*****HELP******
I just got off the phone with my insurance carrier - Humana Family - Florida Medicaid
I wanted to make sure I knew what the requirments were.
1. Must have a BMI of 40+ ( mine is 44 something)
2. Must have psych Eval.
3. Must prove 12 months diet ..... said I can use weigh****chers record
(QUESTION: not sure I have full year on my booklet, also my surgeons office wants me to do 6 months with nut. and PCP. I also have a log that i recoreded everything I did while I was on WW.
what to do next?
You Need to call them again and ask for the Requirements in Writing. As in these past 5 years of my Journey I've never heard of an Insurance Company Accepting the Weigh****cher Records. They have only accepted Doctor Documentations in your personal medical records.
Has you Primary Doctor written every month of your weightloss attempts?
Good Luck of YOUR Journey & try to stay positive,
Mike
Open RNY 5/10/06 and now
Laparoscopic Realize Banding. 4/21/09
9/1/09 I've rec'd 4 fills and lost 86 lbs. so far.
Check the www.obesitynomorefl.com Website Calender.
Laparoscopic Realize Banding. 4/21/09
9/1/09 I've rec'd 4 fills and lost 86 lbs. so far.
Check the www.obesitynomorefl.com Website Calender.
I do not know specifically about Humana Medicaid, but I have seen some insurance carriers that only require a diet history which has nothing to back it up and I have seen others that accept things like WW and other program records. It all depends on the insurance carrier. But NOT all carriers require a supervised diet.
Red