Question:
In my insurance coverage booklet is gives the requirements.
I have co-morbids, a bmi of 46 so I am morbidly obese. I have type 2 diabetes, PCOS, lumbo-pelvic condition, and degenerative disc disease. The third requirement is the patient or physician provides evidence that conventional weight reduction methods have failed. I have charted the different types of diets, exercises and the amount of weight I had lost and gained as well as about how long it took to put back on the weight. My question is will my diet/exercise chart over the past 12 years be sufficient enough? — hartnell (posted on February 9, 2006)
February 9, 2006
I am willing to bet that the insurance company will make you go through the
standard 6 month physician supervised diet study. I know that almost every
insurance is requiring this now. Hang in there, other than that, getting
your approval should be a breeze!
Pam
— stargazer12472
February 10, 2006
Hi Tracy, My ins. said that they required the 6 mo. of supervised weight
reduction, but when my DR. faxed the 25years worth of weight reduction
plans, etc. to them they were blown away. Thank God above that I had
documented all of that. They were more that happy to accept that. I had
Humana Choice Care PPO. The best you can do is try. If they tell you no,
then you know what you have to do to get where you want to be!! Hope this
helps! SassyLu
— SassyLu
February 12, 2006
It ususally has to be documented by a doctor, so you should start with one
immediately. If you also go to a sugeon right away, you can set your date
for a month after you finish your required diet. Then you will be ready to
go. Also, complete any other requirements during the diet period. for
instance, get your specialists to write letters for you detailing your
comorbidities, and why weight loss would help.
— Novashannon
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