well..i called my insurance-they suck!!

i called amerigroup and spoke to the case manager. she said she couldnt tell me any requirements that needed to be met. she said just have my dr. send in neccessity and then it will go to the medical board for review. i got the impression she didnt wanna tell me anything cuz i'd go and do just what she said so i can get it done. i also think she said that cuz then i can try to submit it, be denied and be that much harder to get them to pay for it!!!! i even asked how long is the supervised diet and she sadi she couldnt say. submit what you got. i explained i dont have a diet history with my pcp and she sadi just send what you got! she sux!!!! i guess i am going to do my blood work the beginning of june and then see what my dr. says either yes or no he'll refer me to have it done and start a 6 month supervised diet!!~!!!!! who knows maybe it'll work!

First thing it sounds like you need a new PCP I read your profile. Mine is Dr. Robert Dean and he is so supportive of the WLS. His #727)787-4383 Second thing you have every right to know the requirements for the Requirements. I would call and speak to the supervisor over your case manager. Us ually a supervised dieting is for 1 year. But again it all depends upon your insurance. I know you have Amerigroup. That is a state plan correct? Well if all else fails there is Voc. Rehab. But you must be willing to return to work or if you are working obesity MUST EFFECT your job performance. Hang in there get ready to grab the tiger by the tail and DON'T get emotional for that would get you nowhere.....

hi, sorry to hear you are getting the run around. Have you found a dr. yet to do your surgery? Their office has a list of requirements for each insurance, but to let you know....medicaid/medicare hmo's require 18 months worth of supervised diet. Talk to your pcp, they should know also and contact your surgeon. Hope this info helps out and good luck on your weight loss journey. Keep us posted. Tammy