UHC SHBP: Getting started
Yes, I am very happy, He is a very good Dr, and a wonderful surgon, a good senes of humor as well.
The staff has been consistantly available and professional. my surgery was near painless. I still have most of the 30 pain pills that were provided after leaving the hospital. I highly reccomend Dr Khan.
Oh and best of all, the staff and Drs tend to cut through the red tape. If you choose Dr Williams or Dr Khan you can expect to elemanate half of the usual tedious steps involved.
CJ
The staff has been consistantly available and professional. my surgery was near painless. I still have most of the 30 pain pills that were provided after leaving the hospital. I highly reccomend Dr Khan.
Oh and best of all, the staff and Drs tend to cut through the red tape. If you choose Dr Williams or Dr Khan you can expect to elemanate half of the usual tedious steps involved.
CJ
Lashelle is right... Call UHC and get a case manager ASAP. The # is at the end of this post. Your case manager will give you the step by step process. You can get some info from www.myuhc.com.
To get you started here's from the UHC SHBP website...
SHBP will provide an obesity surgery benefit beginning 1/1/09 for the HRA and HDHP plans only (and only applies when SHBP coverage is primary). It is not covered for the PPO and HMO. All authorization information and enrollment for bariatric surgery must be initiated through OptumHealth’s Bariatric Resource Services. Covered participants seeking coverage for bariatric surgery should notify Bariatric Resource Services after 1/1/2009 when the program and benefit becomes effective. After 1/1/2009, Customer Care may transfer the caller to Bariatric Resource Services to speak with a bariatric nurse consultant. Bariatric Resource Services is a program administered by UnitedHealthcare and its affiliates. For obesity surgery services to be considered Covered Health Services under the BRS program, you must contact Bariatric Resource Services and speak with a nurse consultant prior to receiving services. Bariatric Resource Services will be available for these discussions after 1/1/2009
Specific Benefit Design and Limitations · One procedure per lifetime · Applies to Active and Retirees · Members and dependents over the age of 18 and physically mature · Deductibles and Out of pocket expenses apply to all services associated with the procedure Pre-Surgical Requirements You must meet all of the requirements below BEFORE the benefit is approved. You must contact Bariatric Resource Services and speak with a nurse consultant prior to beginning pre-surgical requirements: Ø You have a minimum Body Mass Index (BMI) of 40, or 35 with at least 2 co-morbid conditions Ø You are over the age of 18 and physically mature Ø Weight reduction services are covered ONLY after you contact UHC's BRS program and receive PRIOR approval. Weight reduction services are covered only at approved BRS COE and by an approved BRS COE surgeon who is approved by the BRS COE program. Ø You must complete the myuhc.com health risk assessment Ø You must successfully complete a six month physician supervised weight loss program Ø You must successfully complete pre-surgical psychological evaluation and outpatient counseling for six months Ø You must agree to comply with all post-surgical program follow-ups as suggested by the Bariatric Resource Services nurse consultant (post-surgical nutritional counseling, post-surgical outpatient behavioral counseling) If the caller needs additional information on the program and clinical requirements, the Customer Care Professional can send a message via the PEACH mailbox, including the caller’s call back information, and the caller can expect a return call. The member can access the BRS Service Centers of Exellence Programs at 1-888-936-7246.
To get you started here's from the UHC SHBP website...
SHBP will provide an obesity surgery benefit beginning 1/1/09 for the HRA and HDHP plans only (and only applies when SHBP coverage is primary). It is not covered for the PPO and HMO. All authorization information and enrollment for bariatric surgery must be initiated through OptumHealth’s Bariatric Resource Services. Covered participants seeking coverage for bariatric surgery should notify Bariatric Resource Services after 1/1/2009 when the program and benefit becomes effective. After 1/1/2009, Customer Care may transfer the caller to Bariatric Resource Services to speak with a bariatric nurse consultant. Bariatric Resource Services is a program administered by UnitedHealthcare and its affiliates. For obesity surgery services to be considered Covered Health Services under the BRS program, you must contact Bariatric Resource Services and speak with a nurse consultant prior to receiving services. Bariatric Resource Services will be available for these discussions after 1/1/2009
Specific Benefit Design and Limitations · One procedure per lifetime · Applies to Active and Retirees · Members and dependents over the age of 18 and physically mature · Deductibles and Out of pocket expenses apply to all services associated with the procedure Pre-Surgical Requirements You must meet all of the requirements below BEFORE the benefit is approved. You must contact Bariatric Resource Services and speak with a nurse consultant prior to beginning pre-surgical requirements: Ø You have a minimum Body Mass Index (BMI) of 40, or 35 with at least 2 co-morbid conditions Ø You are over the age of 18 and physically mature Ø Weight reduction services are covered ONLY after you contact UHC's BRS program and receive PRIOR approval. Weight reduction services are covered only at approved BRS COE and by an approved BRS COE surgeon who is approved by the BRS COE program. Ø You must complete the myuhc.com health risk assessment Ø You must successfully complete a six month physician supervised weight loss program Ø You must successfully complete pre-surgical psychological evaluation and outpatient counseling for six months Ø You must agree to comply with all post-surgical program follow-ups as suggested by the Bariatric Resource Services nurse consultant (post-surgical nutritional counseling, post-surgical outpatient behavioral counseling) If the caller needs additional information on the program and clinical requirements, the Customer Care Professional can send a message via the PEACH mailbox, including the caller’s call back information, and the caller can expect a return call. The member can access the BRS Service Centers of Exellence Programs at 1-888-936-7246.
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