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Lissa81

Gastric Sleeve Patients
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    54
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  1. Like
    Lissa81 got a reaction from MsK1972 in October Sleevers - Who else   
    I'm having surgery Oct 23rd!
  2. Like
    Lissa81 got a reaction from Keepgoing247 in Anyone use Pictures for Blue Cross AL?   
    Hi! Well the insurance department had me gather up pictures from the last 3 years since my BMI hasn't been at 40 until the past year. When I showed them the pics I was told those should work for approval, but I have to get my GP to sign off authenticating that it is indeed me. My 7th weigh in will be in August, so hopefully I will be scheduled sometime sept/oct! Please pray that all goes thru!
  3. Like
    Lissa81 reacted to KickRocks in Anyone have BC Alabama insurance?   
    I have the same insurance and have to have a 6 month supervised diet you can read more https://www.bcbsal.o...s/final/053.pdf
    3. Documentation must be present of participation in medically supervised weight loss program. For purposes of coverage, we (BCBS) recognize medical supervision of the diet and activity program by practicing MD's who are not bariatric surgeons, such as family practitioners, internists, and other primary care specialties (medically supervised weight loss or activity programs generally are not a covered benefit). Documentation provided by these health care providers will be recognized in the review process. At least one attempt must occur during the one year prior to request for surgery or date of surgery. Documentation must support participation in the program for six consecutive months. The following criteria must be met for this participation:
     Documentation of participation in a physician supervised program of nutrition and increased physical activity (including dietitian consultation, low calorie diet, increased physical activity and behavioral modification). Documentation of program participation must appear in the medical record no less than monthly for a period of 6 consecutive months by the attending physician. Documentation should include comments by the physician regarding patient progress or lack of progress. A letter does not meet this requirement. There must be medical records to document medically supervised weight loss attempts;
    OR
    Medical record documentation of a 6 consecutive month, nutrition-led weight loss program (Weight Watchers, LA Weight Loss, Jenny Craig, EatRight, etc.) with a minimum of 3 physician visits during that 6 month period documenting medical supervision, Not acceptable are self-directed programs such as joining a gym, Atkins’

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