How much weight history did your insurance company require ?
Hi everyone,
I'm currently 2 weeks away from my 5th month of dietician visits and hopefully have my 6th and final visit
In January before my files are submitted for approval from my insurance company. I'm pre diabetic and have had PCOS for years. Weightloss has been a tug of war over the years . I'm concerned about the weight history requirement My surgeon's administrator says the standard is 5yrs that I have to show that I have had a BMI over 40 . The problem is, that I probably haven't. I've spent the last 5 years starving myself, doing crazy extreme diets and eating fads where I had lost weight, but was never able to maintain it. So I have been 220lbs and 1 time as low as 205lbs but was a 500 calorie/day diet. Each time gaining the weight back and more. I'm at an all time high now and I'm finally sick of living for my bathroom scale. I've checked my insurance company's website for bariatric surgery requirements but it says nothing about a weight history requirement. I've even called their customer service twice and asked if there was a different list besides the one online with requirements and was told "no". My surgeon's admin keeps insisting there is and that I need to have it by my 6th visit. I'm not sure what to do because now I'm starting to lose hope that I can get surgery.
What requirements did your insurance company have regarding weight history? Also I have BCBS of Florida. Also keep in mind that All BCBS do not have the same requirements.
Mine was back in the Olden days.... My insurance asked for a list of at least 6 diet's I tried. I ended up giving them a list of over 25 including all my diet books and membership for WW x6 and more.
Most insurances today ask for proof of at least 6 months supervised diet but not all. Good luck to you and keep us posted on how things are going.
HW:330 - GW:150 - MW:118-125
RW:190 - CW:130
Thanks for the replies Ladies . i've given a list of diets, I've had the medical tests done (upper GI, EKG , etc), I've submitted the letter of necessity from my primary care physician, I'm in 4.5 months of my supervised diet with my dietician and i'll be having my psychiatric evaluation in 2.5 weeks.
I don't think i can come up with a 5 yr weight history
on 11/17/16 4:20 pm
I'm with BCBS Arizona, and they required a 5 year history of BMI 35 - 40 w/ comorbidity, or 40+. I had to have a doctor's note (from ANY practitioner, I think my gyno note sufficed for one year) with a weight. Funny thing was, I was between 35 - 40 for several years but didn't get an apnea diagnosis until I was heavier, but that still counted.
Sparklekitty / Julie / Nerdy Little Secret (#42)
Roller derby - cycling - triathlon
VSG 2013, RNY conversion 2019 due to GERD. Trendweight here!
I had to have 6 months of visits with a physician. Nothing prior.
Liz 5'3" HW: 219 SW: 185 GW: 125 LW: 113 Desired maintenance range: 120-125 CW: 119ish