Anthem BCBS of CA... 6 month supervised dietary program question

BumpiestStar
on 4/11/11 1:09 am - MD
I’m live in Maryland but my insurance is Anthem BC BS of CA. I was wondering if anyone with the same insurance had to do a 6 month supervised program? I ask because when I decided to have WLS I asked my insurance company for a copy of the medical policy (SURG.00024), and it only states; The individual must have actively participated in non-surgical methods of weight reduction; these efforts must be fully appraised by the physicians requesting authorization for surgery. When I called the insurance company and asked how long the participation should be documented for, I was told there wasn’t a specific number but during my visit with my surgeon. I was told that BC BS requires 6 months. Does this sound right, who do I believe, how do I get the correct answer?  I also posted this in insurance, Cash Pay and financing forum.
Geminisappho
on 4/14/11 8:44 pm - Atascadero, CA
Hi there. I have Anthem BC BS of CA as well. The info you copied is just basically stating that you must have participated in attempts to loose weight (w/o surgery) and that your surgeon has to do his/her due diligence to make sure you did this.For example: Phen Phen, Phenteramine, previous medically supervised diets, weigh****chers, jenny craig ect
Unless their plan has changed you do not need a 6 month medical diet before surgery. I think your surgeon is misinformed about Anthem's policy; unless your surgeons office means they require a 6 month supervised diet.
***ADRIENNE**
  

remembrtherain
on 4/17/11 11:28 am - San Francisco, CA
I have BCBS as well, and no one mentioned to me anything about a 6 month medical diet and my surgery is in 8 days, so, I think you're okay!
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