Question:
i don't have any medicall supervised diets
what should i do? my insurance (omnicare) requires at least 3 and i have none. this is all i need .... what can i do? — angela W. (posted on March 16, 2004)
March 16, 2004
Do you have any history with OA, WW, Tops or ANY organized weight reduction
group that charted your progress? If you do sometimes insurance comps will
accept these or at least accept it as 2 of the three. Otherwise all you
can do, that I KNOW of is see a doctor and start a medically supervised
diet. Good luck!
— [Deactivated Member]
March 16, 2004
My advise is to go to any doctor or physician that you have been seeing for
any health-related issues arounding any issue that affects your weight.
Your GYN doctor, your Endocrinologist, your Family Practice Doctor...people
who have been helping you with any health issues that could possibly effect
your weight-loss and/or weight-gain. If at any point you have mentioned to
them that you are stuggling with your weight and they have stated that your
health issue could be weight-related or could be a possible hinderance in
your weight-loss, and you have stated verbally to them that you have been
trying to shed the weight and have not been able to, they should be able to
provide a statement stating that you, as their patient, have put forth
efforts to shed the weight and have not been able to do it successfully.
And that you have had such and such health issues which have made
weight-loss extremely difficult and nearly impossible. That should be
beneficial to your insurance company. That is what I had to do with my
insurance company because I did not have a program that I was involved in
or registered with which could support me. So please try that. It worked
for me and it might work for you.
Good Luck!!
— Ce-Ce P.
March 17, 2004
Not all people need to have a history of recorded diet history, but your
medical records could possibly show the ranges of weight over the years.
If you have no diet history, don't give up, it may be harder to get
approval (i.e. possibly see a therapist that can help you get approval
through insurance.) Basically the insurance companies NEED to know that
paying for the surgery is in your best interest. There are alot of
emotional changes involved with surgery, this is simply a tool and we
really have to do all the work. This is just another obstacle along the
path of your journey, learn from every step and take care of yourself
during the process. It was about an 8 month process of research and
waiting for me, and some days I still feel like I could have researched
more.... I still do. This is a life changing procedure, educate yourself
and get ready to show the insurance that you do know what you are doing.
Go to nutrition classes and gather all your info. if you do have to
appeal, show them what you have, the statistics.... As for me, I did diet
history through Weight Watchers, Phen-Fen (in another state without MY
Dr.'s approval.....Meridia....) And I bet I had at least 50 other 'diets'
under my belt...(literally, each attempt added MORE under my belt..) But,
most of my diets were not recorded, beacause of the embarrassment of seeing
the Dr. and knowing that the speech was coming.... I just never went, hence
really no record of drastic weight changes on record. I am sorry to be
rambling, but without a history, you will need to make one for them and get
ready, if you get denied, show them your cards, tell them your story and go
in armed with you family Dr.'s approval and that of a therapist. Good
luck!
— Dana B.
March 17, 2004
ANGELA,If your Dr has ever put you on water pills,or suggested exercises,
or eat or not eat certain foods..this can qualify if the Dr will put it
down for you Nancy
— NANCY P.
March 17, 2004
ANGELA,If your Dr has ever put you on water pills,or suggested exercises,
or eat or not eat certain foods..this can qualify if the Dr will put it
down for you Nancy
— NANCY P.
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