Question:
Anyone work for United Health Group and have RNY?????

If you know anything about United Health Groups employee benefits please contact me.    — Mary S. (posted on October 17, 2003)


October 16, 2003
Have you looked in the archives? United gets alot of "air time" on the Q&A bulletin board so there is probably quite a bit in the archives. I remeber reading that there are different policies for this insurance and you will probably want someone more specific to yours - PPO, HMO, State etc.
   — M B.

October 16, 2003
Hi Mary. I am a UHG employee... sad to say it is an exclusion to our plan as employee's. I had the surgery, but went on my husbands plan to get it covered. UHG's policy covered my pre-op appointments and nutritionist appointments...but nothing associated with the RNY. I do know people who work here and had it covered by going through several appeals, etc. However, those individuals had their surgeries a few years ago. It is a pretty tight exclusion for us as employees. Feel free to email me individually if you'd like.
   — Kamy

October 17, 2003
I work for uhg employee care coodination, policies and coverage do differ between us uhg employees, at the time of my surgery,12-01, it was an exclusion, it was covered under my secondary insurance, the only way you will know is by contacting benefits, if they say its an exclusion, you can appeal,they should be able to tell you how, if its not then once you have had your surgeon's consultation you will need to call care coodination to start the review process where if you dont meet criteria it still could become an exclusion. i am going out on a limb b/c i have identified that i actually work in review, so please respect that this information in this format is probably even more then I should have posted. Best of luck to you though.
   — LisaK/ UnstapledLisa

October 19, 2003
I worked for UHG / Uniprise when I had my RNY surgery in 10-01. As of 01-02 it became an exlusion for UHC employees. :(
   — RebeccaP




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