Question:
to get approved by my insurance they said that i had to have documented diets.......
i swear i have tried at least 30 differend diets threw the years everything from pills gyms ..staving...water diets...protien diets...carb diets you name it but the only time i have ever been on a diet with my dr is when i am pregent is my insurance going to consider my efferts as documented? what should i do ??my first appointment with the dr is may 5th — jolie S. (posted on April 29, 2003)
April 29, 2003
I have a similar situation. My surgeon suggested that my pcp help by
submitting a letter to my insurance stating that I have been under his care
since 2000 and have tried many diets only to lose and then regain and that
he thinks I am an excellent candidate for the surgery and he would hope
that I would be approved for he feels it would alleviate many of my other
medical problems and that I stand an great chance of succeeding with this
last resort to weight loss. My PCP is very happy to write such a letter.
Perhaps yours would be too. Just a suggestion. Good luck.
— Sarah H.
April 29, 2003
My preapproval letter was just sent off from my doctor's office to my
insurance company this week. I prepared my own letter (4 pages) with
reasons why I know I need this surgery. I included comorbidities, how
morbid obesity affects my everyday life and also a spreadsheet of my diet
history including diet names, amount lost, dates, amount regained, etc. My
doctor was blown away when he saw the detail. I also drafted a letter and
asked my pcp to sign it. He put it on his letterhead and signed it. I pray
that being this proactive will help me get approved the first time. Hope
this helps.
— J C.
April 29, 2003
Sorry, forgot to add that my letter along with my pcp's letter was sent
with the surgeon's preapproval request to insurance.
— J C.
April 30, 2003
If you have copies of canceled checks for the gym, or diet programs, that
would probably be helpful.
— Katerina M.
April 30, 2003
I had the same exact situation with my insurance, even after receiving a
letter from my pcp stating that I had tried many diets but could not
maintain a loss. He also stated my co-morbidities. They still wanted more
info. I gave them my personal diet history as well as cancelled checks from
weight watchers. I should know sometime tomorrow if I have been approved on
that info. but I am not holding my breath as I have been told that Cigna
and Aetna are sticklers for the supervised diet and the only thing I have
to show are the cancelled checks. I would advise you to start on a
supervised diet just incase they want one.
— bubbleboo K.
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