Question:
Has anyone gotten approved with a united healthcare written exclusion

they told me it was not covered because of written exclusion. any help on how to get around this is appreciated. Our united healthcare is through "the shaw group".    — gingerbread (posted on September 12, 2007)

September 12, 2007
Have you filed any appeals?? If not you need to appeal. You get two levels of appeal 1st level 2ndlevel. Then you can take it extral. If you need any help with appeals level let me know and I can help you
   — Kjackson2

September 12, 2007
I have UHC PPO as well and it had a written exclusion my doctor told me my surgery wouldnt be approved but said he would give it a shot anyway.......I was approved after only 4 weeks of him submitting the information. So even if it says you have a exclusion I think you shold give it a shot anyway the worst they can say is no then after that you can always file a appeal.
   — crlindfw

September 13, 2007
In addition to your doctor providing medical documentation regarding the medical neccessity, you might also meet with your HR director as request an exception. Your employer could purchase a "rider" that would cover the surgery in certain cases.
   — Cindy O.

September 13, 2007
I have uhc ppo and when I called I was told I would automatically be approved as long as my bmi was 35 or more. My papers have since been forwarded and I'm currently awaiting approval. I'll let you know as soon as I'm approved
   — bchicks42

September 13, 2007
Mine was not approved. Written exclusion. But years have passed and now the policy has changed and there was nothing about "medically necessary" so again I am going to try. Get a hold of your exclusion so you can read it.. and go for it! Good luck.
   — rinkadinktx

September 14, 2007
As I told you earlier My papers were submitted to UHC on sept 7th and I got approval today. Called the dr's office and now I have a surgery date for oct 11th. UNITED health care came through in 1 weeks time ..I love them. good luck to you
   — bchicks42