How did you do your 6 mo. of medically supervised WL if your insurance required it?
Insurance did not cover. 60 bucks a pop.
When it comes time to send the stuff to the Ins. company for auth., the surgeons office sends that stuff in, they deal with it all the time and should know what to do.
Do you have a surgeon picked out, if so contact them and ask for info on their program and they may be able to answer some of your questions on that, mine was very helpful. Now some of the hospitals in my area won't even see you for a consultation till you have finshed your 6 months of diet supervision.
You must use your PCP. Most insurances do not recognize any weight loss program other than one that is documented in your physician's notes for their 6 month medically supervised diet. You go to your PCP, state you are there for weight loss and make sure the doctor is noting your weight, height, bmi in your office notes. Also mine noted behavior modifications and documentation of following a low calorie diet and also noted my exercise regimen.
I have Aetna and was denied at first for this exact reason....stating I did not have 6 months supervised diet. I had 8 months of weigh****chers documented, but I knew this didn't count even though I was going weekly for 8 months. My surgeon's office submitted my paperwork thinking WW counted since it was more than 6 months but Aetna denied. I was just finishin up their 3 month multidisciplinary program which was all documented by my pcp and I filed an appeal and was then approved.
Bottom line...."m'edically supervised diet" means your physician.
Hope this helps...good luck to you
Nan
Nan
HW 300 / SW 280 / CW 138 / GW 140
Hit Goal 4/2/2010