Hi All, I in the process of finishing my tests for lap band. All i have left to do is the Cardiac clearance, Psy eval, Pulmonary test, and Nutrition class. I will be finished my the second week in Feb. My insurance (Blue Cross PERSONAL CHOICE of PA) requires this:

The individual must participate in one of the following:

• <LI type=circle>Physician-supervised nutrition and exercise program (eg, primary physician, Optifast, Medifast) over three months consecutively prior to surgery, which includes the following:
  • <LI type=square>Dietician consultation <LI type=square>Low calorie diet <LI type=square>Increased physical activity
    
  • Behavioral modification

    OR

    
    

  <LI type=circle>Multidisciplinary surgical preparatory regimen (ie, facility-based, pre-surgical program) designed to improve surgical outcomes, reduce the potential for surgical complications, and establish the ability to comply with postoperative medical care and dietary restrictions, which includes the following:

  • <LI type=square>Reduced-calorie diet
    
  • Exercise program in order to improve pulmonary status
    
  • Behavioral modification program

Ok so I set up a appt for the next 3 months with my primary doctor. What will he need to do/or not to do? Does he just record my weight, take notes, have me start to diet. He is 100% for me having this but I dont want his notes to ruin my chances of getting approval. His written notes are what is going to be sent to the insurance company. Can anyone give me guidance on what to DO or NOT TO DO when I see him? so far with my tests results I have a 44 BMI, High blood pressure, GERD, Osteoarthritis, lower back problems and mild sleep Apena. Thanks Friends!

Does he just record my weight, take notes, have me start to diet.

Yep! He should note your willingness/ability to comply with the diet, and any exercise program you've undertaken. That's pretty much it! The idea is to show that you're able to be dedicated to the effort, and his notes will just support that. Tell him what you're doing, he'll take notes and measure your vitals, and after three months you'll have what you need.

Good luck!