Help!!! Insurance!

Hi all, I have BC/BS IL and recently faxed all my paperwork to BTC for the insurance coordinator there. I have med records going back to 1996 showing nutrition/diet consultations, but only for a grand total of 7 months. I have many attempts besides that wonderful stint with Fen-Phen, (Hi, they had to *yank* me off it because they pulled it off the market) but they were NOT Dr supervised, nor were they documented. These include weigh****chers, atkins, low fat, low carb, the zone, jenny craig....I could go on an on...they were expensive too!!! The insurance coordiantor called me back today and told me she was not sure the 7 months of diet would gel with the *12 MONTH* minimum that my insurance requires. She wants to see if I can get "more documentation", but I have no idea how, or what she's looking for??? Does anyone else have any ideas, or history with BC/BS? I'm so scared! Thanks Anne

Hi Anne! I am kind of in the same bost, although I actually have the 12 months supervised! I have BCBS (PPO) and have been denied. I just finished my appeal letter and am waiting on another letter from my PCP. Good luck to you....I wish I had the answers. Gilly

Yes, I too am in the same insurance BC/BS (HMO). My situation is alittle bit different in that the nutritionist won't release her evaluation to the surgeon's office because she states I have to have 12 months supervised care with her. That is a bunch of bu*&^#t!! Excuse my language but I am upset. I told her that I signed a consent form to release my medical records and It didn't matter who I wanted them sent just send the damn papers. Her response to me was why did the surgeon's office need a copy when I don't meet the medical groups criteria for the surgery. So Im fighting with her to get my paperwork. If anyone out there has any ideas or suggestions on how I can do this please feel free to respond. She is the only one holding up me getting an appointment with the surgeon and the surgeons office working on my approval.

Anne will they accept any documentation that you were on Weigh****chers? Geeze this really sucks.... I'm sure something will work for you, keep up hope!!! Debby

I haven't sent any info yet. I just sent to the coordinator for Barix clinics who says they are pretty strict on the 12 month supervised thing. Thank you all for your responses...it's too bad that insurance companies have decided they know what's best for us. What really gets me is I have a friend at work who has BC/BS IL and got approval less than a year ago with no hitches for the surgery. She did NOT have the 12 mo's supervised, nor did she need a psych eval. Argh. Oh well. Well, if it helps anyone in the future, I called my PCP and she is retyping my referral letter and just putting the years I was on Fen-Phen. (Ie: instead of 7/96 - 3/98, she's putting 1996 - 1997) Hopefully this will be enough. Hugs, and best of luck to you all Anne

Hey Anne! FYI, I talked to my insurance coordinator about my letter. She told me that the letter was good. I have documentation of the diets I was not previously. etc. I am confused about this whole crap! Any ways they are waiting on one last medical record, which is from my pcp. The office claimed they mail it out on last Monday...but you know how that is....It took me 5 weeks to get my letter from my pcp. (knodding). I hope to hear something in the next 30 days. I am praying that they approved me! I am sooooo ready for this sugery....Later Gator! Tracy