Approved! UHC community plan
(deactivated member)
on 4/17/12 12:06 pm
on 4/17/12 12:06 pm
RNY on 05/09/12
I just called to find out the status and found out I am approved!!
My initial submission was denied after 2 days. I appealed and 30 days later they overturned it and APPROVED me!!!
I didn't do the 6 month diet. I just had my PCP list a few of the diets I had tried and state that none of them will work and that WLS is the only other option.
I also didn't have documentation of being obese for 5 years. I explained in my appeal letter that I didn't have insurance then and therefor could not afford to see a doctor in the past few years. Instead, I made a photo album with pics of me from each of the past 5 years. I signed and dated the back of each one stating my estimated weight at that time.
If you have any other questions, ask away!
My initial submission was denied after 2 days. I appealed and 30 days later they overturned it and APPROVED me!!!
I didn't do the 6 month diet. I just had my PCP list a few of the diets I had tried and state that none of them will work and that WLS is the only other option.
I also didn't have documentation of being obese for 5 years. I explained in my appeal letter that I didn't have insurance then and therefor could not afford to see a doctor in the past few years. Instead, I made a photo album with pics of me from each of the past 5 years. I signed and dated the back of each one stating my estimated weight at that time.
If you have any other questions, ask away!
VSG on 09/26/12
I believe I have the same insurance as you do. I am concerned that because I've done five months of documented weight I have gained and am afraid I may be denied. Any input on that?