Denied by UHC. Any ideas?

Hello, I was just informed yesterday that I was denied Lapband by UHC.  I have a bmi just over 35 and have high blood pressure, arthritis, depression, back pain, asthma,  etc.  They told me that I do not have enough co-morbidities as they only approve BMI of 35 with Co-morbidities.  Anybody have any experience with this?   Thanks!   Barb in FL.

Hi Barb,

May I assume that you have a benefit for surgery? If so, my guess is that your letter of medical necessity and/or five years of supporting medical records were weak. You may want to speak with Kelley Lindstrom at obesitylaw.com. She won my appeal three years ago.

Hth.

Thanks to you both.  I am getting ready for the appeal.  I am in contact with obesitylaw.com.   I appreciate your help. I will let you know how it goes, Barbara from Florida

First you need to determine that your surgeon documented your co-morbidities in the original request and if they did to what extent.  You may need some supporting documentation from the other physicians that are treating you for these conditions.

...............everyone has offered great suggestions.  Mine is......don't give up!  luvitsunnyv