What does Ins. Co. want to see in pre surgery diet?
What does the insurance companies look for in the presurgical diet. Min only requires a 3 month physician supervised program. But will they deny you because you did well on the diet? Or if you dip below the required bmi do they deny you.
I guess I'm not sure if they are looking for succes in the diet program to suggest that you will be able to stick to the program after surgery (then why have the surgery?) or are they looking for you to try but fail with the program showing that you need the support of the surgery?
thanks in advance.
I guess I'm not sure if they are looking for succes in the diet program to suggest that you will be able to stick to the program after surgery (then why have the surgery?) or are they looking for you to try but fail with the program showing that you need the support of the surgery?
thanks in advance.
RNY on 03/26/12
Don't know. So sorry I wont be helpful. My insurance just required that I see my PCP for three months and she just documented "pt continues to diet and exercise". Thats all my insurance required. I havent lost any weight at all. Call your insurance and ask to speak with a nurse in the pre-cert dept or ask your surgeons office they should know. I told my PCP the things I started cutting out of my diet such as orange juice, soda, alcohol and that I started drinking protein shakes for breakfast. She documented that also. Hopefully someone else will come along with a better answer. You may also want to repost this on the main forum.
(deactivated member)
on 3/14/12 8:31 am
on 3/14/12 8:31 am
RNY on 05/09/12
I think they want to see that you are capable of following the diet post-op. My insurance (UHC) wants to see you lose 5% of your body weight in that 3 months.