Guest guest Posted April 26, 2001 Report Share Posted April 26, 2001 Hi.. Ive been denied services with UHC on final appeal because they say that they dont pay for ds on the basis that its experimental. Please, any of you who have had approval thru UHC, please send me a copy of your approval letter? They cant take approval away and I really need it. they are not doing the right thing by me and I would really appreciate your help.. thanks soozyl@... sue lane 1782 maryland ave ne st. pete, fl 33703 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 26, 2001 Report Share Posted April 26, 2001 I would apprecite this info also. My paperwork will be going to UHC shortly and I would rather be prepared for a fight than not be prepared. > Hi.. Ive been denied services with UHC on final appeal because they > say that they dont pay for ds on the basis that its experimental. > Please, any of you who have had approval thru UHC, please send me a > copy of your approval letter? They cant take approval away and I > really need it. they are not doing the right thing by me and I would > really appreciate your help.. thanks > soozyl@h... > sue lane > 1782 maryland ave ne > st. pete, fl 33703 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 27, 2001 Report Share Posted April 27, 2001 Sue, I'm sorry to hear that they have denied you. I have UHC Options PPO and they approved me in less than 24 hours. However, I never did receive an approval letter from them. They just called me to tell me that I had been approved and what I should expect from the surgery and to let me know that I could have a nurse come to my home to take care of me for after care should I need it. I haven't heard of UHC denying the DS on the basis of it being experimental before. When you appeal, I would be sure to use the Hess Report that can be found on www.duodenalswitch.com Best of luck, Dorian Open DS 02/06/01 Dr. Elariny -61 pounds at last count > Hi.. Ive been denied services with UHC on final appeal because they > say that they dont pay for ds on the basis that its experimental. > Please, any of you who have had approval thru UHC, please send me a > copy of your approval letter? They cant take approval away and I > really need it. they are not doing the right thing by me and I would really appreciate your help.. thanks > soozyl@h... > sue lane > 1782 maryland ave ne > st. pete, fl 33703 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 28, 2001 Report Share Posted April 28, 2001 Hi Sue, I also have United Health Care PPO options and was approved EXACTLY as Dorian said. I was approved in less than 24 hours also, and they called me to tell me. Then they went on to say that if I needed nursing care at home afterwards, that I was covered for that as well. I can't understand why they told you it was "experimental." Is there an exclusion that you are maybe not aware of in your particular policy? That's the only thing that I can think of. Keep us updated!! Pam Pre-op in MD Dr. Vanguri Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 28, 2001 Report Share Posted April 28, 2001 I was approved with UHC, Select Plus, POS 18 months ago Oct '99. I was approved over the phone. They don't send letters out with an approval, only denial but you can print this out as a reference. They've also approved my tummy tuck & breast reduction set for July 12. I do know some UHC policies have an exclusion, it just depends on the specific policy you bought. Good luck to you.. heidi guio Direct mail: heidij@... Home Page: http://www.myWLS.com Message/Information Board: http://www.myWLS.com/discus > Hi.. Ive been denied services with UHC on final appeal because they > say that they dont pay for ds on the basis that its experimental. > Please, any of you who have had approval thru UHC, please send me a > copy of your approval letter? They cant take approval away and I > really need it. they are not doing the right thing by me and I would > really appreciate your help.. thanks > soozyl@h... > sue lane > 1782 maryland ave ne > st. pete, fl 33703 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 28, 2001 Report Share Posted April 28, 2001 I was approved with UHC, Select Plus, POS 18 months ago Oct '99. I was approved over the phone. They don't send letters out with an approval, only denial but you can print this out as a reference. They've also approved my tummy tuck & breast reduction set for July 12. I do know some UHC policies have an exclusion, it just depends on the specific policy you bought. Good luck to you.. heidi guio Direct mail: heidij@... Home Page: http://www.myWLS.com Message/Information Board: http://www.myWLS.com/discus > Hi.. Ive been denied services with UHC on final appeal because they > say that they dont pay for ds on the basis that its experimental. > Please, any of you who have had approval thru UHC, please send me a > copy of your approval letter? They cant take approval away and I > really need it. they are not doing the right thing by me and I would > really appreciate your help.. thanks > soozyl@h... > sue lane > 1782 maryland ave ne > st. pete, fl 33703 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 29, 2001 Report Share Posted April 29, 2001 I would definitely fight this. It seems as though they have mixed feelings about whether some are requesting the wls for health or cosmetic reasons. Being that wls Are becoming more and more common,it's seems like they are trying to crack down by attempting to weed some out.As if to test you to see if you really feel it is necessary. Remember, anything worth having,often doesnot come easy.FIGHT FIGHT FIGHT! GoodLuck! Quote Link to comment Share on other sites More sharing options...
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