Re: Not all UHC policies are the same

[Guest guest]

Ellie!! Bless your heart girl. you take care tomorrow.. dream sweet

dreams of a healthy future!!! About UHC.. I agree that policies

differ.. BUT, my whole fight with them is that they say they stopped

approving DS (and remember they swore to this under oath in front of

the state of florida provider assistance panel) .. COMPANY WIDE in

february because they said it was investigational.. they said they

approved the procedure all along while they reviewed the procedure for

safety and efficacy..but now deny it becuase its not proven.. that is

a load of crap because no one who belongs to the medical community ..

not hospitals, doctors or insurance companies prescribe things until

they are convinced its safe and effective.. Not to mention they have

approved more surgeries since then. take it from me, if they dont

want to approve you , they wont.. and they will lie to keep from doing

so.. lets take an unofficial poll here.. How many people have been

approved for ds surgery since february? I'd love to know this.. Good

luck to you, Ellie I'll be praying for you.. Sue.

P.S. Instead of going thru Walter, who is booked way up.. find a local

attorney who does things like workman's comp claims.. they are usually

very good at insurance disputes.. they can get you in much faster and

probably know the law better in your state. just a tip.

> I have UHC PPO thru Qwest (WSWest/PNB) and there was NO exclusion on

obesity surgery and, in fact, I was

> authorized for surgery in less than one day, on a low BMI but with a

plethora of co-morbidities.

> Policies vary from state to state and company to company. Comparing

insurance policies by name is like comparing

> apples-they are all apples but there are green ones and red ones and

gala apples and so on. All UHC insurance but

> different types of coverage.

> If you have a specific exclusion for morbidly obese, start

documenting and write letters. Send pictures. Send lists of

> the medications you take that they pay for (I sent a list of 15 meds

I am now on, which cost, retail, over $1700 a

> month). If you are in a union, ask them to help you fight this. If

your contract is coming up for renewal, make this

> part of the new contract....become pro-active in your union if you

have one.

> And, there is always Walter Lindstrom, the lawyer who specializes in

fighting insurance companies for obese people.

> But first, tackle this yourself with all the resources you have

available...Go get 'em.

> Elle-Surgery tomorrow!

[Guest guest]

> so.. lets take an unofficial poll here.. How many people have been

> approved for ds surgery since february? I'd love to know this..

Good

> luck to you, Ellie I'll be praying for you.. Sue.

-------------------

I have UHC Select Plus POS and was approved in April.

Open DS with Dr Anthone 7/6/01

[Guest guest]

> so.. lets take an unofficial poll here.. How many people have been

> approved for ds surgery since february? I'd love to know this..

Good

> luck to you, Ellie I'll be praying for you.. Sue.

-------------------

I have UHC Select Plus POS and was approved in April.

Open DS with Dr Anthone 7/6/01

[Guest guest]

I have UHC PPO with Wells Fargo, have my consult

tomorrow and hope to be approved within 30 days. I

will post when I hear something.

Melodie in Colusa.

--- @... wrote:

>

>

> > so.. lets take an unofficial poll here.. How many

> people have been

> > approved for ds surgery since february? I'd love

> to know this..

> Good

> > luck to you, Ellie I'll be praying for you.. Sue.

> -------------------

>

> I have UHC Select Plus POS and was approved in

> April.

>

>

> Open DS with Dr Anthone 7/6/01

>

>

>

----------------------------------------------------------------------

>

[Guest guest]

I have UHC PPO with Wells Fargo, have my consult

tomorrow and hope to be approved within 30 days. I

will post when I hear something.

Melodie in Colusa.

--- @... wrote:

>

>

> > so.. lets take an unofficial poll here.. How many

> people have been

> > approved for ds surgery since february? I'd love

> to know this..

> Good

> > luck to you, Ellie I'll be praying for you.. Sue.

> -------------------

>

> I have UHC Select Plus POS and was approved in

> April.

>

>

> Open DS with Dr Anthone 7/6/01

>

>

>

----------------------------------------------------------------------

>

[Guest guest]

Hi :

I have UHC Select Plus PPO as well. My insurance letter is supposed

to be sent out Mon/Tuesday this week. Was just wondering how long it

took UHC to approve?

>

> > so.. lets take an unofficial poll here.. How many people have

been

> > approved for ds surgery since february? I'd love to know this..

> Good

> > luck to you, Ellie I'll be praying for you.. Sue.

> -------------------

>

> I have UHC Select Plus POS and was approved in April.

>

>

> Open DS with Dr Anthone 7/6/01

[Guest guest]

> Hi :

> I have UHC Select Plus PPO as well. My insurance letter is

supposed

> to be sent out Mon/Tuesday this week. Was just wondering how long

it

> took UHC to approve?

----------------------------------

I think it took about 3 weeks or so. If I remember correctly it would

have been sooner but they were waiting for something else from the

docs office.

I have to say that our insurance has been fantastic. The case

managers have initiated several calls to check on me both pre and

post op to make sure I didn't need anything. They also paid for my

dh's LASIK surgery last year.

Open DS with Dr. Anthone 7/6/01

[Guest guest]

<<<Was just wondering how long it took UHC to approve?>>>

My particular Group has a policy to approve/deny within 72 hours.

Most of the time is shorter than that. I was approved over the

phone. Not sure if all UHC is the same..

heidi

UHC, Select Plus, POS

Oct '99 Open DS, Dr. Anthone

http://www.mywls.com

[Guest guest]

<<<Was just wondering how long it took UHC to approve?>>>

My particular Group has a policy to approve/deny within 72 hours.

Most of the time is shorter than that. I was approved over the

phone. Not sure if all UHC is the same..

heidi

UHC, Select Plus, POS

Oct '99 Open DS, Dr. Anthone

http://www.mywls.com