Recent Posts

uglymouse
on 11/13/13 12:12 pm - newnan, GA
Topic: RE: UHC Question

I didn't have to show 5 years of BMI. I am also with UHC. 

Member Services
on 11/13/13 3:30 am - Irvine, CA
Topic: UPDATE #1 for Launch from members' reports

We wanted to provide an update as to the issues that have been fixed by our IT Team.  A big thanks to them!!

1.  The drop down menus were hard to read in mobile header have been fixed.

2.  Unmoderated (R&R) link has been restored in All Forums view.  The message board wasn't removed in the launch. 

3.  Ability to reply in Group Discussion Posts in OH Groups has been fixed.

More fixes are being reviewed and will be released soon.  Stay tuned for more updates......

If you find any other bugs, please reply to this post or send us an email at [email protected].  Thanks to the members that have reported bugs and issues to us. 

Best regards,
Member Services Team


 

Member Services
on 11/12/13 10:30 pm - Irvine, CA
Topic: New Launch of ObesityHelp

We've launched the new redesign of ObesityHelp.  You can now access OH on your desktop and any mobile device.  The new redesign brought about a new photo system and improved navigation.  It also allows the entire ObesityHelp site to be mobile.

As you cruise OH, if you find any issues (bugs), please let us know at [email protected].  We'll pass them along to our IT Team.

Thanks,
Member Services Team

Missusnutini
on 11/12/13 7:16 am
Topic: Healthy Indiana Plan
I've read a post from 2010 that said HIP covers Gastric Bypass. But I also read one from 2012 that said it didn't. Has anyone recently been approved for the surgery and had HIP?
c1nnamon
on 11/11/13 9:29 pm
Topic: UHC Question

I'm thinking about some form of weigh loss surgery. I haven't spoken with doctor yet. I'm trying to decide if there's a chance that UHC would approve me. I contacted them about the requirements and here  is part of  the response that I have a question about.

Bariatric surgery (on an inpatient or outpatient basis) is a covered health service based on the following:

- Covered Person must have a minimum BMI of 40 with documentation of a diagnosis of morbid obesity for a minimum of 5 years from physician; or

- Covered Person has a minimum BMI of 35 for 5 years with complicating co-morbidities (such as sleep apnea or diabetes) directly related to, or exacerbated by obesity with documentation of a diagnosis of co-morbidities for a minimum of 5 years from physician.

My BMI is 39.5 and I just diagnosed as having sleep apnea. The problem is I'm not sure if my BMI has been 35 or higher for the past five years or than during pregnancy. I only went to the doctor consistently when I was pregnant. I had first child five years ago and my last one three years ago. My question is, does anyone know or have any experience with UHC regarding the five year history. Will they consider a BMI less than 35 if it was more than five years ago?

LML8789
on 11/10/13 11:21 pm
Topic: RE: Aetna Approved!

Congratulations!!!  I got approved by Aetna last week; What a great way to start a new year!

 

Lisa

 

                  

        
trinoc
on 11/10/13 6:37 pm - TN
VSG on 01/14/14
Topic: Aetna Approved!

So excited!  My VSG was approved!

I will say that I was really sweating it because of the at least 2 years of weight documentation.  However, I had some old medical weights that proved I'd been fat longer than the 2 years.  I wrote a letter to explain why I hadn't been to a doctor.  It worked.  January 14 can't get here soon enough! 

Tricia

 M1 -26, M2 -14, M3 -14, M4 -12, M5 -12, M6 -11, M7 -10, M8 -12, M9 -5, Goal Reached 9 months and 14 days

    

    

    
uglymouse
on 11/10/13 12:06 pm - newnan, GA
Topic: RE: UHC approval question

This is what I was told, if it is documented in your chart as a weight loss visit, and goals were discussed with PCP, it would count. Weight and BMI must be documented.   Your surgeon may require other things. 

 

 

Virgie Tschirhart
on 11/10/13 2:29 am, edited 11/10/13 2:29 am - Midwest City, OK
RNY on 12/27/17
Topic: RE: HELP!! Need Dallas dr. and insurance specialist help. Got 2nd denial from cigna

Just letting you know my experience, I too had the LB revised to the Sleeve and my reflux became worse.  Not sure if you know that RNY is the less likely for reflux.  I have a hiatal hernia too.  I am waiting for my doctor's office to submit the paper work to BCBS Federal.  

Virgie Tschirhart

Lap Band - 2008, Sleeve - 2009, RYN - 2017

Started Program Weight July 13, 2017 - 194.2

Before Surgery Weight December 27, 2017 - 185.0

Current Weight - February 2018 - 161.0

trinoc
on 11/9/13 12:05 pm - TN
VSG on 01/14/14
Topic: RE: Aetna Insurance - 2 year history of BMI

Oh, and I should also add that Aetna is my insurance company. 

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