12 month diet!

Does anyone know about Humana Family-Florida Medicaid,

THey said I needed a 12 month diet, but surgeon required something else.

Just got off the phone, with the insurance co. they said if I had proof of some weight loss efforts, they will use it if it was done withing the last 12 months, they said weigh****chers will work, but must be signed off by doctor.

Selena, My insurance company required a three month physician supervised weight loss program.  Unfortunatly, they were a little sketchy about what they required until I actually received my initial denail letter.  This put me almost three months behind schedule.  If they would have told me immediatly, I could have started my diet right away..instead of three months later. My suggestion-call your primary care physician and set up an appointment to discuss the surgery and start a weight loss program with him NOW.  Virtually all insurance plans require some sort of physician supervised diet...they just might put off telling you. In my case, I needed to be weighed at the doctor's office each month and discuss nutrition, exercise and behavior modification.  It all had to be noted in my chart. If you do this now, you can start counting it toward however many months they want you on the diet.  It will also give you an opportunity to talk with your primamry care physician about what you may need from him to facilitate getting your surgery approved.  My PCP took this time to put me on BP meds-so we could show my high blood pressure was serious and we were treating it.  He also made sure my GERD was diagnosed and treated with meds.  Having these diagnosis and being put on meds for them really helped in my effort to get approved.  I found out later that if I was not put on meds for the GERD or BP, they would NOT have counted as co-morbidities for my insurance policy.  (My doc has the good sense to try treatment without drugs, ie: diet, exercise-but my insurance would only look at diseases currently being treated with meds). Just my thoughts--I had the surgery almost three months ago-and am so glad I did not have to put if off any longer.  I am already off my BP meds and my GERD is practically gone now! Best of luck, Lisa R.