Optima Family Care Insurance??

ShannonMcClellan
on 2/7/10 1:52 am - Virginia Beach, VA
I had medicaid and was put into Optima Family Care. I called and asked their requirements to cover the surgery back in May and they told me they just needed a letter from my PCP stating that it was medically necessary. I got that but I heard they may have changed their policy and require a 6 month supervised diet. Does anyone know if this is true?? I sure hope not. I've been dieting for about 15years already and have type 2 diabetes is that not enough for these people??
tommygirl
on 2/7/10 12:35 pm
I have Optima Health and I had type 2 diabetes and I was approved within 2 weeks. I didnt have to wait at all. I dont know if its the same insurance or not.  Good luck and I hope you dont have to wait 6 months and if you do that 6 months will go by fast, and the wait will be worth it all.
Tomygirl
(deactivated member)
on 2/7/10 12:40 pm - Fredericksburg, VA
RNY on 02/22/06 with

Hi Shannon,

In many cases insurance companies do require a 3 or a 6 month supervised diet as well as co-morbidities. They hope that you will back out and not persue it. If this is indeed a requirement , talk to your insurance to see what they will accept because sometimes they accept weigh****chers but not always...

So I think your first step should be to call your new insurance company and ask them what the requirements tare oday and then at least you will know...

Good luck and keep us posted...

Jackie

 

ShannonMcClellan
on 2/7/10 2:38 pm - Virginia Beach, VA
Thank you guys so much for replying. I'm calling first thing tomorrow morning but I've already scheduled a visit with my pcp in case it is a requirement. I'm keeping my fingers crossed it isnt...
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