Jump to content
ร—
Are you looking for the BariatricPal Store? Go now!

Insurance confusion...



Recommended Posts

I am getting different information from different sources. I have UHC Select Choice insurance. I know the lap band is a covered benefit. I'm trying to determine if a 6 month diet and exercise plan is required. When I call, member services tells me the only thing required is a documented diagnosis of morbid obesity. When my surgeon's office calls, they are told a diagnosis, plus a 5 year weight history and a diet and exercise plan are needed, but did not tell them how long of a supervised diet is required. When I talk to my HR person at work, she says a 12 MONTH supervised diet is required! AHHH, I'm about to tear my hair out!

What should I do now? I've asked both the surgeon's office and my HR person to call again to confirm the information, but I am getting frustrated at all these different responses.

Share this post


Link to post
Share on other sites

Working with insurance can get frustrating.. I was able to find the information needed about my requirements on my insurance website..

When you call in ask them if they can send you something in writing. That will help but as always, nothing is written in stone and may be subject to change.. Keep a positive outlook, it won't be too much longer now.. If you have to wait 12 months then you will have more time to be prepared.

Your surgery date will be here before you know it.. :thumbup:

Share this post


Link to post
Share on other sites

Definitely call and ask for a copy of their policy on WLS. Some companies have it on their website, others don't. Mine didn't have it on the member services site, but on a different one. Try not to get too frustrated. It's only a matter of time now! Good luck!

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

    • cryoder22

      Day 1 of pre-op liquid diet (3 weeks) and I'm having a hard time already. I feel hungry and just want to eat. I got the protein and supplements recommend by my program and having a hard time getting 1 down. My doctor / nutritionist has me on the following:
      1 protein shake (bariatric advantage chocolate) with 8 oz of fat free milk 1 snack = 1 unjury protein shake (root beer) 1 protein shake (bariatric advantage orange cream) 1 snack = 1 unjury protein bar 1 protein shake (bariatric advantace orange cream or chocolate) 1 snack = 1 unjury protein soup (chicken) 3 servings of sugar free jello and popsicles throughout the day. 64 oz of water (I have flavor packets). Hot tea and coffee with splenda has been approved as well. Does anyone recommend anything for the next 3 weeks?
      ยท 1 reply
      1. NickelChip

        All I can tell you is that for me, it got easier after the first week. The hunger pains got less intense and I kind of got used to it and gave up torturing myself by thinking about food. But if you can, get anything tempting out of the house and avoid being around people who are eating. I sent my kids to my parents' house for two weeks so I wouldn't have to prepare meals I couldn't eat. After surgery, the hunger was totally gone.

    • buildabetteranna

      I have my final approval from my insurance, only thing holding up things is one last x-ray needed, which I have scheduled for the fourth of next month, which is my birthday.

      ยท 0 replies
      1. This update has no replies.
    • BetterLeah

      Woohoo! I have 7 more days till surgery, So far I am already down a total of 20lbs since I started this journey.ย 
      ยท 1 reply
      1. NeonRaven8919

        Well done! I'm 9 days away from surgery! Keep us updated!

    • Ladiva04

      Hello,
      I had my surgery on the 25th of June of this year. Starting off at 117 kilos.๐Ÿ˜’
      ยท 1 reply
      1. NeonRaven8919

        Congrats on the surgery!

    • Sandra Austin Tx

      Iโ€™m 6 days post op as of today. I had the gastric bypassย 
      ยท 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

    ร—