primary contact while I was being approved - and even made a few post-op phone calls to make sure I was doing well.

The extra oversight made for a smooth process.

[AKessler731 2]

Well thats good to hear. The lady who I talked to was kind of like "you'll have to talk to this lady to get approval" like it was something bad. She made me really nervous that I wouldn't get approved. She said they only approve revisions on a case by case basis and you have to show that its medically necessary. I meet all of the criteria so I hope it's fine. When I looked up the criteria it said to be medically necessary you have to have a BMI of over 40 or over 35 with co-morbitiies. My BMI is like a 40.1. lol But its over so that should be good enough. I'll just be happy when it's approved. I hate being in the waiting period.

[CBT 450]

We're covered by United Health Care through my spouse's employer- and registering with a Bariatric Resource Coordinator was required. I think it must have to do with the specifics of your group.

I'm 3 months post-op & the Bariatric Resource nurse was a great help- she made sure that all of the requirements were done in a timely manner, she helped facilitate appointments in a timely manner, was the primary contact while I was being approved - and even made a few post-op phone calls to make sure I was doing well.

The extra oversight made for a smooth process.

Exactly the same for me in 2012! I had approval 24 hours after my doc submitted the file! I remember how nerve wracking and edgy I felt. I really don't trust people. Haha!

Edited February 17, 2016 by CBT

[Susan Michelle Autry 10]

I have UHC and was approved today, a week after it being submitted. Never had to talk to anyone from my insurance. When it was submitted my BMI was listed at 38 but has dropped to 35. I have sleep apnea.

[Susan Michelle Autry 10]

JennWeb.. MY BMI is 37.1 I have high BP and sleep apnea. United health care denied me due to my BP being controlled with meds.

I'm waiting to hear in a second submission with my sleep study report

[JennWeb 28]

JennWeb.. MY BMI is 37.1 I have high BP and sleep apnea. United health care denied me due to my BP being controlled with meds.

I'm waiting to hear in a second submission with my sleep study report

I'll be praying that they approve you. Don't know why they wouldn't have.