5YR WEIGHT HISTORY WITH uhc?

sweetestdyme
on 6/5/08 4:07 am - Memphis, TN

does anyone know if UHC requires a 5 yr weight history... if so do i have to have a bmi of 40 or more for the last 5 years?

bonnied
on 6/5/08 11:04 am - St. Albans, VT
Yes and yes. I work in Knoxville for Dr. Boyce. Your BMI has to have been above 40 for 5 years, unless you have a UHC policy that allows BMI's from 35-39 with co-morbid conditions like diabetes. You only need one weight per year that shows you had a BMI above 40, so choose your highest weights. Bonnie
sweetestdyme
on 6/6/08 1:41 am - Memphis, TN
wat department should i speak to get the requirements because no one seems to know anything
(deactivated member)
on 7/8/08 10:34 am
Bonnie, Does the BMI of 35-39 with co-morbidities also have the 5 year rule?  I have had Hypertension and high cholesterol for about 3 years now and currently have a BMI over 40.  IS that all I need, or did I ned the co-morbids 5 years ago> Thanks Sherri
bonnied
on 7/8/08 11:47 pm - St. Albans, VT
It depends on the policy! If you have a Medicare policy through UHC, then you DO NOT have to deal with the 5 year weight history thing. If you have a policy through an employer, than you do. There are also differences between the individual policies, some only cover surgery if your BMI is above 40 period, no coverage for a BMI below 40 no matter if you have diabetes, high blood pressure, etc. UHC policies vary greatly. Good luck! Bonnie
jeannie115
on 6/7/08 1:19 pm - Martinsville , IN

I have UHC and was recently approved for RNY.  I did not submit a five year history because I didnt have one, I hadnt been to the doctor for ten years prior to last year.  All that was required was a letter of medical necessity from my surgeon and psych clearance.  Jeannie

sahmof3
on 6/8/08 3:43 am - VA
I have UHC Choice Plus.  I had to submit a 5 yr history, but all of those yrs I did not have a BMI over 40.  3 of the 5 where.  I have the beginning of some co-morobidities, but no medicine.  I was approved in 4 days for lap-band. Good luck!
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
BING9910
on 6/7/08 12:47 pm - WILLIAMSTOWN, KY
I have UHC also and no one seemed to know until after my Lap Band request was ubmitted.  Finally, a Care Coordinator told me that it's required. Melissa
Most Active
×