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Anyone approved w/o 6-12mo documented weight loss attempts by DR?



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Was just wondering if anyone had been approved by their insurance company without a consecutive diet trail. Will letters of "recommendation" from your doctors work? I have dieted for YEARS, just don't have it written in a chart every month.

If you were approved, how did you do it?

Thanks!

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went in for my initial consult Feb 22. Had my surgery May 23rd. No paper trail for me. All smooth sailing. It wish it was as easy for everyone else. No arguing with insurance companies, no appeals, etc

Good Luck

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I have UHC also and I had to write down my weight loss attempts, but they didn't require any proof of participation. Good luck with your approval! :)

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Obviously different carriers have different levels of required information. I had Aetna, and they did indeed have that 6-mo diet proof requirement. I satisfied it by having my doctor show that I'd sought help with my weight more than a year before, and that on every visit since then the subject of my weight had come up. It didn't start out as a formal attempt at creating a paper trail, but it showed a sincere attempt to deal with my weight issues as a medical condition. I ended up being diagnosed hypothyroid as a result of my initial visits, and at the end of the year I'd come to the conclusion that banding was a realistic option for me. (I'd not even heard of it when I first went to my doctor about my weight and the way I was feeling. I originally wanted to know if there were any new drugs I might take.)

Weight has been an issue for me my entire adult life, so any doctor's notes from any point will show some discussion/concern about my weight. It wasn't at all hard to show that it'd been on my agenda for six months.

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Well I am UHC person also and when I sent my package in to the dr he asked for a list of diets but that is all I ever gave him nothing else.

That was probably for his own information. All bariatric surgeons want to be confident their patients aren't coming to them as a FIRST resort.

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Guest crazygirl20

healthnet, they required proof of weight loss attempts but if you have been over weight the last five years just going to the doctor for a check up and they write down your weight. healthnet will take that.

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blue cross didn't ask for 6 months from me just a letter from my Dr.

took 2and 1/2 weeks and got approval surgery date DEC 8th

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I go to my PCP on Tuesday, for my second month of stuff. I am going to give them the medical records request then so that they can at least send two months of things. I sure hope things go smoothly from there. Really wanted to have this done over Christmas break, but don't think that will happen. I can always keep my hopes up though!

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Cigna paid for mine, twice... I only had to list diet attempts and history, but no consecutive Dr Supervised info was required. Of course, each doc is different, each insurance co. is different and times have changed since I was banded.

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Remember each year the policies change. I know of one insurance company that did not require a 6 month diet last year but is requiring it in 2006.

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I only had to outline all the diets and weight loss attempts and help I received. In my case I could approximate dates and methods over 25 years. I didn't need "real" documentation. I have QualCare.

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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

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