Coverage with United Health Care - please help!
If anyone has had success can you please tell me what you did or how you started? UHC customer service is nearly always a frustrating and impossible experience and I can't get someone on the phone who knows what they're talking about.
Thank you!!
Good luck.
HW 405- Pre op weight 374- Plastics weight 203 Current weight 194
Circumferential lift/Brachioplasty November 8, 2011
16.3 pounds removed.
Revisions + Thighplasty October 23, 2012
Breast lift- Spring 2013
I have UHC and they paid $10K for my TT from $12K my doctor chatged.
It was a miracle! I went to chiropractor for 5 month treatments 3 times a week and documented rush under skin with my PCP. I was denied 2 times and approved only with external appeal.
I was very lucky.
Now I got approval for my BR/BL as well based on the same chiropractor treatments for back and neck pain for 12 month and rushes under breasts.I did mammogramm, they are required it.
I got 1 denial, then was approved after PS( new one, not that who did TT) did per peer review.
Good luck,
Alla
PART 1 VSG 03/28/2006; PART 2 DS 01/31/20007
I have 2 insurances. My Primary NGS paid for the panni only. UHC's denial letter regarding the panni and TT was rude. They said it was not necessary and cosmetic only. I paid for the add on for the Fleur de li (full TT) to add to the panni, lipo, breast lift and implants. I didn't expect insurance to pay for the breasts or lipo. Every plan is different. I had rash, photo and physician documentation. My pannus hung onto my thighs.
But, I was determined no matter what I was getting it all done at once and I'm so glad I did.
You have to have an eval by a physical therapist and not be able to walk 50 feet due to the extra skin. I am fortunate to be nowhere near that bad. I don't even have a "pani that extends beyond the pubis" which is the first requirement.
Oh well...guess I'll be self pay.