How did you do your 6 mo. of medically supervised WL if your insurance required it?

Nan2008
on 10/11/10 12:53 pm - Midland, MI
No the way I typed that sounded like I did but I did the 3 month multidiscipline program for Aetna.  I did have 8 months worth of WW and when I submitted my paperwork to the surgeon's office, they saw the 8 months of WW and submitted my paperwork, thinking that Aetna would recognize it as the 6 mo medically supervised diet. 

At the time, I was about 2 1/2 months into the 3 mo multidiscipline program.  I had no idea the surgeon's office was going to submit....I thought they knew I was still seeing my physician for the 3 mo MD program.  The insurance specialist at the surgeon's office was new on the job and was going to 'surprise' me by getting me approved and sending in my paperwork.  I was sick when I got the letter and heard the news that I was denied because I was still in the process of meeting the requirement of the 3 mo multidisciplinary program.

so what I did is finish up with the remainder of the 3 mo MD program and submitted my own appeal.  And I won. 

So long story short (LOL) no, I only did the 3 month MD program, not that plus 6 months physician supervised.

My daughter was also approved on the 3 mo MD program, and my son has just been approved by doing the 6 month physician supervised diet.  I have one other son, who just finished his 3 mo MD program and we are submitting at the end of this week for approval!

Nan

Nan

HW 300
/ SW 280 / CW 138 /
GW 140
Hit Goal 4/2/2010

        
HarleysValentine
on 10/10/10 12:52 am - Orlando, FL
My insurance required it as well and it wasn't covered (I find that ironic but anyway...)
I, too, had to pay out of pocket for visits with the exception of blood work that was also required. My insurance paid for that.

Most Active
×