HELP. please put me at ease by answering...

[peacelives10 1]

Hi, I hope this makes sense

My name is Jen and I'm been going through the process of trying to get the LAP-BAND®. I started out in March and now all that is left for me to do is turn in my 5 year documentation of obesity and my medical clearance results. I remember reading somewhere on these boards that a woman or two were denied because their insurance company stated that their first month of supervised diet didn't count. I'm starting to get anxious and maybe I just imagined this thread because I've been searching forever for it and cannot find it. My question is this... is this true? Can they deny you because they feel that the first month of the supervised diet doesn't count? I had to do a 3 month supervised diet which started on 4/5/2010, 5/7/2010, and ended on 6/7/2010. Does the 3 month diet have to be exactly 90 days? because I counted my days and it was somewhere between 63 days and a date of 7/7/10 would have completed a full 3 month diet? I'm so confused? or is the documented 3 dates sufficient?:wub::eek::sad::ohmy::huh2::frown:

I don't know if I'm going crazy with worry. this whole process has been so frustrating. An answer would really be appreciated. thanks.

[spoiltmom 44]

I'm not sure. My insurance didn't require a supervised diet but my PCP said she has seen people denied for not doing a full 90 days or a full 180 days. She's also seen people denied b/c they weren't seeing the doctor every 30 days.

Which insurance company do you have?

[PuppyBandit 2]

Each insurance is different from what I've read.

I was required to do a 6 monthly visits supervised diet. First appt was Feb 12, last appt was July 14. So actually i had 5 months on the diet, but had 6 monthly visits.

If they mean 3 montly visits or a 3 month diet may be the key. 3 month diet would mean 90 days, 3 monthly visits could be what you have done. I would go to a 4th visit if I am unsure, then you would have both covered :wub:

[AmberK 5]

I had to do a 6 month diet but had 7 total visits. The first visit to document the initial starting weight and then you go back each month after that to see how you did the past month.

[dm5201 1]

As long as you have done what insurance has required, which is 3 monthly visits and you have done them consectively, which it looks like you have. You should have no problem!

[peacelives10 1]

Thanks everyone for your replies. I just turned in all my paper work and am just waiting for the bariatric office to send them to my insurance company. I hope everything goes well with my documented dates of my supervised diet.

And to spoiltmom (sp?) my insurance company is BCBS of TX under my dad. He works at a university.

[jamelyn1979 1]

Each insurance is different. I had to do a 6 month supervised diet, and my 1st month was counted. I started in February and went through July. Good luck.