Health insurance questions

[KTK1982 0]

I have united healthcare. I have called them 2x to ask them about there coverage with lap band. They told me as long as my Dr says that its neccessary and I meet there requirements its covered.

It sounded too easy. I am so nervous that I am going to go through all of these tests and then they will say sorry its not covered.

I am wondering if anyone else has dealt with United Health?

[HolliJ 24]

I'm dealing with United Healthcare right now. I know what you mean, lol. We're going to be submitting the paperwork next week. Hopefully I have everything they need/want.

I was told to provide:

-- Weight history for 5 years

-- Diet history

-- Note from PCP (I don't have a PCP right mine because mine opened her own practice and I haven't gotten another one because I never need to go to one! So I'm using my endocrinologist, who I've been seeing for 5 years. He wrote a note for me)

-- And then meet the BMI requirements, see a nutritionist, and get a psych eval

[HolliJ 24]

I'm thrilled that I don't have to do the whole 6-month physician supervised diet nonsense.

[RestlessMonkey 7]

KTK1982...get them to send (email?) you the requirements IN WRITING.

[gtbadkitty 0]

I have United and when I called, the only requirement they need from me was to have a BMI of 35 or greater. They will only cover 90%, but so far dealing with them has been pretty easy. Good luck!

[cadence'smommy 0]

I have UHC as well. When i first called thay said as long as BMI>35 the surgery is covered, but as I started reading more on different website, it did sound way to easy so I called again and talked to a care coordinator and she really got me confused. No definite answer about guidelines. I just going to go to seminar with my husband(who is also thinking about band) and see what they say. I know my doc will be more than happy to help and maybe they will take in to account my family history.