Hello All

I am just starting this journey and I am very excited! My insurance requires that I stick to a six months supervised diet by my PCP. Does anyone know exactly what they are looking for, or want me to accomplish in this time?

Hello All

I am just starting this journey and I am very excited! My insurance requires that I stick to a six months supervised diet by my PCP. Does anyone know exactly what they are looking for, or want me to accomplish in this time?

I finish up my 6 months on the 15th and I couldn't be any happier. During the 6 months the doctor will put you on a diet and exercise regimin. During the first visit they will weigh you and chart your BMI as well as blood pressure, temp, ox stats, and everything else they do in a regular visit. You will need a Pych Eval, meet with a Dietician and with my insurance "Aetna" have a sleep study. They may also ask for x-rays, blood work, and a recent EKG if you have no co-morbidities. Even with they still may require all the above.. Call your insurance and find out if there is a website that explains what they expect from you during the 6 months. Make sure you understand everything clearly and if not then be sure to ask LOTS of questions.. Best of Luck to You on You Journey!!!

What insurance do you have???

What insurance do you have???

Hi

I have Cigna!!

Thanks

Thanks,

Ive started the supervised diet, Im just not sure what ths insurance company is looking for as far as wieght loss? Do they want to see a big loss, or will that hurt me in the end? Im not even sure I could loose a big amount, that is why I am looking into the sleeve surgery to begin with..lol

I have Cigna ***. The process was really easy. I did not lose any weight during the 6 months. I just basically maintained. i did have to do a psyhc eval, provide 2 yrs I believe of documentation from my PCP showing I have been overweight, and meet with a nutritionist. I have a document from Cigna that outlines the requirements. Once the 6 months was up my paperwork was submitted on a Tuesday and they approved it the following Monday. 6 Days!!! The surgeon required a sleep study, EKG, blood work, and and upper GI. I am scheduled for surgery this Monday! I will send you the doc on message.

The check list is the most important thing in starting on the journey with insurance.. With out it you may miss something, and not be approved. They usually want to make sure your not gaining weight while on the diet, and see that you are making the effort to loose or maintain whichever you are able to do. Through out my 6 months I was loosing weight till I hit the 5th month. I had a 3 pound weight gain even though I was on the same 12-1500 calorie diet with 30 minutes of exercise a day. I do hope it doesn't affect my approval, but it's like I've told every doctor that I have seen I loose and no matter what I do it starts coming back. I am just pushing myself extra extra hard over the next couple of weeks to insure I maintain atleast.. Best of Luck!!

I have Cigna ***. The process was really easy. I did not lose any weight during the 6 months. I just basically maintained. i did have to do a psyhc eval, provide 2 yrs I believe of documentation from my PCP showing I have been overweight, and meet with a nutritionist. I have a document from Cigna that outlines the requirements. Once the 6 months was up my paperwork was submitted on a Tuesday and they approved it the following Monday. 6 Days!!! The surgeon required a sleep study, EKG, blood work, and and upper GI. I am scheduled for surgery this Monday! I will send you the doc on message.

wow awesome thanks,

Good luck with the surgery let me know how it goes!!

Have you every heard anything with Cigna accepting proof of weight watchers for 3 months being decucted from the 6 months wait?

The check list is the most important thing in starting on the journey with insurance.. With out it you may miss something, and not be approved. They usually want to make sure your not gaining weight while on the diet, and see that you are making the effort to loose or maintain whichever you are able to do. Through out my 6 months I was loosing weight till I hit the 5th month. I had a 3 pound weight gain even though I was on the same 12-1500 calorie diet with 30 minutes of exercise a day. I do hope it doesn't affect my approval, but it's like I've told every doctor that I have seen I loose and no matter what I do it starts coming back. I am just pushing myself extra extra hard over the next couple of weeks to insure I maintain atleast.. Best of Luck!!

Ya that sounds like my kind of luck too, I hope to loose a little before surgery. I just dont want to mess anything up to have it delayed..thanks for your post! Good luck to you also, let me know how it goes!!

I have Cigna ***. The process was really easy. I did not lose any weight during the 6 months. I just basically maintained. i did have to do a psyhc eval, provide 2 yrs I believe of documentation from my PCP showing I have been overweight, and meet with a nutritionist. I have a document from Cigna that outlines the requirements. Once the 6 months was up my paperwork was submitted on a Tuesday and they approved it the following Monday. 6 Days!!! The surgeon required a sleep study, EKG, blood work, and and upper GI. I am scheduled for surgery this Monday! I will send you the doc on message.

Hello

Just checking in to see how you are doing..how did the surery go?