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Posts posted by ItsTime4Change2
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I have not heard from the coordinator's office yet. I may end up just showing up and trying to get a face to face. Looking at the plan documents, it does say...
"Member must meet one or more of the following criteria:
Physician-supervised nutrition and exercise program.
Multidisciplinary surgical preparatory regimen.
Participation in the Weight Management Program."
I just wonder what determines if "or more" is needed.
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I hear you JoJo. And I totally understand that interpretation of the plan documents. I spoke with someone at length who just went through the surgery with the state insurance. They were required to do more than that. There is a bariatric coordinator at the hospital I plan to use that works with the insurance to help get patients qualified. I am supposed to talk to that person this week and I will let you know what she says has been required for approval.
I am under the impression that you could do 3 months in clinic weight loss program, or do the 6 month active health program.
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So I am required by my insurance to get with my doc and go on a restrictive diet for 6 months, meeting with her once a month for weight-ins and evaluations.
I am curious if anyone who went through a similar thing has a particular diet recommendation. I had some success on Adkins back 13 years ago. I was able to stick to it more than others. I went back to eating normally though and put it back on and then some.
Looking at Keto or another carb restriction diet to hopefully train me to get away from that junk before and after the sleeve.
Suggestions?
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I'm in north Ms. I regularly see a nurse practitioner as my primary care. I wonder if I'll have to use an MD for this.
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Does anybody here have the Ms State Employee Insurance? I am looking at the policy documents and I feel a little bit like I am reading the tax code.
Is there a clear cute plan of action that anyone has followed to get approved?
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Anybody have Mississippi State Employee Insurance - BCBS AHS Network
in Insurance & Financing
Posted
I do know a person that just had it. Same insurance. Cost was $1600 area day of surgery.
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