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

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Old 08-15-2008, 01:43 PM   #21 (permalink)
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Question UHC Denied

Yes, my daughter was denied due to her insurance, UHC. The reason being is that the "plan" that was chosen for her group .. "excludes surgical and non-surgical" for weight loss/obesity. The Broker said that because the group is only 5 members, UHC won't include the gastric bypass; that the group has to have 1,000 members. I think that is B.S. -- but I don't know what to do now. We wrote the 1st appeal letter .. and there is something there that says we can do a SECOND LEVEL REVIEW .. but I'm thinking if the insurance says NO for that reason, they are not going to pay. We've tried to get $ numbers as to how much it would cost as a self-pay and they seem to be reluctant even to providing us that option. I guess I need a "lawyer" to help me with proceeding further.
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Old 08-18-2008, 11:48 AM   #22 (permalink)
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I had called them prior to even starting this journey and they said it was covered. It really depends on your plan and what the employee's benefit is.
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