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

    • rlcpd

      Two months out from hiatal hernia repair.  Surgeon said to expect a lot more flatulence...something about the 'air' no longer being able to 'burp' out so comes out the other end.  That is my experience but have no understanding of why that swallowed air cannot be 'burped'. ???
      · 0 replies
      1. This update has no replies.
    • Lizette1122

      Anyone had the TORe procedure? How did it go? How much weight did you loose? 
      · 0 replies
      1. This update has no replies.
    • LadyVeteran1

      Sleeve surgery is on April 14th.  I am counting the days!!  Can't wait!
      · 3 replies
      1. Brookie2shoes

        Me too girl!! Are you in the full liquid diet right now? It’s sooooo hard!

      2. LadyVeteran1

        Not yet. I was told I only have to do 24 hours of a liquid diet. But I have my pre-op tomorrow so I’m going to confirm if I need to do longer.

      3. buildabetteranna

        Your so close now! It's gonna be great :) Wishing you a speedy recovery and looking forward to seeing how it goes!

    • buildabetteranna

      Down 33 lbs and slightly stalled, but I'm gonna reevaluate and push through. I started back to work last week after 2 years of being disabled due to mental health as well as my weight. It's a great job and I'm just so happy to have this opportunity at a second chance at life. Hope everyone is having their best journey ❤️ Together, we got this!
      · 2 replies
      1. DaisyChainOz

        Great work Anna! Keep it up 😁

      2. buildabetteranna

        Thank you ❤️

    • Bashbee91

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

    ×