UHC, included benefit!

[Ready4it 0]

My mother called UHC today to ask if bariatric surgery is covered in our plan and they said that yes it was. She asked a few more questions about it and they basically said you need a recommendation from your PCP (not a problem), a few other documented things (saying how this would improve our lives, etc) and that was about it, which surprised me. Obviously, we both more than meet the requirements to have this surgery done, but I didn't think it would be that easy. Is this weird? Or just another green light?

I know we have to go through approval and everything, which shouldn't be a problem at all. I just want to know if this is normal or not. Thanks!!

[Margie122 845]

Hello,

I have UHC as well. Of course my UHC policy is probably different than yours. I would call them up again and ask them to send you their criteria in writing. That way you can have it and make sure you fulfill the requirements.

My UHC requirements were: BMI 40+ and a 5 year history of failed dieting.

I am not expecting any issues with getting the surgery approved, but their an insurance company :girl_hug: I work for one, so I can tell you first hand that things don't always go as planned!

Good luck with your process. Just an FYI and my .02 but I would keep a folder and put everything lap-band related into it. Also, whenever you talk to someone at the insurance company, write down their name & the date/time you called. You never know when that information may come in handy!

Best of luck!

Margie