& - Re: Insurance denials/approvals

October 30, 2000

& ,

You might want to double check before switching to United HealthCare,

unless you can get the United Healthcare, FEDERAL plan. I currently

have UHC choice, and I'm changing to Aetna PPO (my only other option)

in Jan.. The reason being because I was told by UHC that they have 5

different plans; depending on what state your in, and what plan your

employer decided to contract with them and subsequently offer you.

Out of these 5 plans only federal employees ( & their families),

holding the UHC Federal plan could get approved because the

government requires all ins. companies they use to cover WLS or they

won't contract with them. The remaining 4 UHC plans exclude ALL

WLS. I chose Aetna because at the very least they will cover RNY,

although, I'd hate to go that way...only as a last resort.

There are a few postings on this site that say some people with

Aetna are getting approved, even after August 2000--when they started

listing BPD/DS as an exclusion. is one of them if you can find

her post, it's very encouraging. So maybe there's hope yet for us

Aetna people wanting DS.

Best of luck with both your approvals (and mine too ,

Jennie/KY

> -

>

> Have you considered United HealthCare as an option? I have seen

several

> people who have been approved by them - and I am hoping to be one

of them

> soon!

>

> Aetna is now Aetna U.S. Healthcare, but they are not related to

United

> HealthCare.

>

> Hope this helps!

>

> in Illinois

Recommended Posts