Raytheon UHC Insurance Approvals
on 4/3/18 5:21 pm
I have just recently had my first consultation. The UHC insurance set me up with an Optum nurse that told me to contact any MDs I have seen in the past year and get notes - that if they mentioned diet and exercise, weight loss with my height, weight and BMI that I can use them toward my 6 month supervised physician diet. I have 4 notes so only have to see a MD for 2 more months and will be able to submit for approval. Anyone else dealt with Raytheon UHC? Did you have any hassles?
on 4/3/18 6:18 pm
I have UHC and also worked with the optum bari nurse and I found it much easier than expected. The nurse actually let me know I was approved about a week before the formal communication did!
HW: 306 SW: 282 GW: 145 (reached 2/6/19) CW:150
Jen
yep, same experience. The UHC Optum nurse told me the same thing. I had already had 5 documented visits with my PCP regarding weight loss within the last 5 years, so he filled out the form they emailed me with the dates and then I just had to see him once more. It was pretty easy! I was glad I didnt have to start from scratch on the 6 months supervised diet because I had tried MANY of them over the last few years without success...obviously why I needed to have surgery!
Amber
RNY 2/12/18
5'4 1/2" tall, HW : 315 lbs, Surgery Wt: 297lbs.
M1: -17.5lbs M2: -11.5lbs M3: -12lbs M4: -13lbs M5: -13lbs M6: -13.5lbs M7: -12lbs M8: -14lbs M9: -10.5lbs M10: -7.75lbs M11: -5.25lbs M12: -4lbs M13: -3lbs M14: -7lbs M15: -2lbs M16: -1lb **made it to goal!**
CW 148
on 4/3/18 6:46 pm
That's eactly what I thought ---Im 52 years old I'VE LITERALLY TRIED EVERY THING lol.
I can lose 40-50 lbs by eating 500 calories a day and working out everyday but if I let up it comes right back. And to lose 40-50 takes me about 9 months.
But the Optim nurse told me I could only use MD notes back to Jan 2017 :(
that stinks, they told me anything within the last 5 years counted toward my 6 visits. I probably had other doctors visits I could've used but it was more convenient for me to just see my PCP.
Amber
RNY 2/12/18
5'4 1/2" tall, HW : 315 lbs, Surgery Wt: 297lbs.
M1: -17.5lbs M2: -11.5lbs M3: -12lbs M4: -13lbs M5: -13lbs M6: -13.5lbs M7: -12lbs M8: -14lbs M9: -10.5lbs M10: -7.75lbs M11: -5.25lbs M12: -4lbs M13: -3lbs M14: -7lbs M15: -2lbs M16: -1lb **made it to goal!**
CW 148
I had UHC with my company - same program with Optum nurse and 6 month requirement. I was able to use 3 months with my PCP and 3 with my WLS surgeon. NO hassles in getting approval!
Liz 5'3" HW: 219 SW: 185 GW: 125 LW: 113 Desired maintenance range: 120-125 CW: 119ish