Need Support - Hvaing a hard time with UHC

[LosingIt08 0]

So I need you all more now than ever

Posted this in 2 forums, sorry if you read it twice, just need the positive comments and success stories from people with Insurance appeals..

UHC denied me yesterday because they want more of a documented wight history. I have been seeing my doctor since 2003 and he wrote I have been overweight for 15 years.

The Drs were so sure I was getting approved they were in shock, soooo I had to ask my Dr to write a specific letter or update the old letter that I have had a BMI of 40 plus for 5 years.

Thats what they want UHC people.. documented BMI for 5 years.

I have 2 co-morbidites, polycystic ovarian disease and diabetes (discovered during bloodwork for surgery) Did the nutritional and psychological consult, EKG and Chest Xray.. guess theywant my firstborn now too (when I have one.. if I have one PCOS doesn't help!)

Even the reps at UHC could not answer why I did not get approved and they all think the medical reviewer guy is being a pain.

[TexasT 0]

I thought UHC required a 35 with 2 co or just a 40 bmi would get it. I have UHC also, but I'm about 12 pounds to light to qualify with a 40. 38.1 isn't bad enough for them. Hurting feet and knees (I have had to have shots in) apparently don't count.

I just don't have it in me to start a big fight. We're going to come up with $$$ and self pay. I called and told them I wanted to self pay and now I have a surgery date in March.

Sorry I can't help be more positive but the past few weeks for me have been discouraging also.

[nycm00 0]

So sorry. I really don't have any advice other than asking your doctor to write another letter. I too have UHC and am waiting to hear if all is good. My surgeon's office told me not to be surprised if UHC asks for a 5 yr weight history. I know I will qualify, but it will be difficult to get the numbers since I have moved around a lot. I'd have to ask my OB/gyn since she is my most consistant doctor and ask for my non-pregnant weights. (I've had 2 kids in the past 5 yrs.) I do have my weight watchers weight loss history and would submit that too.

Good luck and keep us posted.