HELP>?!

mlhutz625
on 12/1/12 11:32 pm

 

HI everyone,  I have United Health Care Insurance and I have been denied the LAP_BAND because I didn’t have six months documented weight loss. I just completed my six months but I am nervous because two out of the six months I gained, the DR.says it is muscle but I am nervous they won’t see that. Has anyone else gone through this or is there any advice anyone has, this waiting game is killing me! Thank you!

Bette B.
on 12/2/12 12:38 am

I didn't have to do that, but I would imagine that documentation for your doc stating your success and his/her belief that what you put on those two months may be muscle should help . . . 

 

    

Banded 10 years & maintaining my weight loss!! Any questions, message me.

grannymedic1
on 12/2/12 1:44 am - Lake Odessa, MI
Revision on 08/21/12

Fight it and appeal. Often people get approved the second time around. In the meantime lose a bit more and then you can document that. Even if it is just 1 pound. Good luck.

                    

Highest weight: 212.8 Current weight 135 Lost 77.8 pounds

    

Hislady
on 12/2/12 12:01 pm - Vancouver, WA

I had to do the 6 mo. diet but I didn't have to gain or lose I just had to have my doc document that I had tried.

 

Jean M.
on 12/2/12 7:53 pm
Revision on 08/16/12

I don't know anything about United Health's WLS requirements, but generally speaking the insurance company is just looking for documentation of a medically supervised weight loss program, even if it didn't produce weight loss.

Jean McMillan c.2009-2013 - Always a bandster at heart
author of Bandwagon (TM), Strategies for Success  with the Adjustable Gastric Band & Bandwagon Cookery. Bandwagon for Kindle now available on Amazon.  Read my blog at: jean-onthebandwagon.blogspot.com 

   

 

 

 

cryspyx
on 12/2/12 9:46 pm - Hartford, CT

odd i never had to do that with my insurance. i have BC/BS and i basically told my doctor i wanted the surgery and they approved it after the pre-reqs were completed. although i might have had extenuating cir****tances of pre existing health related items that would have been improved by not waiting. i'm not sure. the above posters are right though. if they deny, fight it. that seems to be the SOP for insurance companies. deny because most people will just accept it and move on.

mlhutz625
on 12/7/12 6:04 am

I found out today that I have been approved and will start my new year with the surgery! Thank you everyone for your comments and support! Happy Happy Holidays!!

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