UNITED HEALTH CARE

HELP!!!!! I changed over to UHC during open enrollment from CIGNA because I was told they were the easiest to deal with here in Georgia, well I called today and was told that WLS was EXCLUDED. Does anyone have any helpful info? Please contact me A.S.A.P.

It depends on how your company has the policy written with UHC. If they have picked up the rider for WLS, it's covered. If not. . . I used UHC for my surgery and didn't have any problems with them. However, if your company does not have the rider, you may be SOL. Sorry!! Ann in Duluth

I wonder if it's possibel for them to add the rider.....

I had UHC and for the first three years my husbands company did not carry the rider for WLS but in 2004 they finally added it and i started the process asap. So it does depend on what your company chooses. judye

I agree with what Ann and Judy has said...it all depends on if your employer decided to go with that type of coverage along with their main policy types. You may want to call UHC one or twice more if you haven't done so already. Sometimes you don't necessarily get the brightest person on the other end of the phone and you don't know exactly what he/she is typing in their computer to see if you are covered or not. You may want to give them specific codes that hospitals submit to the insurance companies when they provide these services. The two CPT (Current Procedural Terminology) codes are as follows: Roux-en-Y gastric bypass CPT code 43644 Gastric Adjustable Banding CPT code 43659 Hopefully that will help to get a more definite answer from UHC. Good Luck!

I was a UHC person for many years. They refused to pay and there was nothing i could do. I hired an Attorney and nothing could be done. I changed to Blue Cross , they paid for my surgery and then the following year they excluded this surgery because my sweet employer BellSouth excluded it from the list of surgerys they would pay for. Just make sure that if you change insurance companys that you get it in writing that the new company DOES NOT EXCLUDE this surgery. Good Luck,, Ken