WLS was predetermined 6/08 ~dropped WLS as of 9/2

lmatthews27
on 9/18/08 3:37 am - Delaware, OH
I am really upset...I have UHC and called 5 times in June 08 to find out coverage,
My surgeons office called for pre-determination rec'd that
I went through the program ( my surgeon wanted 3 months)

We went for insurance approval and they denied this because we have no coverage. Policy was revised as of 9/2/08 my husband works for Fiserv/checkfree it is not a small comapny.

Can they drop a benefit in the middle of a plan year. I used to work for Aetna and I know this is big expense added on and if this were the case wouldn't our amount change in what we had to pay as an employee.


I have a feeling it is a lost cause. UHC admitted that they gave me coverage in 6/08 and 7/08 and had coverage but now the changed the policy to exclude that.

Guess I am always meant to be this way :(
saletiajohnson
on 9/18/08 9:38 am - anchorage, AK
No you're not! Girl if there is a will there is a way! Something will happend never give up!
Amanda H.
on 9/25/08 3:57 pm - AR
Don't despair!  I have been trying to have RNY for 5 years now, and Me and my hubby have had several different jobs, and I got denied because of exclusions with 3 different jobs/insurances.  My hubby works at Cracker Barrel now, and we have UHC.  They have denied me twice, and I am on my last appeal.  They are saying I shold know something by next week.  Im not holding my breath though.  Something always seems to happen, to where I wont be approved or something.  Maybe you could try a new insurance if you ever change jobs.  Don't give up, just keep praying and working at it, no matter how long it takes!  Amanda
lmatthews27
on 9/25/08 10:24 pm - Delaware, OH
Thanks everyone for the answers... My husbands HR and my surgeons office is working on it. It was a mistake between UHC and my husbands employer. So they are trying to come up with a solution for everyone involved. So I will keep you updated.
Lisa
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