MD monitered diet
I was denied this week for lack of MD documentation of monitered wt loss. So I am really trying to be positive, I called today and made a doctors appointment with my GP to start the required 12 month hell the insurance company requires.
I am still hoping it changes in January with our change to Humana from OSF. 
I am really trying not to resent this but I know what happens. I loose 40 pounds or so and eventually some stressor comes along and I over eat for a while and then give up because I am tired of being hungry. I get tendonitis and bursitis so bad from exercise that I could just cry and give that up.
Maybe I will be a little better off as next week I get the radioablation done on my back to help reduce pain. I hope this can keep me from needing the steriod injections that increase my appitite as a side effect 
.
Anyone with OSF Health plans that has gone through this?
I really could use some support from someone with this experience so far no one else seems to have OSF. I can see six months but twelve? Come on they just dont want to pay for it and hope you cant last the twelve months so they can say it was the patients fault but yes, they do cover the surgery 
. Lisa
I don't have OSF but I wanted to let you know we are here for you. Of course the insurance company doesn't want to pay...thus the supervised diet. I had to do it for 6 months. It wasn't that bad. Just keep your eyes on the prize....better health....and you will be able to do this.
Good luck on your journey!
I feel your frustration. I had to do my 6 month diet twice. Make sure your doctor documents your weight, what diet efforts you have tried, exercise attempts and/or any medicines tried EVERY month. If not, you get to do it again.
The time does go by fairly quickly and it is well worth the wait. Dont get discouraged. Hang in there! You will be facing surgery before you know it.
Cat Lady
In your prior post you mentioned that you have to do 4 months of supervised in 12 months. Do you have to go for all 12 months with only 4 months checking in with a doctor? I am a little confused. You might be able to get some answers about OSF on the insurance forum on this site by posting a question there. http://www.obesityhelp.com/forums/insurance/ This is the home page for the insurance forum. You can access the message board link on the left.
I am also wondering if once there is an insurance change if the all that you have done pre change will be null and void. Sorry to be the devil's advocate here but I have read that before on the boards that people have to start all over when there is an insurance change. Do you have any ideas if the Humana policy will cover WLS?
As far as exercise goes there are methods to get your heart rate up doing aerobics while sitting down. There are videos that you can buy. There are also machines that exercise physiologist have for sitting down and just using your arms. My doctor's office has one that our exercise guru uses with patients like yourself that are not real mobile on their feet. Sometimes when a person cannot walk real well they can at least do an eliptical or a stationary bike. You can also be using small hand weights while sitting and watching TV. Where there is a will there is a way.
Chris
Open RNY May 7
260/155/140
I guess I did not mention that what really happened with my insurance is that Humana bought out OSF healthplans. No one at work seems to know what changes we will have come January. We did see a Humana rep at a senior expo my department had a booth at. He said that he did not know what we were doing but it could go either way with us being administrator or them. Right now we administer our own plan. Maybe I should try to get on the insurance board, haha.
Any who, my app is on the sixth with my gp, then we will be going to the covered bridge festival in indiana for the second weekend in October. I plan to get down with the diet when we get back from that. Thanks again to everyone for the support, Lisa
