Will know tomorrow if UHC denies...

[kbear 0]

I will have to agree with you that UHC is NOT an easy insurance company to deal with. I lost count on how many calls I had to make. My nurse even said she didn't have time to work on my case anymore cause they were so ridiculious to work with. So with her saying that it just made me more determined to get myself approved.

After starting my first claim in March, I was finally approved in September and had my surgery on Sept. 24. It was so frustrating to say "we should know tomorrow", "it's with the nurse, they don't take calls from patients" "the dr. now has it, we should know something in 48 hrs" I bet I know all the lines you have heard.

But keep your chin up, be persistant, and get people's names when you call. That always helped when I would call back I could say, "Jim told me that I could call today and find out something" They can see on their coputer screens who you have talked to and what about.

Anyway, good luck. If you have any ?'s at all you can pm me.

[tonya66 13]

I have UHC choice plus and my approval was such a breeze. So, don't quit, appeal, appeal and appeal!

Best wishes!

[Margie122 845]

My surgeon's office faxed Walter & Kelly at obesitylaw.com all of the information they had including my application. I sent 15 pages to them myself today. Now I have to wait to see if they will be able to take my case (for free) ... or if I will have to pay them to file my appeal. I'm hoping I fall under the guidelines for Allergan (parent company) to pay for them to fight this appeal for me. If not, I'm fully prepared to pay them myself.

Waiting is so hard....:faint:

Margie

[Margie122 845]

I just got an email from Walter...they're taking my case and I don't have to pay! :whoo::whoo::whoo:

This is the best news I've gotten in weeks!!!

[Longhorn 1]

Congratulations! I hope it all works out for you! I have to believe that every appeal that is won will slowly chip away at the powers that be and make them realize that this surgery is valid and essential to many people! Thanks for doing your part!

[2008er 0]

Margie, Hon, I'm right here with ya.

I don't have UHC, but CDPHP in NY is kinda the same. I'm in your boat - been denied, appealed, and appeal was denied. I'm on second level appeal and just emailed Obesity Advocacy this morning. I do hope they can help me, too.

I'll be here cheering you on and hoping for a similar outcome. Keep fighting the good fight!

[Margie122 845]

NYtrink (Kat),

I hope Walter and Kelly can help you! I'll keep my fingers crossed for you. Please let me know how you make out :confused:

[Gangy 0]

Just got the call today...UHC denied. I knew they probably would, but it's still a blow. Looks like I have to fight them now, but I'm up for it.

Fight em and Good Luck!

[Gibson 7]

I'm sending good vibes your way!

[musicalmomma 1]

Any news???? Walter and Kelly took my dh's case and got it approved in 10 days!!! They're amazing! I'm dying to hear how this turns out for you!

[Sula 0]

I have UHC and didn't even want to go through the BS..so I went to Mexico. I just assumed they would deny. I don't have much co-morbid problems with my BMI of 40 but we all know that carrying around that extra weight, it's just a matter of time before other problems start. They are just trying to save their money so they can give bonus' to their bigwigs. I did try to get them to pay for the fills and just got the reject notice..well, they didn't ever respond..they just posted it on the website. If they're not going to pay for something, they why do they even bother requesting the Dr.'s notes.

I work with insurance companies all the time and they are not real high on my list, lemme tell ya!

Keep up the fight. Keep us posted. I agree, every win helps those that come after us!