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  642 People Lost in total 56561 lbs = 29.15 % Give us permission to add your before & after Weight Loss Photos |   |
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12-08-2007, 04:53 PM
| #1 (permalink) |
| Newbie |  United Healthcare I am new to this forum and new to thinking about gastric bypass surgery. I have United Healthcare Choice-Plus coverage. I am asking if anyone has this plan and how much trouble did you have if any with them getting accepted for the surgery. I am 39 yrs old, 6'0'', 325 lbs and suffer from sleep apnea, high blood pressure and chronic joint pain. For the last 5 or six yrs i have gained approx 10-12 lbs a yr. i have tried many diets, and lost some weight only to gain it and some back very quickly. If anyone can answer my question on the insurance topic it would be very appreciated. i have read your forum here and am really impressed w/ the compassion you all have for each other. Thank you for your help. |
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Yes, you can often get insurance cover for your Weight Loss Surgery. Our own Craig "Big-T" Thompson has been there and done that, and he's written an e-book about it.  |
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12-08-2007, 04:55 PM
| #2 (permalink) |
| Seasoned Veteran  Join Date: Apr 2007 Location: Mount Vernon, NY
Posts: 7,369
Weight Statistics 4/1/07 Start Date:
4/19/07 Surgery Date:
5' 9" Height: 258 lb Start Weight:
151 lb Current Weight:
165 lb Goal Weight:
107 lb Weight Loss:
-14 lb Lb Left to Lose:
41.4728682171 % % Lost:
04/19/2008 Goal Date:
Body Mass Index 38.0957781979 BMI Start:
22.2963663096 BMI Current:
24.36357908 BMI Goal:
Weight Loss Method Roux en Y Gastric Bypass    | welcome! sorry i dont have the same insurance but i just wanted to welcome you to the boards. im sure someone will be able to point you in the right direction.
__________________ Anything worth having is worth working for Kenya R.  Lap RNY 4/19/07     |
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12-08-2007, 05:02 PM
| #3 (permalink) |
| Seasoned Veteran  Join Date: Mar 2007 Location: Floyd County Virginia
Posts: 3,591
Blog Entries: 1 Weight Statistics September 19th 2007 Start Date:
September 19th 2007 Surgery Date:
5' 10" Height: 363 lb Start Weight:
211 lb Current Weight:
165 lb Goal Weight:
152 lb Weight Loss:
46 lb Lb Left to Lose:
41.8732782369 % % Lost:
12/31/09 Goal Date:
Body Mass Index 52.0793877551 BMI Start:
30.2720408163 BMI Current:
23.6724489796 BMI Goal:
Weight Loss Method Roux en Y Gastric Bypass | Call that number on the back of your card and ask if they cover WLS. Then If they do sweeite find out what the requirments are. I have seen it go both ways on this board with this insurance. They either cover it or they dont. Good luck and let us know. |
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12-08-2007, 08:39 PM
| #5 (permalink) |
| WLS Master Guru  Join Date: Apr 2007 Location: Upstate New York
Posts: 687
Weight Statistics 6/16/2007 meda-fast Start Date:
July 19,2007 Surgery Date:
5' 6" Height: 325 lb Start Weight:
201 lb Current Weight:
150 lb Goal Weight:
124 lb Weight Loss:
51 lb Lb Left to Lose:
38.1538461538 % % Lost:
no time line i just want it to be lost Goal Date:
Body Mass Index 52.4506427916 BMI Start:
32.4387052342 BMI Current:
24.2079889807 BMI Goal:
Weight Loss Method Roux en Y Gastric Bypass | I dont have the same insurace but I did want to wish you luck and pray that your jurney goes smoothly
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12-09-2007, 08:34 AM
| #6 (permalink) |
| Super Moderator  | Welcome to the board, thank you for joining us. Your BMI is over 44, you have the co morbidities that are considered candiate for surgery, so you should fulfil the basic criteria for surgery for any insurance that covers the surgery. It's going to be the finer points that will affect what you have to do and how much time/trouble you will have to go through to get approved. The best way probably is to call your insurance co or coordinator and find out the EXACT requirements, such as do they require you to go through a preapproved 6 month weight loss program, or are data from whomever dr you are seeing is enough, etc. (((((HUGS)))) May your journey go well.
__________________ "In every job that must be done, there is an element of fun."   Just a li'l bit 'bout myself  |
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12-09-2007, 09:49 AM
| #7 (permalink) |
| Big Loser  Join Date: Sep 2007 Location: New England
Posts: 179
Weight Statistics Sept 20 2007 Start Date:
April 8 2008 Surgery Date:
5' 3" Height: 270 lb Start Weight:
214 lb Current Weight:
140 lb Goal Weight:
56 lb Weight Loss:
74 lb Lb Left to Lose:
20.7407407407 % % Lost:
April 2009 Goal Date:
Body Mass Index 47.8231292517 BMI Start:
37.9042579995 BMI Current:
24.7971781305 BMI Goal:
Weight Loss Method Roux en Y Gastric Bypass | I have United. I have not been approved yet but I do have a case manager and she told me the requirements are: 5 yrs of BMI over 40, 6 months of those diet classes, phsyc visit. I will let you know more soon cuz I just finished my last class and my phsyc visit is monday so I should be submitting soon.
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12-09-2007, 09:51 AM
| #8 (permalink) |
| Big Loser Join Date: Sep 2007 Location: New England
Posts: 179
Weight Statistics Sept 20 2007 Start Date:
April 8 2008 Surgery Date:
5' 3" Height: 270 lb Start Weight:
214 lb Current Weight:
140 lb Goal Weight:
56 lb Weight Loss:
74 lb Lb Left to Lose:
20.7407407407 % % Lost:
April 2009 Goal Date:
Body Mass Index 47.8231292517 BMI Start:
37.9042579995 BMI Current:
24.7971781305 BMI Goal:
Weight Loss Method Roux en Y Gastric Bypass | oh yeah and you need to have your surgery at a Bariatric Center of Excellence thats the last requirement!
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12-09-2007, 10:35 AM
| #9 (permalink) |
| Seasoned Veteran  Join Date: Jun 2007 Location: Jacksonville, Florida
Posts: 4,004
Weight Statistics July 21, 2007 Start Date:
August 6, 2007 Surgery Date:
5' 2" Height: 287 lb Start Weight:
169 lb Current Weight:
140 lb Goal Weight:
118 lb Weight Loss:
29 lb Lb Left to Lose:
41.1149825784 % % Lost:
January 1, 2009 Goal Date:
Body Mass Index 52.4872528616 BMI Start:
30.9071279917 BMI Current:
25.6035379813 BMI Goal:
Weight Loss Method Roux en Y Gastric Bypass  | I have UHC EPO through my husbands employer...all I had to do was show a 5 year history of being over weight...the surgeon required the rest of the stuff. I went to my PCP and my OBGYN and got 1 progress note for one month of each of the 5 years. I was approved within days. Each and every plan is different though, even if they are the same plan. Your company decides what they want covered and how it should be qualified. I would call and speak to someone at UHC and ask them specifically what is required to get approved then get a call reference number and call back again to see if you get the same answer. When you get involved with that part of the leg work, it really does tend to go much smoother. Good Luck to you! |
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01-18-2008, 07:17 PM
| #10 (permalink) |
| Big Loser Join Date: Jan 2008 Location: Michigan
Posts: 183
Weight Statistics January 8, 2008 Start Date:
February 21, 2008 Surgery Date:
5' 6" Height: 253 lb Start Weight:
153 lb Current Weight:
145 lb Goal Weight:
100 lb Weight Loss:
8 lb Lb Left to Lose:
39.5256916996 % % Lost:
April, 2009 Goal Date:
Body Mass Index 40.8308080808 BMI Start:
24.6921487603 BMI Current:
23.4010560147 BMI Goal:
Weight Loss Method Roux en Y Gastric Bypass | I was just approved with United Health choice plus. I had to submit 5 years of weight history, had to be over 21, had to have a minimal bmi of 40 and had to have an approved bariatric surgeon. Tami
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