mommyto-3

Anyone happen to know where I would find the exact criteria for WSL on United Health Cares Website? I have looked and know they do cover it, but cannot find the criteria. Thanks to anyone that can help!

bridgetgirl

Where you able to gather the info you needed?

__________________
J.Bridget Fisher aka koi-pea
2/9/04 lap 5'11"
298/170-trying to lose another 10

www.myspace.com/caliclovercutie
What Sawyer would call me on LOST: ladybug

"People will argue with you that getting what you want in life isn’t something you can learn, if you’re destined to be one of the worlds winners as opposed to one of its perpetual whiners, its because you have been born with the right talents and temperament and have a big dose of self-esteem, ambition, and good judgment." Kate White

mommyto-3

I have gotten a pretty vague description of what is needed from the insurance company over the phone, but I haven't been able to find it on the website. I would just like to see in writing what they need so I know I am definately not leaving anything out. The insurance company didn't say I would need a letter from my PCP , but a few others on here told me I definately will, and UHC also didn't say anything about a dr supervised diet, and it seems everyone has to do that. I'm just really worried I won't send enough info and get denied I guess.

__________________
Consult with Surgeon: June 16,2008
Psych Eval: June 23, 2008
Inurance Approval: June 20, 2008
Bariatric team meeting #1: July 16, 2008
Behavior Modification: July 23, 2008
Behavior Modification #2: July 30, 2008
Behavior Modification #3: August 7, 2008
Support Group: July 15, 2008
Surgery: August 25, 2008!!!!!! (tomorrow)

BiGMerf

grab a pen and paper and just give them a call. thats what i did

Dawn Crippen

Hi, I am a United Health Care patient. Pick out a gastric bypass surgeon and he/she can give you a print out of what they (UHC) requires. Mine: pych evaluation, 6 months supervised diet, at least 100 lbs overweight, 40+ BMI, sleep epna test, heart and lungs test, dietiation, and would help with medical problems, dietiabets (sp), blood pressure etc. Good Luck


Dawn surgery 2-12-08 40 lbs gone

mommyto-3

I did call them, thats how I got the info that I have so far

__________________
Consult with Surgeon: June 16,2008
Psych Eval: June 23, 2008
Inurance Approval: June 20, 2008
Bariatric team meeting #1: July 16, 2008
Behavior Modification: July 23, 2008
Behavior Modification #2: July 30, 2008
Behavior Modification #3: August 7, 2008
Support Group: July 15, 2008
Surgery: August 25, 2008!!!!!! (tomorrow)

Lori_L

I have United Health Care and I got approved in 4 weeks. A lot of it has to do with your employer medical plan. Your employer decides what they want to cover on there medical plan. You have to have co-morbidities along with being over height. For instance, I had joint pain when I walked. Other then asthma I had no other co-morbidities and was approved. There are lists of them on the internet.

mommyto-3

Lori,
Where did you find the list you were talking about? My doctor should have my test results for my liver, blood sugar and kidneys back today, so i don't know what those results are yet. I know I have IBS and sleep apnea and asthma though.

__________________
Consult with Surgeon: June 16,2008
Psych Eval: June 23, 2008
Inurance Approval: June 20, 2008
Bariatric team meeting #1: July 16, 2008
Behavior Modification: July 23, 2008
Behavior Modification #2: July 30, 2008
Behavior Modification #3: August 7, 2008
Support Group: July 15, 2008
Surgery: August 25, 2008!!!!!! (tomorrow)

Lori_L

Here is a list of Comorbidities.

Obesity is Associated with Significant Comorbidities
Osteoarthritis.
Hypertension.
GERD.
Urinary stress.
Incontinence.
Gallbladder disease.
Depression.
Diabetes.
Hyperinsulinemia.
Asthma.
Sleep apnea.
Congestive heart failure.
Anemia.
Neoplasia.
Dyslipidemia.

Comorbid Conditions
Almost 80 percent of obese adults have one of these conditions:

Diabetes.
Dyslipidemia.
Coronary-artery disease, hypertension.
Gallbladder disease.
Osteoarthritis.

Almost 40 percent have two or more of the above conditions.

mommyto-3

Ok, so probably a stupid question now, but I had to have my gallbladder out a couple years ago...would that be a comorbidity??? I was very over weight at that time too. But does it still count now???

__________________
Consult with Surgeon: June 16,2008
Psych Eval: June 23, 2008
Inurance Approval: June 20, 2008
Bariatric team meeting #1: July 16, 2008
Behavior Modification: July 23, 2008
Behavior Modification #2: July 30, 2008
Behavior Modification #3: August 7, 2008
Support Group: July 15, 2008
Surgery: August 25, 2008!!!!!! (tomorrow)