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Submitted to UHC Choice - Farmers Insurance

Thin4Anisha

By Thin4Anisha, in Insurance & Financing

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Thin4Anisha    0

Thin4Anisha
Posted

I work for Farmers Insurance and had my surgeons office submit the preapproval request yesterday to UHC Choice. The surgery IS covered on the policy and I have previously spoken with the reps and they gave me the specifics about the policy.

That you must be over 21, a BMI over 40, you must have it done in a hospital and "you have documentation from a Physician of a diagnosis of morbid obesity for a minimum of five years"

I am 25, my BMI is 44.9, I am more than happy to go to a hospital but I have had fluctuations in my weight. Five years ago I was about 218, then went on phenteramine and got to 165 by December. Than slowly began the process of gaining it all back and now I am at an all time high of 278. I wasn't even this big when I was nine months pregnant:sad:.

I am terrified they will deny me because I have not had a BMI of 40 the whole five years. Cross your fingers and I will keep you posted. I am carrying my phone everywhere with me, even into the restroom!!

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sahmof3    0

sahmof3
Posted

I have UHC Choice Plus and didn't have the five years of a BMI over 40. I think it was three of the five though. I was approved in 4 days.

Good luck!

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Thin4Anisha    0

Thin4Anisha
Posted

I have UHC Choice Plus and didn't have the five years of a BMI over 40. I think it was three of the five though. I was approved in 4 days.

Good luck!

Thank you for that, it gives me hope. I checked online and it does not show anything yet. Did you submit medical records or a personal journal of weights and loss attempts? I did the journal and my surgeons office thought it was very good so I am hopefull.

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sahmof3    0

sahmof3
Posted

My PCP submitted it to my surgeon. My PCP included my weight over the past 5 yrs, any weight plans I had tried over the years, and any other issues I was having because of my weight.

Don't give up!

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Go To Topic Listing Insurance & Financing

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    • Alisa_S

      Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 0 replies
      1. This update has no replies.
    • Alisa_S

      Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

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