I was denied!!!!

I can't do this today...It has already been a rough couple weeks and now this! I just got off the phone with the insurance company and they said that at this point its denied because i need 6 months physician sup diet and exercise. I CAN'T EVEN WALK, HOW AM I GOING TO EXERCISE. And they wont take anything from the past either, it has to be 6 months up until today...yet they told me nothing about it originally otherwise i would have started this back in june. I don't know what to do at this point. I don't have the money to spend on a phy sup diet! let alone a health club! I am out of work right now and my husband is the only one working to support us. This is the stupidest thing I've ever heard of...I'm so sick to my stomach. Has anyone gone throught his and if so please give me some words of wisdom. I feel like i am in a corner and people are just dangling this right in front of my face but if i move it goes farther away just out of my grasp.

Basically the phsyician supervised diet and exercise program is you going to the dr the same time every month and getting weighed... they want to see you lose some weight - not too much and definately NOT gain *any* weight. Really isnt much advice to give... you have to do what the insurance company asks for. Its too bad yourself or your surgeon didnt check the requirements prior to you submitting the approval in If you cant walk there are still exercise programs that can be reccomended for you... the Dr may even send you to a physical therapist to help out - you will just have to talk to them to figure it all out. Be thankful that you have the benfit for surgery - many do not... so you still have options!!

Almost every single insurance company requires you to do a 6-month doctor supervised diet. I did mine at a weight loss center that is put out by a local hospital. It'll go by faster than you think, and you'll learn about good nutrition and exercise too. Start the process tomorrow!

that sucks! i didn't have to do the six month diet thing but i know a bunch of people have had to. it souds like there's some hope, right? -kari

I had to do the 6 month of diet and exercise as well... there is really no getting around it. I went to the doctor once a month with a food journal and did an excercise program at the gym. Its to bad that the doctor you went to didn't look into it when you got started....It went by fast once I got it all started. Good luck to you!

I know all to well what you are going through as I just got that same answer from my insurance company today. Except my insurance company has this rule that if your BMI is over 39 you only have to do three months instead of six. This is the first time I've ever liked my BMI;). I was very upset about all of this also, but all I can think is, its either this or self pay, and I for sure cannot afford that! Another way to think of this is, these three or six months are going to pass even if I don't go through this program, so I might as well roll with the punches. I know this doesn't make things any better, but hey, it's out of our control, what can we do otherwise, right? I hope you feel better. Emily L.