Recent Posts
Nope nothing. someone at the surgeon office is going to look into it after I see my new pcp and get some paper work turned in to her. ill let you know if anything is clarified!
Hi - curious if you got your answer? I have my appointment with my surgeon in mid January - my dr knows I have been trying to lose weight and have been up and down since I met her - I would just HATE to have to wait 6 months to prove I cannot lose weight!!
267/258/223.9 Turkey Day Challenge 15 pounds minus 2.1lbs
Highest/Surgery/Current
Hi, Does anyone know the requirements for RNY surgery under Molina healthcare of Illinois Medicaid? Please help. Thanks.
Years ago (2011) when i first started the process for bariatric surgery (got talked out of it, long story) the wording of my insurance policy was "doctor supervised diet".
I have a different insurance now, BCBS of TN and the wording is alot different.
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Attending physician documents adherence to a non-surgical weight loss program (e.g. dietary management, behavior modification, and/or exercise) with ALL of the following:
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Most recent attempt was within 2 years of request for surgery
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Participation was for a minimum of 6 months.
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Can anyone tell me if this is the same thing, or if they just have to say yeah they have done this this this and blah of # months.
I tried asking the nice BCBS service rep for clarification, but she said that's all it said. I have my consult in december. But I have had some hiccups with my PCP retiring our of no where, and the area I live in has a doc shortage, so it's been one thing after another.
I had read a few places that some BCBS networks had changed to not needing a "supervised diet" and just wondered if this was the wording for that.
Thanks for any help
does anyone know if it's possible to get insurance that covers complications for surgery in Brazil? I have seen it for surgery in Mexico but nowhere else
Hello Mrs. Judy B. would you please send my a copy of the letter. I was recently denied with UHC and I would like to appeal and don't know where to start. I would love for them to approve my first appeal. I would great appreciate it if you can help me out. UHC covered my gastric but said panniectomy/ abdominal plastic is not covered! HELP PLEASE THANKS
Hi everyone. I have Blue Cross NY, as a state employee. I have a BMI of 36, but not really any como's... I only need one to qualify. I do have a documented cardiac arrhythmia, but it's really minor. Anyone have experience with this type of insurance, and getting approval, especially for this comorbidity? I just don't want to waste any time. Thank you all in advance. Also, if anyone can explain the psych evaluation, that would be amazing.
Wondering if anyone in SC has Blue Choice medicaid and whether or not you had to go through the 6 month diet before being authorized to have surgery?
Thanks so much for your response. I have met with a bariatric surgeon and his team. I think I am just overthinking everything and am really anxious about getting an approval when the time comes to submit everything. When I went to the new patient seminar, they did mention the items they would need from me to get an approval and medical records was not one of the items. I was pretty much told the same as you. I was reading other post and someone mentioned the whole medical records thing and it made me wonder if I would need the same. Like I said, I think I am just anxious and overthinking everything. Especially since I have a 4 months left on my medically supervised diet. Lots of time to overanalyze. lol
Again, thanks for you response.