United Healthcare

oklahomafarmgal
on 1/7/13 11:57 am

I am really concerned with United Healthcare approving my surgery. One of the requirements is 5 years of morbid obesity documented. I believe morbid obesity is considered a bmi of 40 plus. I have a bmi of 40 this past year, but the previous years started at 36 and keep going up till now. Does anyone know if UHC are real sticklers on that? I have about worried myself sick over it. I meet all the other criteria except this one.Thanks for any information anyone can give. Thanks.....

noftessa0401
on 1/8/13 1:25 am - San Diego, CA
RNY on 12/27/12

I don't have any information, but I wanted you to know that I feel your worry.  Hopefully someone will have an answer for you.  When did you hit the 40 BMI?  I have heard insurance companies that have a written policy of 5 years 40+ BMI, but really will accept a 2-year history on appeal.  Good luck!!

HW: 274 | SW: 232 | CW: 137 | Goal: 145 (ticker includes a 42 pound loss pre-op) | Height: 5'4"

M1: -24 (205) | M2: -14 (191) | M3: -11 (180) | M4: -7 (173) | M5: -7 (166) | M6: -8 (158) | M7: -11 (147) | M8: -2 (145) | M9: -3 (142) | M10: -2 (140) | M11: -4 (136) | M12: -2 (134) | M13: -0 (134) | M14: -3 (131) | M15: +4 (135) | M16: +2 (137)

oklahomafarmgal
on 1/8/13 2:32 am

I hit the 40 mark This past year. Keeping my fingers crossed.

VSG on 06/12/13
I am living it right now. Two denials citing not being at 40 now and also for the past 5 years (nevermind I was working with my doc, ugh!) my insurance coordinator basically gave up on me today. I am going to be working with Walter Lindstrom on appealing it right up the ladder.

I hope you had better luck than I, but based on my experience, it'll be a tough road.

   

Sleeved 6/12/13 - 100 pounds lost to get to goal!

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