So excited!  My VSG was approved!

I will say that I was really sweating it because of the at least 2 years of weight documentation.  However, I had some old medical weights that proved I'd been fat longer than the 2 years.  I wrote a letter to explain why I hadn't been to a doctor.  It worked.  January 14 can't get here soon enough! 

Just letting you know my experience, I too had the LB revised to the Sleeve and my reflux became worse.  Not sure if you know that RNY is the less likely for reflux.  I have a hiatal hernia too.  I am waiting for my doctor's office to submit the paper work to BCBS Federal.  

I have almost the exact same story as you!  I have been obese for years but did not have recent medical documentation.  I wrote a letter explaining the lack of current medical weight documentation (basically that I had not been sick since my son was born in 2009, my husband lost his job so insurance changes  and a move had me just putting off regular preventative exams, etc)  My plan states that I need documentation of "at least 2 years of persistent obesity"  so we provided medical records from my pregnancy in 2009 showing that I was, indeed, obese back then.  I stated several times in the letter I wrote that I had "at least" two years of obesity...I had more like 15 years!  I was approved.  I'm having surgery in January.  I hope this helps your spirits.  Good luck!

I am confused about the UHC guidelines for approval. If my BMI is 49.9 and the minimum is 40. The contingency is a 6 month monitored diet plan. My question is can that "diet" be monitored before the process is started with the surgeon or can it be prior to that visit. I am concerned that I will have to wait 6 months. I have tried to lose weight for over a year and it seems counterproductive to make patients wait longer.  Does anyone have any experience with Insurance guidelines?