united health care choice plus

Katielou
on 4/28/07 3:21 pm - Moss Bluff, LA
just wondering if anyone out there has this plan and what their requirements were to be qualified for wls and how difficult it was to be approved? I have a bmi of 49 and have high blood pressure would that be enough alone? Any insight would help I just want to know what im in for. Im planning on trying to get in to see a surgeon in may sometime. Thanks in advance.


  Weight after pre-op diet day before surgery-251. Height  5'1".
  goals  (199,140,130) WOW goal 125 ,goal size 8

Bethicle
on 4/28/07 6:14 pm - Vancouver, WA
The requirements are different for everyone, it depends on the employer. But I think most UHC plans require a 5 year history of being morbidly obese, you have to be 21 or older, and you have to have a BMI of 40 or above.
Katielou
on 4/29/07 3:36 am - Moss Bluff, LA

Thanks for the input. I really appreciate it.  Just curious though do you have to have a record for every year of those five years or can you just get a record from 5 years ago and that be good enough?


  Weight after pre-op diet day before surgery-251. Height  5'1".
  goals  (199,140,130) WOW goal 125 ,goal size 8

**Cara *.
on 4/29/07 3:47 am - Ontario, CA
I don't understand how UHC can say you have to be morbidly obese for 5 years.  I have UHC and am starting to go through the process and they want a 5 year just weight history.  I haven't been morbidly obese for 5 years, my weight goes up and down with dieting.  I know that people are being denied by UHC because of the 5 years morbid obesity and I just don't get it.  I will be mad and ready to fight if they want me to try and stay fat the next 5 years in order to get my surgery approved.
Katielou
on 4/29/07 5:56 am - Moss Bluff, LA
Believe me i will fight for my surgery too.  I have been morbidly obese atleast 6 years. I just hope I can get all the medical records I need. Do you know if they need verification for every year of those five years or can you just get one record from 5 years ago stating your weight then. I might could get a couple records between now and then. Also is there a supervised diet or anything that you have to do before approval like some other companies? Thanks for your input.


  Weight after pre-op diet day before surgery-251. Height  5'1".
  goals  (199,140,130) WOW goal 125 ,goal size 8

**Cara *.
on 4/29/07 11:18 am - Ontario, CA
I believe they need a weight for every year the last 5 years, but like I previously stated each policy is different.  I don't have a weight for 2006 or 2004, 2006 because I was too embarrassed to be weighed because I used to work for my doctor and 2004 I didn't go to the doctor at all for that reason also.  I do have other things documented from those times like when I weighed with a trainer at the gym.  I don't have to do a supervised diet, but most policies and insurance companies you do have to do a 6 month supervised diet. 
Katielou
on 4/29/07 12:56 pm - Moss Bluff, LA
Thanks for the info. I really appreciate it. I hope everything works out with your surgery too.  Ill keep my fingers crossed for ya! Wish me luck.


  Weight after pre-op diet day before surgery-251. Height  5'1".
  goals  (199,140,130) WOW goal 125 ,goal size 8

kristins
on 5/2/07 4:14 am - Alpharetta, GA
Does the 5 year rule still hold if you have co-morbidity issues? I have probably 3 years of history but within the last year have been diagnosed with venous insufficiency and pre-diabetes. Before this I was just obese...not morbidly! I would think this should hold some weight with UHC!
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