Anyone have UHC River Valley ins?

tinantn
on 8/29/08 9:28 am - Jonesborough, TN
Im wondering what they require to approve surgery, if anyone out there knows. Thanks
wvuabby35
on 9/1/08 1:01 am, edited 9/1/08 1:02 am - TN
Tina,

I have UHC and have recently been approved for surgery.  They want 5 years medical history to show proof of having been morbidly obese for a period of time.  I was too heavy for my doctor to weigh.  He wrote a letter to the insurance company explaining why I didn't have weights on my medical records and assured them that I met that requirement.  I needed 6 months supervised weight loss with my doctor. There were a few things, those were the main ones.  Early on I called the insurance company and they faxed me a list of their requirements.  They were pretty easy to work with and I called them often.  The only thing I would warn you about.  Be sure that you have the referrals.  My surgeons office sent me to a sleep clinic that was not in UHC's network.  Also, UHC does not require a psych eval unless you have a history of psych problems.  My surgeon does require a psych eval, so that has been the toughest thing to get approved.
Ash


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