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Has Anyone Been Approved Without Having To Do The 6Mos Supervised Diet......



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Has anyone been approved without having to do the 6mos diet requirement. If so, what did you include in your paperwork, in order to get it approved????

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IT ALL DEPENDS ON WHAT YOUR INSURANCE REQUIRE. MINE REQUIRED A PSYCH EVAL,NUTRITIONAL CONSULT AND BMI WITHIN A CERTAIN RANGE. YOUR SURGEON WILL REQUIRE DIFFERENT TESTS AS WELL. HOPING TO SUMMIT PAPER WORK THIS WEEK :biggrin5: HOPE THIS HAS BEEN HELPFUL..GOOD LUCK!

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Mine required a five year weight history but no supervised weight loss. I have bcbs.

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Has anyone been approved without having to do the 6mos diet requirement. If so, what did you include in your paperwork, in order to get it approved????

Yes! I did But I'm a Diabete. I have sleep apnea,hypertension. I all included all of the diets I have tried.

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Of course, people have been approved without the 6MSWL. HOWEVER, that is because their plan did not require it of them. You have to speak with your insurance in regards to what they have to receive in order to approve you. I did a 6MSWL starting in February of 2011 and I finished August 2011. I was approved. You can get through this, but definitely find out what your insurance requires.

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Hey neighbor! I hope to be approved without the 6 months as my insurance supposedly doesn't require it. I have Empire BCBS. Good luck!

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It definitely depends on what your insurance requires. I had my first consultation on June 6th and was sleeved July 20th. I have BCBS and they only required a psych eval. I also took one nutrition class as a part of my pre-op testing day.

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Its hard for me to determine what was my surgeon's required info and what was my insurance. I didn't have to do any supervised diet for my insurance but I did have to do a written account for my dieting history for the surgeon's office. I started dieting at 9 so it was a lot to try and remember!

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The BCBS plan my company has requires 6 months dr. supervised diet. I am almost finished with month 2.

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i have BCBS and all i needed was the 5 year history , pysch eval and physical. also my BMI was 59 and i had hypertension and severe back pain. from start to finish everything took about three months

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Hi! I had Empire BCBS and my plan did not require the 6 months supervision. My BMI alone did not qualify me for the sleeve but I had co-morbidities which did qualify me. Between the high blood pressure and arthritis that tipped the scale. I had to jump thru a bunch of hoops (stress test, psych eval, h-pylori testing, nutritionist) but my Doctor's office was fabulous in submitting all the paperwork.

Every insurance company and every plan is different.

Good luck!

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All plans by BCBS are NOT equal. BCBS offers complete insurance and management plans for self insured companies who pick the level of plan coverage. So there is no solid right answer to your question - it all depends on your plan, carrier and perhaps employers selected coverage.

I have insurance but elected to go self pay to avoid this 6 month (tytpically longer) and the hassle that went with it. It's not for everyone but it worked for me.

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