United Healthcare PPO Choice Plus - ThinnerTimes - Gastric Bypass Forum, Lap Band Forum, and Vertical Sleeve Gastrectomy Forum

psjim2007 · 09-03-2009, 09:50 PM

Just wondering if anyone has United Healthcare Choice Plus, I am in the process of going to see the Surgeon and wanted to know if anyone has had any problems of getting denied for the surgery. I have 100 lbs to lose with comborties of high blood pressure and low HDL.

Thanks,

Pam

Vikkator · 09-04-2009, 05:49 AM

I have it and I didn't have any problems getting approved. I was borderline (BMI 39.5) and my bp wasn't off the charts but was rising. I had no other co-morbids. Also, I thought my copay was going to be a lot more than it was. My plan dictates that I pay 10% out of pocket and I ended up paying only $1,100. I was anticipating $2,500, so I was quite happy.

It also only took about a week for them to approve me. Good luck to you!

psjim2007 · 09-04-2009, 08:31 AM

My blood pressure is 125/80 for the most part. But that is with blood pressure medication. Sometimes I forget it and when I do, my blood pressure goes all the way up to 160/95 at times. Also does anyone know when you have a 10% copay, does it need to be paid up front, or is it the hospital the one that charges. Just curious.

Pam

poet_kelly · 09-04-2009, 08:35 AM

Usually the copay has to be paid upfront, but check with your surgeon and the hospital to find out when you have to pay it.

Kelly

Vikkator · 09-04-2009, 08:40 AM

I got billed afterward. If you have a flexible spending account you can use those funds to pay for it too. It depends on the hospital.

poet_kelly · 09-04-2009, 09:18 AM

Just check with the hospital to make sure whether or not you have to pay the copay up front. It would really, really suck to show up on the day of surgery and have them ask for money that you didn't have with you!

Kelly

psjim2007 · 09-04-2009, 10:29 AM

Unfortunatly I am not working, so I don't have a flex spending account. I am going to pay for the co-pay with money that I am expecting from school. I know I have a $250.00 deductable apart from the out of pocket.

suebry05 · 09-04-2009, 01:21 PM

I have that...I paid 1100.00 to doctor and 400.00 I think to hospital.

I was approved in under 10 days.. no hassle no 6 month diet even though I opted to do one (last ditch effort)

good luck to you

deeteeceecee · 09-20-2009, 10:20 AM

Hi, TT Family

I wanted to know if you all have had a bmi over 40 or more for 5 years?..I have been over weight for the last 8 years but my bmi didn't go over for til these last 4 years..My surgeon office said that i just had to show that i had not just became over weight and want to have wls surgery..

I was just concerned because i read a post that a lady was denied because her bmi was not over 40 for the last five years..My info. was faxed to UHC last thursday but I have not got a answer yet.

Vikkator · 09-21-2009, 05:52 AM

I did not have a bmi of over 40 for 5 years. However, I had a history of obesity along with successes and failures over a 25 year period. In fact, in the 5 years prior to my approval I had lost a bunch of weight, only to gain it back. I was approved by UHC and had a 39.5 bmi at the time and no co-morbids. I believe my PCP's documentation and support is what helped me get approved.