UHC Choice Plus PPO

[ahb08 0]

I know for a fact uhc choice plus doesnt require any 6 mnth nor a 3mnth diet before surgery, infact i used to have the plan, but at that time lapband wasnt on my mind i was trying to do it by myself, then when my company merged with jmpc...i coincidently decided to get the band..well jpmorgan deals with aetna here in dfw,tx so when i found out that i had to do a 3 mnth supervised diet when i could of gotten approved instantly with uhc i literally beat myself up!!! and i would of only had to pay 100 bucks for the whole thing....now im mostly gonna have to pay my 2k out of pocket maxium with aetna.....!!!

[Gerberdayzee 0]

Thanks so much Aurelia! That gives me hope. She is definitely sending the request, but she painted a very doom and gloom forecast this afternoon. Hopefully the documents that she received since then helped. Please keep your fingers crossed for me .

[SharonYunus 0]

This is my first post. But I am extremely frustrated. I have been denied by UHC for my request to have lap band surgery. My BMI is 34.9 but I have high blood pressure that is responding to medication and diabetes mellitus that is no longer responding to oral medications.

Does anyone out there have advice on steps I can take to win approval? I'm 57 and I'm running out of time. My kidneys have begun to shut down due to the diabetes. I need help from anyone with any pointers. Thank you.

[Hoping2LoseBig 0]

Carmen, ss UHC pretty good to send letters to you as they send them to the doctor?

When I called to see if my policy covered the lap band, I was told yes and then the representative read me an Explanation of Benefits. I asked her if I could get a written copy of the explanation, and she told me to go to Health Insurance Quotes for Medical Insurance, from UnitedHealthcare. I have looked and looked and cannot find the information anywhere under my Benefits section. Under "Bariatric Services," it says "Not applicable."

Any ideas??

[Hoping2LoseBig 0]

Carmen, is UHC pretty good to send letters to you as they send them to the doctor?

When I called to see if my policy covered the lap band, I was told yes (depending on qualifications such as BMI over 40, 5-year documentation of weight, etc.) and then the representative read me an Explanation of Benefits. I asked her if I could get a written copy of the explanation that she read to me, and she told me to go to www.myuhc.com to find all the info. I have looked and looked and cannot find the information anywhere under my Benefits section. Under "Bariatric Services," it says "Not applicable."

Any ideas??