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I'm sorry no one replied to this. It really depends on each insurance company. For example, Aetna requires that the 6-month supervised happen within 2 years prior to the surgery. They have a 3-month option that they require happen within the 6 months prior to the surgery. It appears that BCBS's medical policy bulletin is silent as to the timing, so, you might make it.
HW: 274 | SW: 232 | CW: 137 | Goal: 145 (ticker includes a 42 pound loss pre-op) | Height: 5'4"
M1: -24 (205) | M2: -14 (191) | M3: -11 (180) | M4: -7 (173) | M5: -7 (166) | M6: -8 (158) | M7: -11 (147) | M8: -2 (145) | M9: -3 (142) | M10: -2 (140) | M11: -4 (136) | M12: -2 (134) | M13: -0 (134) | M14: -3 (131) | M15: +4 (135) | M16: +2 (137)
We LOVE NSVs. Check out this video on NSVs that contains some of our fellow OH members and speakers from the 2013 ObesityHelp Conference, courtesy of OH Member, Beth Sheldon-Badore. Inspiration for all of us as we live our healthy lifestyles every day.
What are some of YOUR NSVs?
I'd be broke with bills than live another year like this.
Lots of luck to you!
on 10/6/13 11:53 am
I will have a revision in February, too.I wondered about this as well, but I will still have my private insurance, so I think I will be ok. I need to get everything and anything done before things change.
Hello, this is my very first post.. I have a question for anyone that will listen. I've been considering gastric bypass for a long time and I finally have a new job with insurance and I've got to a great place in my life and I felt like now is the time. I went to a seminar and it was incredible, positive and informative. I happily started filling out my packet the next day and started to try to line up appointments.
Then I got the call about my insurance. I had no idea about the 5 year documented weight history that would be required. That is the only thing holding me back from insurance helping me with the surgery. I lost my job a few years ago which meant I lost my insurance.. when I got sick? I toughed it out and never went to a doctor. I have no records of being weighed, not from a doctor, walk in clinic, ER, etc. Literally, a $20,000 mistake. I was quoted $4000 with insurance after meeting requirements. Self pay would be $24,000.
I am absolutely crushed. I've been crying for days. I'm keeping the appointment I have next Friday with my MD, I am going to ask her if she will send a letter of Medical Necessity. I feel in the back of my mind that it won't work and they won't approve it.
Have any of you had this happen? Or had a letter of Medical Necessity work for you?
Any advice would be greatly appreciated. Thank you so much.
I realize theres a good possibility no one will know the answer but I have BCBS. My insurance requirements with them for a revision include a psych consult, nutritionist and 3 months of a supervised diet. I have a "in" with my surgeon (he works with my husband) and am wanting to have the surgery done before the end of the year because I've met my deductible. The kicker is the 3 month diet. So here is my question. Last year I visited a doctor who tested me for everything because I was unable to lose weight with my band so I was hoping it was a chemical issue. We also did a supervised diet for 6 months. What are the chances of the insurance company accepting that even though it's a year ago?
The bariatric coordinator told me to go ahead and get the records and she'd try to submit them to see.