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New Job, New Insurance. How is UHC?

It's been a while since I've been on here and I've still got HUGE breasts. Approved, not approved, story of my life. Just to sum up the past year and a half.

I started a new job and now I'm covered by United Health Care. I'm going in for WLS in November and then after I lose the weight I'm going back after the breast reduction. Until then though, any luck with others being approved through UHC?

Ugh....starting over!

So thanks to Obamacare insurance premiums are sky rocketing in 2017 so my work shopped around for a new carrier. Starting January 1st we are switching to Cigna from SelectMed. I was pre-approved for the surgery and it was scheduled for February 1st through SelectMed but now I have to wait until I get my new policy number from Cigna before I can go through the pre-approval process again. I knew it was to easy and to good to be true.

Talked to my PS's office and they postponed the surgery until the end of February now and I have to go to a different clinic for the actual surgery because the clinic I was going to get it done at isn't covered by my new insurance. So dumb. Obviously the surgery won't happen at all if I can't get approval. I can't afford $6500 out of pocket. It's been an upsetting day.

I've wanted a breast reduction since I was about...

I've wanted a breast reduction since I was about 25 years old. I've always had large breasts but once I had my daughter they never went back to size D beauties. I could live with size D considering 11 years later in an H.

I think I've started the process of getting approval through insurance a few different times but I never followed through. There was laziness involved and of course changing insurance companies a handful of times. Didn't want to keep going through the hassle of pre-approval. Well thenough last few months have been different...I stuck with it!

Two years ago I went and saw a doctor at a women's clinic and I complained about my back so I could get a referral. I didn't do anything with that appointment and that referral until last month. I called my insurance company (SelectMed) and told them I was seeking a reduction. My insurance called Dr. Mark Jensen and did a three way call where a consultation was set up. My appointment was scheduled 3 weeks out but it flew right by. At my consult October 18th, Dr. Jensen examined me and took pictures so he could submit them to my insurance. As I was leaving the scheduler put my surgery date down for February 13th and then told me the more referrals I get the better chance I have for approval.

I scheduled an appointment with my primary care physician the day after my consult and told him what I wanted to do. He sent his referral over that day! I called the doctor from my visit 2 years prior and she also sent over her recommendation.

Long story short, I waited 3 weeks and I was approved for surgery through my insurance!!! I do have to remove a minimum of 600 grams but that's nothing.

I'll update you all as I get closer to operation date.

Provider Review

Board Certified Plastic Surgeon
1248 E 90 N , American Fork, Utah