Has anyone who is employed with ATT Wireless and have United Healthcare (Choice Plus) insurance been approved for WLS recently? I have been trying for the past 4 years to have WLS done, but there's an exclusion in the policy. I have had several doctors who have stated that the surgery is medically necessary, but I don't know how to go about submitting an appeals letter. If anyone has some ideas or suggestions, please e-mail as soon as possible.

My employer has United and we have an exclusion and I had to self-pay four years ago -- best money I ever spent.  I wish you all the luck, though.  Maybe there is a way for you to convince them. 

How to Appeal a Weight Loss Surgery Exclusion

Contributor By eHow Contributing Writer Article Rating: (1 Ratings)

Weight loss surgery is a lifesaving procedure that allows many overweight people to live a healthy life. Gastric band surgeries, such as the Lap-Band, in which a band is placed around the opening of the stomach and inflated to give the patient a feeling of fullness, is one of the most common types of weight loss surgery. Gastric bypass surgery is a procedure in which the stomach is made smaller and a large portion of the intestines are bypassed by connecting a portion of the intestines directly to the stomach. Stomach stapling is another option in which the size of the stomach is surgically reduced. Many insurance companies limit patients' access to these surgeries with exclusions. However, it is the patient's right to appeal this exclusion.

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References

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Resources

• BMI Calculator

Hope this helps you...

Phil.4
6] Be careful for nothing; but in every thing by prayer and supplication with thanksgiving let your requests be made known unto God.
[7] And the peace of God, which passeth all understanding, shall keep your hearts and minds through Christ Jesus.
 

I know that I can do ALL things through Christ who strengthens me.

 

Happy Holidays!
Thanks for the information! It was really helpful. I am beginning the process of getting approval for WLS! Please wish me luck!

google

How to Appeal a Weight Loss Surgery Exclusion

I work or AT&T as well, and we also use UHC (I am in a call center though)...

I have had no problems getting approved.  What kind of excusions are the telling you?

All I had to have was 5 years of weight history, that its medically nessary, and that I had a BMI of 40+

I had everything submitted, and was approved in less than 2 weeks.

Are they giving you a specific reason as to why they wont approve it???

I was ready for a battle, but for me it was farily easy.  I got assigned to a WLS councler (with in UHC)  and she was my case manager from the very begining, and I talked to her at least 1 or 2 times a week, from my 1st consultation appt with my surgon 4 months ago.

Let me know if you have any questions, and I will do what I can to help you out. 

Happy Holidays!
I work in a call center as well! The exclusion is that any wls us not covered. However, I have never gone through the process of getting approval. I just called the insurance company to see if Wls was covered. I am starting the process of getting approved at the beginning of the year! I will attend a Wls seminar here in Louisiana and then work with the doctors to get approval! I am sticking with this until I get approved. Please wish me luck!!

Thanks,

Wishing you lots of luck, and will deff be pulling for you!!!

I am in Louisiana as well, and I am at a dsl tech support call center for AT&T, in Shreveport.

I wonder why I am covered, and you are not? 

I called UHC, and they cover me at 90%...  I was so excited, cause most insurances don't even pay that much! 

I would check with UHC again, and see maybe if it was added reciently, or in the past couple of years, or months. 

Or even HROnestop, or our AT&T bennifents center.  They should be able to help you also. 

I know several people in my center that have had the surgery with our insurance, and had no issues as well getting approved.  ummm...  This makes me wonder, well I know all divisions of insurances are different, but you wouldn't think that they would be THAT different...

Keep me posted, and I will keep my eyes and ears open too!!!

Best wishes...

HOLY CRAP....you work with me.



I have not been on this site in a while. I still get emotional coming on here. My dad died unexpectdly on my way to the OH Dallas Event in september.


I work at the Call Center on Dee Street. I am a service lead on the yet to be unvield take over team.  lol. I had my surgery in July of last year. lol. so y ou have to spill who you are! I am amanda knotts. do I know you? I am on the second floor.

I am Jessica Harris.  I work on the 1st floor inner core.  Kea is my manager.

I am a SL as well, WELL I start on feb 14th...  With the 6 weeks rotations! 

I LOOK just like my pictures.  You can't miss me!!!!  :-)

SUCH A SMALL WORLD!!!  

What surgery did you have, and who was your surgeon, if you don't mind me asking?

--Jessica--

SOORY I HAD TO EDIT IT, CAUSE I CAN'T TYPE TONIGHT!!!  :-)