Denied-for the second time

 

Denied by UHC-for the second time and for the same reason.  I don't have 3 years of medically supervised weight Loss under my belt.  I don't understand the denial.  I had a wonderful appeal letter and my doctor wrote to say this would save my life.  But-I am not upset on the denial so much as upset at how they did it.  The first appeal was to be done by a independent doctor in a related field.  You want to know what the doctor's related field was???? Cardiologist and thyroid specialist.   REALLY?????  How related is that????    I am so mad I could spit!!!!  How do I do this second appeal.  I tried to show I had all these years of trying to diet.  I showed on paper I had years of different diets, weight loss products, medications-but no!!!  This insurance states that it has to be 3 years consecutive medical supervised weight loss program.  What do I do???  I can't think, I can't feel anymore.  I am willing and ready for the fight, but I don't know if I will just hear the same answer again.  Anyone else dealt with this?  Any information would be helpful.

Thanks so much

Linda

I have nothing but hugs for you. I have UHC, but we don't have to show 3 years of  medically supervised diets. We just need to do 6 months of supervised medical  diet. 

How long did it take to get approval

I will submit my paperwork on November 5th.

WOW 3 years??? Thats along time. I would try and get a case worker from the insurance to see exactly what would a 3 year supervised diet look like, cause I have heard of 3,6, and 12 month but 3 years sounds off...

Please give Walter Lindstroms office a call. They helped me win vs UHC. Best of luck to you-

I have UHC Insurance in Oregon through my employer. I started this less than two months ago, I had a lot of hoops to jump through for my Surgeon,(I had to see a Cardiologist, Therapist, Nutritionist, Endocrinologists, and sleep study)   but my insurance only required 5 years paper work showing that I have been heavy for the past 5 years.   I was approved this past Friday and on Wed I set up my surgery date. I am so sorry you are having so much trouble with the insurance company. I just don't understand how UHC has so many different rules depending on state and employer that the health plan is under. Seems same insurance company would have the same rules.