GirlFriday2.0 1 Posted October 5, 2016 After months of jumping through hoops and strictly following all of the insurance company's requirements (so I thought), my patient advocate opened a case with UHC to have my bariatric surgery considered for approval. Two weeks in, to the shock and surprise of both my patient advocate and me, I was denied for not enrolling in their bariatric resource services program. I quickly enrolled, but was tossed to the bottom of the pile. My case was open for 45 days (yes, 45), and I was denied a second time. This time they accused me of not completing 6 months of dietician visits or the psych eval, even though they confirmed they had all of the documentation previously. I wanted to lose my ever loving $h!t. They were going to throw me at the bottom of the pile for consideration a second time, which meant a possible 30-45 additional wait. Thank God for my patient advocate, who worked with me to put the pressure on the UHC nurse to reconsider my case. My patient advocate talked with no less than 38 people since my case was opened on August 5. UHC realized they were at fault for losing several pages of the 74 pages of documents the hospital faxed over. Through all the stress and aggravation, they've stolen my joy and excitement over finally getting approved for my sleeve surgery. My surgery has been approved a month later than I expected. I'm trying to get my joy back, but I've been frustrated and sour over this whole experience. I can't even muster up excitement and my surgery is in 7 days. Share this post Link to post Share on other sites
KristenLe 5,979 Posted October 5, 2016 Put it behind you and get ready for the future! Congrats on your approval and upcoming surgery! Share this post Link to post Share on other sites
Color83 74 Posted October 5, 2016 (edited) Yes I have UHC and you have to enroll in their bariatric program or they would only cover 50% of the surgery...but to be honest with you I feel being enrolled gets you and easier approval...I was approved in 3 days after my surgeon's office submitted the paperwork Sent from my HTC6500LVW using the BariatricPal App Edited October 5, 2016 by Color83 Share this post Link to post Share on other sites
Butterflywarrior 241 Posted October 5, 2016 I'm sorry you had to go through all of that but you are tough and you didn't give up, you can choose to be bitter or better and movr on to greater pleasure if your new life for you not them Share this post Link to post Share on other sites
