shasha1974

I started with a complete physical with my pcp, they did the blood work then...the program you're going through will test you for sleep apnea and other things if the feel you need it! It can be a long process and it makes it go quicker if you know what requirements you insurance policy has ????

No. On my form there were spaces for weights and then one space for my weight five years ago. So I filled in the spaces with my previous visits and then filled in the one that was at least five years ago. But I also think that if you talk to your doctor, he/she will understand and give you what you need in order to get your surgery. Keep us informed. ????

@@shasha1974 definitely keep us updated. Positive thoughts.

I hope it works too. Good luck!

I'm going through CMMC's program. I have my nutrition and cardiac visits on August, 5...and my psych visit on August, 19.

Well my "lady garden" currently has the look of Billy Connelly`s beard !!! pippinleicester.

Sasha, mine finally stopped falling out faster than it's growing in at about the 7 month mark, but it DOES come back. I got a sample of the Marc Anthony Oil of Morocco spray in my Ipsy bag (it's about $8-$10 for a big full sized can) and it works really well to keep the frizzies down without making my hair stiff. Otherwise, I walk around looking like I stuck my finger in a socket.

my insurance actually required the same thing, and I had the same issue you did, no insurance for a long time before I started this process. All they ended up needing was paperwork filled out with my primary care doctor and signed by her in which I tell her I have been obese for about ten years. Some things need documentation but a lot of insurances will take your doctor's word for it, and your doctor will take your word if you are open and honest with him/her. Hope this helps and is the case for you! Good luck, keep us posted.

They really make you jump through the hoops!! Which I can understand to a point but I think a lot of it is so they don't have to pay! I'm going to meet with an independent agent November 9th and he's finding me a plan and policy that doesn't have this requirement doing can switch when it's open enrollment time November 15th and the new policy will go into effect January 1st. That's right when is be finished with the 6 months medical supervised weight loss. Hope it works!

Have you been to any doctor in the last five years (GYN, clinic, primary care) where your weight was recorded?

BCBS is requiring that I have 5 years of a BMI of 40 before I can switch from the Lap Band to the RNY! IWell I can't show that because I had WLS 7 years ago! 2 years after my surgery I was the lowest, but then I started to gain. Had my first denial back in November, 2014. I'm probably going to get my second soon. I will contact lindstrom obesity advocacy.

I'd try to get every visit you've had. And definitely use the visit with your gyn 7 years ago. That way, it will show that you have had a problem for at least five years. My insurance wanted that too.

Get the records you do have and then see if your current PCP will write a letter on your behalf. Don't give up before you have even started.

They really make you jump through the hoops!! Which I can understand to a point but I think a lot of it is so they don't have to pay! I'm going to meet with an independent agent November 9th and he's finding me a plan and policy that doesn't have this requirement doing can switch when it's open enrollment time November 15th and the new policy will go into effect January 1st. That's right when is be finished with the 6 months medical supervised weight loss. Hope it works!

Hi guys!! I have anthem bc/bs of Maine individual policy and just found out today that they require the 5 year medically diagnosed obesity! I have just gotten insurance in March as I am self employed and don't have these years of documentation! I'm just curious if anyone has had this same requirement! Thanks a bunch
Shawna

I'm not too far ahead of you shasha1974 and not far away either... Bridgton here.

Hi everyone, I am Andrew from South Africa, I had my surgery on the 9th of Feb and I am down 76kg (167lbs) since this whole journey started in November last year... This has changed my life so much, I have never been shy or an introvert, and have had alot of success in my life professionally and personally... But since the weight has come off, and still going... My feet have not yet touched the ground... This desicion was by far the greatest one I have made.. In 33 years of existence, I am truly alive now... I have been going through the stories and photos from you guys and girls... And you all look amazing.