stacy0830

Hey Bouks---were your sporadic appointments always about your weight? Or was it just documented each time you went?

Thanks so much Mandilou for your answers. My visits with my PCP weren't always specifically for my obesity, but my doctor always documented weight and blood pressure and we discussed different options, and she wanted to make sure that I was getting excercise, etc. I hope it works!!!

I'm just starting this process and I posted something in the pre surgical thread. I guess it should have been here. I also have BCBS IL and I wondered if I would have to be enrolled in a specific plan for 6 months or if I had 6 doctors appointments in 6 months concerning my weight and she advised me on options during the visit would qualify.

Hi everyone! I'm just starting my process. I received my referral from my PCP and have an appointment for the seminar and a "bod pod" test on March 2nd. I did call me insurance who gave me their requirements. I see that alot of you had to see several specialists. Is that a requirement of the surgeon? I have BCBS of IL and it states I need a psych eval, but not cardio, etc. Also, this is a part of requirements for surgery thru insurance: Documentation of active participation in a comprehensive, non-surgical program of weight reduction for at least six (6) months, occurring within the twenty-four (24) months prior to the proposed surgery and preferably unaffiliated with the bariatric surgery program. (NOTE: The initial BMI at the beginning of a weight reduction program will be used to meet the BMI criteria for the definition of morbid obesity used in this policy.) A program will be considered appropriate if it includes the following components: Nutritional therapy, which may include medical nutrition therapy such as a very low calorie diet such as MediFast and Optifast or a recognized commercial diet-based weight loss program such as Weight Watchers, Jenny Craig, etc. Behavior modification or behavioral health interventions. Counseling and instruction on exercise and increased physical activity. Ongoing support for lifestyle changes to make and maintain appropriate choices that will reduce health risk factors and improve overall health. I have been seeing my PCP every month since OCtober and my weight has always been discussed and she gave me her advice on how to lose weight, etc. Will that qualify as the first 5 months in 6 month participation or is more required?