Question:
Will UNITED HEALTH PPO pay for this type of surgery?
after losing almost 200lbs my arms and belly are horrible looking..i have got to get this skin removed..anyone know a good plastic surgeon in Houston, Texas? — tylerswife (posted on May 5, 2003)
May 5, 2003
Lots of luck. I've not noticed anyone being approved in TX the past 6
months with UHC. They received my appeal today so time will tell. I would
surely start running to the dr. for every little rash and getting
documentation. Congrats
on the wonderful weight loss!
— lessofme170
May 6, 2003
I can understand the previous poster's frustrations. However, not every UHC
policy is the same. It all depends on the employer's plan which they
purchased from UHC. Establishing medical necessity is the key in any case.
I strongly suggest you visit the Yahoo group for post-op WLS patients
discussing plastic/reconstructive surgery at
http://groups.yahoo.com/group/ossg-plasticsurgery/. They are a very
supportive and informative group. You'll see that overall I think you'll
have a 50/50 shot with getting approved by UHC the first time around. I
know I am waiting for my approval for an extended abdominoplasty &
brachioplasty (arms), scheduled for June 30th. Don't give up! Even if they
deny me first time around I will appeal and appeal again if I have to. Only
way we're going to make insurance companies accountable is to not give up.
So your first step is to find out if your version of UHC has a specific
exclusion regarding plastic/reconstructive surgery. Good Luck - Anna LAP
RNY 7/3/02 -126lbs.
— Anna L.
Click Here to Return