Scientist
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Posts posted by Scientist
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Hello, all.
A bit nervous with my first post. It's been less than a week since I got a new general practitioner (the previous one retired) and formally raised the idea of (probably) gastric bypass surgery. I haven't done any of the consultations, finding a surgeon, etc, that's all in the future. But one thing I can worry about and start to plan for in the present is insurance.
I am in Illinois and have Anthem BCBS.
Something I see listed on their requirement is:
- Past participation in a weight loss program; and
- Inadequate weight loss despite a committed attempt at conservative medical therapy (for example, comprehensive lifestyle interventions, including a combination of diet, exercise, and behavioral modifications); and
Anyone have any experience with that, or with Anthem BCBS? Because to my skeptical eye that just looks like a catch-22 way to deny the claim: "Oh, you lost weight? Don't need surgery, then, do you? Oh, you didn't lose weight? Not committed, I guess. Tough luck, though."
Anthem BCBS, Illinois
in Insurance & Financing
Posted
Thanks, Catwoman7, that's somewhat reassuring and when put that way there is a certain logic to it.
Right now, I think my BMI is 41 (I know my weight, but it's been so long since someone measured my height I'm honestly not sure if I remember it accurately!) so I'm also a little concerned that if the diet works, I'll dip below the threshold for insurance coverage.
PS - Kudos on losing all that weight with the diet, though. Like most of us (I'd think) I know what kind of incredible achievement that is.