BCBS of ILL denied me
I called BCBS back in November, 2003 and asked them to send me the guide lines of what I must do in order to get approved for WLS.
This is what they sent.
MD evaluation with patients presenting complaint.
Height/weight.
BMI, list of diet history and excerise programs with results, 6 months medically supervised weight loss notes.
Now they send me a letter (see below) telling me that they need more information and saying it must be a year diet. I think something is little wrong with this picture. Don't worry my surgeon, Dr. Koren is fighting it for me and if need be I'll get a lawyer.
BCBS Letter wrote:
Documentation of Medically supervised weight management including nutrition therapy, supervised increase in activity, behavioral interventions and maintenance support. We would need 12 months of intensive medically supervised effort.