Recent Posts

KristenRB82
on 8/8/13 12:00 pm
Topic: RE: United Healthcare Choice Plus

Yeah, starting to think that whomever answers the phone is supplied with VERY limited information.cool

 

Good luck with your surgery and hope you get your date before 2014!

uglymouse
on 8/8/13 9:20 am - newnan, GA
Topic: RE: United Healthcare Choice Plus

The agents that answer the phone really don't know the ins and outs of the UHC insurance.  We only have to do 6 months of super visored diets.. They don't hae to be consecutive either.  As long as it noted   in the notes of goals, and the BMI, adn weight it is good.  

I am hoping my time is up in November.  It would be nice to have the surgery before the new year. 

 

 

Member Services
on 8/8/13 7:13 am - Irvine, CA
Topic: Spread The Word

How did you find out about ObesityHelp?  There are people that are interested in weight loss surgery, pre-ops and post-ops that don't know about ObesityHelp.  We're asking for your help to reach out to others that would benefit from our community.

From our amazing OH members, there is so much support and information that would help countless other WLS'ers on our message boards, Health Tracker, our Goal system, OH online Groups, Before/After photos and lots more features.  We have thousands of articles that are available on OH to help others in their own WLS journey that are written by professionals and others experienced in the bariatric community . 

Our founder created ObesityHelp in 1998 from his vision of "Making The Journey Together" and that is what we've cared about most at OH. 

Please help us share ObesityHelp with your family, friends, work associates, your doctor or surgeon, anyone and everyone in the bariatric community.  Join us as we pay it forward.

Thank you for being part of our ObesityHelp community. 

 

mollymcb
on 8/8/13 6:50 am - TX
Topic: wow my insurance
Welp yall was right even after secondary insurance company told me they would cover my surgery since my primary denied when it was submitted they didnt even work the claim they just deactivated the claim and told my dr office it was denied...i called and called and *****ed wanting a denial letter heh they said they would email me one and lied...finally i called and spoke wtih the benefits cordinators at the company and they said if i dropped my primary there wouldnt be a problem getting approval...so open enrollment is this week and i dropped my primary...keep your fingers crossed that this is it cuz wow.... My insurance is denied out effective august 31st and dr office is gonna submit as primary 1st week of september.. anyone else have to do this?
KristenRB82
on 8/8/13 1:16 am
Topic: RE: United Healthcare Choice Plus
Never mind I guess! The office coordinator just called me back and told me that not only do I have to do a 6 month supervised diet program, but also offer 5 years of history of having a BMI over 40.

I feel so defeated already. The six month weight loss program really to me, is no big deal. That's absolutely fine, I've waited this long and it'll just get me ready for the lifelong changes I'll have to make.

However, I have no clue how I will provide 5 years of Dr. office visits showing I have consistently had a BMI over 40. For a few years I didn't even have insurance, and so going to the Dr. wasn't exactly possible.

How could I call my provider and get a different answer? Is it that they truly don't know what they are talking about? lol! UHC needs to provide their reps on all the information needed so they can pass it along to us, the people that pay them!
sjkduke
on 8/7/13 9:21 am - VA
VSG on 12/18/14
Topic: RE: Aetna ughhhhh HELP!!!

Nan, how long was the turn around time for you to get the approval?

KristenRB82
on 8/7/13 8:27 am
Topic: United Healthcare Choice Plus
Hey everyone! I have been wanting to get gastric bypass since I was 17, but never had the opportunity. No insurance and obviously never had the 30k to pay out of pocket. Also, self pay just really would be last resort for me. Those interest rates kill you! I even thought about going to Mexico to have the surgery done. I've read some really positive things about medical tourism. However, I'd prefer to have it done in the states.

So my question is, I have United Healthcare, Choice Plus with Estée Lauder Co. I've called several times and yes it is covered. My BMI is 50 and they have stated that with my particular plan/carrier that not only do I not need to participate in a weight loss study or program, but I don't need to supply them with a 5 year history of an over 40 BMI.

I even have asked them if once everything is submitted to them, will I THEN get something telling me that it IS required. And they told me "no. It would be in your policy if that was the case."

Is this too good to be true? Am I going to be dissapointed? Anyone out there have a similar experience with this?

Thanks so much!

AB64
on 8/7/13 8:10 am
Topic: RE: Horizon BCBS NJ and Gastric Sleeve?
Yes, Horizon BCBSNJ covers the sleeve. Mine was approved in 2011. You have to "jump thru hoops" but it is worth it. You have to go thru 6 months of supervised dieting but, to me it was worth it because it showed my horrible eating habits! Once I finished, I was approved in about 8 days! Good luck!
Member Services
on 8/6/13 5:56 am - Irvine, CA
Topic: Supersize vs. Superskinny television show coming to the U.S.

Supersize vs. Superskinny is a television show in the UK.  They are bringing their show to the U.S. to film here.  They are looking for people that are interested in being candidates for their show. 

Each candidate will be matched with someone in the UK that will be their partner.  The candidate and their partner will work together to on the candidate's weight issues. 

If you, or someone you know, in the 500 to 700 pound range, and would like to be considered for the show, please contact us at [email protected].  They will be filming in just a few weeks so if you're interested, email us asap.

 

Jen1014
on 8/5/13 10:45 pm
Topic: RE: Aetna ughhhhh HELP!!!
Thanks so much ladies!! My appointment with the surgeon,Nut and psychiatrist is tomorrow!! I am so nervous!!!
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