could this be true???

BrendaKay1980
on 12/27/07 10:33 am - Independence, MO
I have UHC as my insurance provider and when I call they are saying to me that nothing is required (other than my BMI above 40) for them to approve my request?  Has anyone ever heard of such a thing?
Cathie N.
on 12/27/07 10:44 am - Augusta, GA
I wish!
Amy Williams
on 12/27/07 11:55 am
Typically the reps will say that without knowing the full scope of getting approval for surgery.  Most all insurance companies except Aetna & Cigna only require a psyh eval and nutritional eval.  Aetna & Cigna require a 6  month supervised diet and records showing a 5 year history of being obese.


  I've lost over 400 pounds!  
I love helping others, if you have a question just ask!  


Click on a link to read more about my journey:  
My website   My reconstructive photos 

(deactivated member)
on 12/27/07 10:35 pm
BrendaKay1980
on 12/27/07 11:55 pm - Independence, MO
Update.    Well my doctors office called me back and said that the only thing I need is a 5 yr weight history.  That should not be a problem ( hopefully ).  I cried.   I have been trying to do this for the past year.  My last Insurance had a bunch of hoops I had to jump and now poof. I decided to make a job change and it is turning to be a great decision.  
sahmof3
on 12/28/07 3:32 am - VA
I have UHC also and that is what they are telling me also. I just went for my first consult yesterday and I called back today to ask about if I could start losing weight now.  Her response was that some policies with UHC is requiring a 6 month diet.  So, I got off the phone and called once again and was told the same thing again.  I only need to have a BMI over 40.  I wish I could get a straight answer from someone.
Weight Lost since pre-op diet on 3/6/08 (Drs. scale has me 0.8 lbs less)

1st Fill on 4/28/08-3.2 cc; 2nd 5/16/08-0.3cc; 3rd 8/27/09-1.6cc; 4th 10/16/09-0.6cc; 5th 12/10/09-1.4cc
Mellissa L.
on 12/29/07 10:06 am - Southgate, MI
My suggestion is to do what I did.  Call them have request that they send in you writting what the criteria for WLS approval is.  I did that and found out that my ins company (Blue care network - MI) had revised they criteria and made it easier to get approved.   That way they can't do the "tell a different story" each time you call because you will have it in black and white.

H/C/G:  298/170.4/160 (H=5'5)  @ Dr's goal 5/23/2012.  Revison surgery 5/26/2011 convert from band to bypass due to slipped band. 

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