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Insurance Discuss insurance topics for the gastric bypass and Lap BandŽ operations.

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Old 07-17-2007, 04:31 PM   #1 (permalink)
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Default United Healthcare?

Anyone have any experience getting approved for GB from United Healthcare?

A friend of mine desperately wants this surgery, and that is her insurance.

Thanks!
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Old 07-17-2007, 04:38 PM   #2 (permalink)
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See attached thread:

Approval, at last!! (I think)
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Old 07-17-2007, 04:39 PM   #3 (permalink)
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and this one:

Need Help Fighting United Health Care For Authorization

If you search for "United Healthcare"...a lot comes up.
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March 3, 2006 LAP RNY
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Going...going...!!!

Last edited by Cinerbelle; 07-17-2007 at 04:41 PM..
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Old 07-17-2007, 06:03 PM   #4 (permalink)
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Thanks a million, Cindy!
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Claire, AKA ClaireBear
4'9.25"

T-T CRUISE DIRECTOR!
Our T-T 2008 Cruise: http://www.thinnertimesforum.com/soc...ll-aboard.htmll
Lap RNY - 4/9/07. Pre-op, 236 lbs - Current: 106 lbs. - Goal: 126 lbs.
CENTURY CLUB: 11/26/07 Wooo Hoooooo!!!
WAY more than HALF of me, 130 lbs., GONE!!!!!

Size 3 in skinny jeans, Petite Small in all else!
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Old 07-17-2007, 06:24 PM   #5 (permalink)
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I had UHC PPO and 100% approved...No problems what so ever.This was almost 2 1/2 years ago so some requirments may have changed and I am in FL.

Best wishes~
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Old 07-17-2007, 08:26 PM   #6 (permalink)
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Van, thanks so much for your response. And I just love your amazing stats!!!
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Claire, AKA ClaireBear
4'9.25"

T-T CRUISE DIRECTOR!
Our T-T 2008 Cruise: http://www.thinnertimesforum.com/soc...ll-aboard.htmll
Lap RNY - 4/9/07. Pre-op, 236 lbs - Current: 106 lbs. - Goal: 126 lbs.
CENTURY CLUB: 11/26/07 Wooo Hoooooo!!!
WAY more than HALF of me, 130 lbs., GONE!!!!!

Size 3 in skinny jeans, Petite Small in all else!
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Old 07-18-2007, 08:27 AM   #7 (permalink)
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I also had UHC and 100% approved...No problems at all...I think I had the easiest time with them. No hassles......My surgeon submitted the paper work and a week later I was approved and scheduled for surgery. It was very easy for me...So I wish your friend luck!
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pre/current/goal
258/ 123/ 150 ...5'7 29 years old
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Preg start weight - 125lbs
Preg ending weight-163lbs
Baby Amari born June 28th, 2007 7:43am 7lbs 14oz
Current weight- 123lbs

HOLY S%*T I HAVE GAINED WEIGHT FINALLY - 139LBS. This is where I want to be so now time to try and maintain it!

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Old 07-18-2007, 08:37 AM   #8 (permalink)
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Thank you VERY much!
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Claire, AKA ClaireBear
4'9.25"

T-T CRUISE DIRECTOR!
Our T-T 2008 Cruise: http://www.thinnertimesforum.com/soc...ll-aboard.htmll
Lap RNY - 4/9/07. Pre-op, 236 lbs - Current: 106 lbs. - Goal: 126 lbs.
CENTURY CLUB: 11/26/07 Wooo Hoooooo!!!
WAY more than HALF of me, 130 lbs., GONE!!!!!

Size 3 in skinny jeans, Petite Small in all else!
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Old 07-18-2007, 10:19 AM   #9 (permalink)
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Claire,
United Health care offers several options to employers for health care, so you have to be very careful when working with them.
My surgery was through United and all I had to pay out of pocket was a $250 co-pay and the fee for the nutritionist (I think it was $150). All other bills have been completely covered.
HOWEVER, DH was also approved through a different United Health care plan. They approved the surgery and confirmed approval through both the doctor and the hospital. Even with all of this, after the fact, UHC realized that for that employer's plan, the employer specifically excluded GBS as part of the coverage, and therefore, UHC has not paid all of the bills. Eighteen months later and we are still slinging it out with them. We finally had to obtain a lawyer in order to make UHC do what is right and will most likely end up going to court over it. Funny thing is they paid some of the providers (like the surgeon) before they realized their error but anyhow, we still are contesting the $30,000 worth of bills that have gone unpaid.
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Old 07-18-2007, 11:08 AM   #10 (permalink)
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Yes, I am finding out that UHC has different programs and they vary from one part of the country to another. I've got my fingers crossed for my friend, she really wants it. she knows the questions to ask UHC now.

Many thanks for all the input!
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Claire, AKA ClaireBear
4'9.25"

T-T CRUISE DIRECTOR!
Our T-T 2008 Cruise: http://www.thinnertimesforum.com/soc...ll-aboard.htmll
Lap RNY - 4/9/07. Pre-op, 236 lbs - Current: 106 lbs. - Goal: 126 lbs.
CENTURY CLUB: 11/26/07 Wooo Hoooooo!!!
WAY more than HALF of me, 130 lbs., GONE!!!!!

Size 3 in skinny jeans, Petite Small in all else!
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