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

United HealthCare Choice Plus



Recommended Posts

I also have UHC Choice Plus and I did not have to complete a supervised diet or have a weight loss. I had to have a BMI of 35-39.99 with at least 1 co-morbidity or a BMI 40+ with no co-morbidity, had to have a psych evalulation, have to use a center of excellence for surgeon, be enrolled in the program with Optum and be in contact with a case manager and a psych nurse. That was it for insurance guidelines.

For my surgeon I had to attend an informational seminar, 1 nutritionist appointment, 1 support group, and my consultation. I didn't have to see a pulmonologist or cardiologist as my surgeon didn't feel I needed it.

I made my first phone call to start the process on March 1, 2016 and my file was submitted to insurance on 04/28/2016. I should hear back either today or tomorrow from insurance :-)

I really think the guidelines are set by employers and their agreements with insurance companies.

Good luck!

Share this post


Link to post
Share on other sites

I have United Healthcare Choice Plus and required a 6 mo medically supervised diet. I was never told that there was a weight loss requirement by UHC. I really didn't lose much weight at all in my opinion, 14 pounds on a 320 pound man. My BMI was slightly over 40 but I have 2 co-morbidities. I went with United Healthcare preferred provider....."Center of Excellence" was more accurately a 'Center of Errors'

Surgery was ten days ago so it took 8 1/2 from starting the process.

The process was very frustrating at times and made me very angry on several occasions. But the Optum case manager was really on my side and helped during the difficulties.

Hope this helps and best wishes!

Share this post


Link to post
Share on other sites

I have it but my policy has an exclusion.

Share this post


Link to post
Share on other sites

I also have UHC Choice Plus and I did not have to complete a supervised diet or have a weight loss. I had to have a BMI of 35-39.99 with at least 1 co-morbidity or a BMI 40+ with no co-morbidity, had to have a psych evalulation, have to use a center of excellence for surgeon, be enrolled in the program with Optum and be in contact with a case manager and a psych nurse. That was it for insurance guidelines.

For my surgeon I had to attend an informational seminar, 1 nutritionist appointment, 1 support group, and my consultation. I didn't have to see a pulmonologist or cardiologist as my surgeon didn't feel I needed it.

I made my first phone call to start the process on March 1, 2016 and my file was submitted to insurance on 04/28/2016. I should hear back either today or tomorrow from insurance :-)

I really think the guidelines are set by employers and their agreements with insurance companies.

Good luck!

I had the same requirements. I my the call to the insurance company informed February, my consultation was March 16, and I've completed the nut and psych visits, but the insurance company told the surgeons office that I required 6 months of visits. I hate getting mixed information.

Sent from my SM-N920P using the BariatricPal App

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

    ×