Does anyone have United Healthcare?

(deactivated member)
on 6/11/07 4:44 am - East Providence, RI

Has anyone had this coverd under United Healthcare?  If so, how did you go about it? Thanks, Patty

Kristen *
on 6/11/07 5:14 am - Jamestown, RI

hi patty whether or not an insurance company covers this surgery is solely dependent on what kind of policy your employer has "bought". so company A buys a policy that covers weight loss surgery, and company B doesn't  - even though they both use United-  only company A's employees will be covered.  I didn't understand that all at first - but once I did, I realized I needed a new employer, or an employer that was willing to buy into the policy that covered WLS.  Good luck!

kristen
327/167/150ish at 5'4
'It's never too late to be what you might have been.'
                        -George Eliot

(deactivated member)
on 6/11/07 5:51 am - East Providence, RI

That is what I thought too but I am being told differently.  I am actually the one that negotiates the health policy at my work.  I called my rep and what she has told me is that no UHC plans cover it unless it is a large self-insured plan. I have a funny feeling that is not the case.  I am trying to put some examples together.  I am a diabetic and was told by my endochrinologist that is would be covered.

I'm soooooooooo confused. Patty

Dawn McLaughlin
on 6/11/07 6:26 am - Norh Providence, RI
Hi Pal    Your rep was right. It normally is covered under a large self-insured plan. Let's do it this way... Company A - 3,397 + employee's Company B - 20 employee's Co. A - will cover it because there is several employees paying into the insurnace for the coverage and it's a drop in the bucket for the WL surgery to take place. Co. B - will not cover because even with 20 employee's paying for insurance, there still would be noway to cover such a medical bill. Therefore WL surgery is not included in the plan. Does this help? ~Dawn
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