Hi guys. I am in the beginning process of getting the bypass. I met with my surgeon and am just now making tons of appointments for the various doctors they need me to see. I have united healthcare community plan, which is an HMO of medicaid in NY. They cover gastric bypass, but I have called a good ten times askung for the requirements, and have gotten 3 or 4 different answers. My surgeon's office doesn't know what they require, since the patient advocate is out on vacation till the 20th. So far, I need a pre-authorization from the doctor, then my insurance will let him know of the requirements. So far I've heard yes, I need the 6 month diet, then I've heard I need a year of failed diet attempts and nutrition counseling, then I've heard there's no requirements but the BMI over 40, and so on.
I can't imagine needing a year of supervised diet...never heard of that. I am, however, going to do the 6 month diet because I am sure they most likely require something like that.
So, I'm lost. Any advice? Has this confusion ever happened to anyone? Should I wait till my patient advocate comes back from vacation to contact her and see? It would be a pain to do all this work just to submit to insurance to find out I was missing something