Anyway to cut a corner?

staceylb71
on 3/21/07 6:46 am

Hi Everyone, I have BC/BS of Michigan that does cover WLS.  However, one of the requirements is that I have 12 consecutive months for (what I was first told) Dr. supervised diet plan.  Of course, I didn't have that but tried many other things including Weigh****chers on and off since 1999.  I spoke to my insurance company yesterday and they will accept this information from WW if I can prove I've been there for periodice weight checks and dietary therapy along with Physical exercise.  Of course, like many people who are trying to lose weight I would jump around because if it wasn't working for the first 3-4 months then I'm moving onto something else.  Does anyone else out there have any kind of stipulation like this in their insurance coverage?  If so and you didn't have to wait another 12 months how did you get it passed through insurance?  Any information you can provide I would greatly appreciate.  I'm trying to get the lap-band procedure.

Thank you, Stacey

(deactivated member)
on 3/21/07 8:26 am
staceylb71
on 3/21/07 10:10 am
OH...I was worried someone was going to say that.  I guess I'm just anxious to get this done that my hopes were high.  I appreciate the feedback.
TropiGal R.
on 3/21/07 11:08 am - Milwaukee, WI
From what I have gathered, I am one of the lucky ones...I only need a three month diet.   I did write a letter to the insurance company stating why I should not have to wait-listed my comorbidities and reminded them that I had tried everything, but they held firm in the three month requirement.  They said it would show my committment to follow  a healthy program post surgery. This made sense to me, but 12 months seems excessive!!!! Best of luck-and do not give up-that is what the insurance company wants you to do! Lisa

Lisa R.

staceylb71
on 3/23/07 5:57 am
Thank you so much for the encouraging words.  I haven't given up yet. -Stacey
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