Jump to content
×
Are you looking for the BariatricPal Store? Go now!

If I already did a 3-mo medically supervised diet, will that count?



Recommended Posts

Hi, Bandsters... I am so grateful for this supportive, informative site.

Here's my insurance question. I am just beginning to collect all the paperwork I am reading is needed for iins. approval, have a Psyc interview scheduled, go to the seminar tomorrow, etc.

Because I have Aetna PPO, I see that they want a 3-month diet... but, last year I did a ONE YEAR medically supervised diet with a nutritionist and pills, and got a letter at the end of it recommending bariatric surgery b/c I only lost 18 pounds even tho I followed their diet for a year.

Do you think this will count? And if so, how should I write that up? I really dont' want to wait another three months to get the same answer.

Thanks! Newbie..

Share this post


Link to post
Share on other sites

Hi Gorainy,

I'd think that should count, bring all the paperwork with you to your surgeon's or PCP's office. Also, bring it to the seminar. They usually have someone there you can speak to about your specific issues.

Make sure you have extra copies, never give over your only copy!

You don't have to write anything up, your surgeon's insurance person does the submission. Just provide them with copies of the records or the name of the nutritionist so that they can request copies.

If Aetna denies it, I'd appeal. That was a supervised diet. The book Weight Loss Surgery for Dummies has some great appeals letters examples.

Best wishes!

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • ChunkCat

      I have no clue where to upload this, so I'll put it here. This is pre-op vs the morning of my 6 month appointment! In office I weight 232, that's 88 lbs down since my highest weight, 75 lbs since my surgery weight! I can't believe this jacket fit... I am smaller now than the last time I was this size which the surgeon found really amusing. He's happy with where I am in my weight loss and estimates I'll be around 200 lbs by my 1 year anniversary! My lowest weight as an adult is 195, so that's pretty damn exciting to think I'll be near that at a year. Everything from there will be unknown territory!!

      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      I changed my profile image to a molecule of protein. Why? Because I am certain that it saved my life.
      · 0 replies
      1. This update has no replies.
    • eclarke

      Two years out. Lost 120 , regained 5 lbs. Recently has a bout of Norovirus, lost 7 pounds in two days. Now my stomach feels like it did right after my surgery. Sore, sensitive to even water.  Anyone out there have a similar experience?
      · 0 replies
      1. This update has no replies.
    • Eve411

      April Surgery
      Am I the only struggling to get weight down. I started with weight of 297 and now im 280 but seem to not lose more weight. My nutrtionist told me not to worry about the pounds because I might still be losing inches. However, I do not really see much of a difference is this happen to any of you, if so any tips?
      Thanks
      · 0 replies
      1. This update has no replies.
    • Clueless_girl

      Well recovering from gallbladder removal was a lot like recovering from the modified duodenal switch surgery, twice in 4 months yay 🥳😭. I'm having to battle cravings for everything i shouldn't have, on top of trying to figure out what happens after i eat something. Sigh, let me fast forward a couple of months when everyday isn't a constant battle and i can function like a normal person again! 😞
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×