Question:
I have Anthem BC/BS POS(Ohio) Qualifications

My understanding is that to qualify I will have to prove an 8 month medically supervised diet. During the past 8 months I was on adipex a couple of time but did not stay on it because of side effects such a nervousness and inablility to sleep at night. So therefore had little results. I get weighed occassionally at my PCP. And we talk from time to time about my weight. Can anyone help me with ideas as to how I can qualify for the medically supervised diet? Can the fact that I saw a Dr and was on adipex be helpful or enough even though I did not remain on it and got no results? .. Thanks in advance for any info.    — Sarah H. (posted on February 27, 2003)


February 27, 2003
Hi, I also have Anthem BCBS ppo of Ohio. I had to get 5 yrs of medical history (I had used my PCP forever so that part was easy, a few ER trips, thrapist, psychologist etc). I had WW and a 3 month Dr supervised diet. So you should be fine. Start a diet NOW while you wait. That way you will have this documentation if denied. Don't forget to list all your aches and pains too. I was approved within 3 weeks at 1st try. Good luck. Jamie (surgery date April 23, 2003).
   — Jamie M.

February 27, 2003
I also have Anthem. All I had to do is make a list of all the different diets and pills I did and took for loosing weight and gave them to my Surgeon. When my doctor turned all of my papers in I was approved within 7 days. I had no problem with the insurance company.
   — Lana Rush




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