Ypsibander

Going to my PCP today to get paperwork filled out for 6 month diet history. BCBS of Michigan said just have to show six months of consecutive attempts of diet history. Surgeon's office says doesn't have to be consecutive months, just 6 months in a 4 year time period. Ugh! So, better to play it safe than sorry, I do have a 4 month time frame I followed Weight Watchers and will show my Dr the online receipt. I finished WW not losing anything really, but went back to her two months later and tried Belviq for a few months. So with WW on board for 4 months, I'm sure we can come up with something for that two month gap when I didn't "formally" follow a plan. I still try to follow a pretty healthy diet since I have a lapband and still need to lose, and my Dr is encouraging this revision. Just looking for any tips/wording/ideas you have found to be helpful with the diet history! Thanks!

Embrace,

Do you mind me asking about your weight history? Starting when you got your revision and current, for example? I have a consultation in the works and am just wanting to be sure I'm making the right choice for myself. Thx!!

My ins. requires me to use Henry Ford Hospital in Detroit, Dr.Genaw and Carlin do it there. How about yourself?

I just spoke to surgery clinic today and they are sending out papers to me to give to PCP to fill out and submit to Insurance. I have Health Alliance Plan (HAP)HMO of Michigan . I am going to my PCP on 5/28 and will bring these along. Do you know if this "paperwork" is what the Dr. will fill out to get me pre-authorized or authorized? I am wondering if I can bring anything along to up my chances when it's sent in? I know six months of diet/exercise is required (not sure to what extent),BMI w/co-morbidities, psych eval, and I think that was about it. I thought maybe like Weight Watcher booklets, copies of gym memberships, any personally written letters..not sure if that even matters?! Any advice?? Thanks so much!!

I called and emailed HAP and they said they do not cover Lap-Band, but they do cover gastic bypass surgery. They mailed me some info and it contains covered CPT codes. I don't know if I'm missing something or what, but a covered code is #43770- Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device(e.g.,gastric band and subcutaneous port components).Now I know I've seen on here that the CPT code is 43770. Am I mistaken in thinking this IS actually covered according to their info they sent me? I'm new to this and so confused!:confused2: