UHC - No Paperwork

Justine L.
on 12/16/09 11:21 pm - Little Suamico, WI

What are you experiences with UHC?  I have a co-worker who had surgery in march with no approval issues - Dr. office faxed and she was approved within 4 weeks - I waited my 4 weeks and call and they say they have nothing - one area says they received it but the area that actually approves it doesn't see anything - my Dr. office is looking into it and I've called 2 different times with the same ending... it's just very frustrating!  I don't want surgery till after Jan anyway so I'm not in a huge rush but still - it would be a great x-mas gift to know...

kayleesmommy2007
on 12/22/09 12:50 pm
Hey,

I also have UHC, and haven't had any issues getting approved...  It was pretty simple for me, My dr faxed my info, and I was approved with in 2 weeks.  I did have to call them alot just to keep me updated, and so THEY know that I was very serious about my WLS...  I wanted it recorded in there system that  I was very serious about having my WLS, and that if I was denied, I would fight it! 

Were you assigned to a case manager?

I have a UHC WLS case manager who took care of everything.  I KNOW she was so tired of hearing my voice, but my surgon said, that was a good thing...  

If I were you, I would just stay on top of them, and call them twice a day f you have too...  Let them know that you are NOT going to back down.  Stand your ground...  (My aunt used to work for a health insurance co,  and she told me "the more you bug the sh*t out of them, the more likely you are to get approved"  I am not sure how true that is, but it worked for me!!

Best wished, and good luck on your journey!!!



"Life is to short, so make a decision and give it 110%"
 
     
  
crlynj
on 2/19/10 11:14 am
VSG on 03/12/12
How did you get a person at UHC?  I was on the phone with them getting transferred from dept to dept.  Finally someone told me they have my paperwork, and its being reviewed, but they couldn't transfer me to that person.  I'm going to try again on Monday.
kayleesmommy2007
on 2/20/10 1:27 am
Yes, try again on Monday!  It took a few try's to get somebody that knew what they were talking about, but when I did, it was smooth sailing from there!!!  Review is a good thing, if thats what they said!  It only took like a few days once it was being review, If you had everything that they asked for, there should be no reason not to approve you!!!  :-)

Best wishes on your journey, and if you have any more questions, please feel free to ask!

Jess



"Life is to short, so make a decision and give it 110%"
 
     
  
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