Anthem Blue Cross Question

[Khloé 89]

For those of you with Anthem BCBS, did you have to go through he 6 month medically supervised diet? I don't see that I the requirements of my play but was wondering what your experiences are. Thanks!

[No game 14,436]

It depends on your policy that you have through your employer they all negotiate different exceptions... But I have anthem bc bs and no waiting here..

[teetani 25]

For those of you with Anthem BCBS' date=' did you have to go through he 6 month medically supervised diet? I don't see that I the requirements of my play but was wondering what your experiences are. Thanks![/quote']

I have Anthem BCBS of CT I am not required to do the 6 month diet. I was required to do 2 visits with the nutritionist.

[teetani 25]

It depends on your policy that you have through your employer they all negotiate different exceptions... But I have anthem bc bs and no waiting here..

Laura-ven did you have your surgery already ?

[No game 14,436]

Yes on 11-13-12. I had 1 consult, 1 nut visit, 1 therapy app. And then submitted paperwork and was approved, then surgery..

Started in Sept. surgery in Nov.

[edit] anthem BCBS California PPO

[teetani 25]

Yes on 11-13-12. I had 1 consult' date=' 1 nut visit, 1 therapy app. And then submitted paperwork and was approved, then surgery..

Started in Sept. surgery in Nov.[/quote']

I had to do a sleep test(dr requires) am Endoscopy which is next Wednesday. 2 nutritionist visits, the psych eval and abdominal ultrasound . I am hoping that they can submit my paperwork for approval by the end of next week.

[No game 14,436]

I had to do a sleep test(dr requires) am Endoscopy which is next Wednesday. 2 nutritionist visits' date=' the psych eval and abdominal ultrasound . I am hoping that they can submit my paperwork for approval by the end of next week.[/quote']

Wow see they are all different! Oh and it depends on the patient too, my doctor does sleep studies and such for those who need it.

[Sadtosaygoodbye 256]

I have Anthem BCBS of CA PPO . No supervised diet, one nutrition and 1 psych visit. My surgeon said I didn't need to undergo pulmonary testing, but I did have an EGD ECG and blood work. It was a total of 17 days from my first appointment to insurance submission. Just waiting for approval.

[mom2five 292]

I have Anthem BCBS and there was no supervised diet requirement. :-)

[graylola 78]

I have Indiana Anthem BCBS. I had to do 6 months of check ups with my regular doctor and the psych evaluation. Supposedly they wanted a 5 year weight history too, but the benefits specialist at my surgeon's office said not to worry about not having that. And apparently they have the ability to submit by email, so she submitted it Tuesday morning and got an approval back the same afternoon. Very strange after all the horror stories I had heard.

[Winningbylosing 49]

I have Anthem and have called them many times to find out . Each time im told they don't have a time for a supervised diet. My company changed to them January, I started seeing the nutritionist in November. The office says it takes 3 months.

I found info online that says they require 6 months supervised diet. It says they will allow if it was done within 2 years of the request. I had a failed attempt last year.

I had my last visit to the nutritionist on the 28th. The office is going to submit. I will patiently wait for the response.

[Khloé 89]

Thanks everyone! I have Anthem BCBS of California but live in Texas. My consultation appt is tomorrow so I guess I'll find out then. Hoping for no 6 month waiting period!

[Ruffus 66]

I have Anthem BCBS of CA PPO . No supervised diet, one nutrition and 1 psych visit. My surgeon said I didn't need to undergo pulmonary testing, but I did have an EGD ECG and blood work. It was a total of 17 days from my first appointment to insurance submission. Just waiting for approval.

I have the same insurance and did all the above was approved within 3 days!

I was declined the first time (only took 3 days) for my weight at 39.8 BMI then went in reweighed and had 40 BMI (took 3 days) submitted for approval...

Hope this helps

Good Luck!!

[Khloé 89]

I found out at my consultation appt that all I have to do is have clearance and approval from my pcp, have one appt w/ a NUT, and a psych eval. Bless the Lord, oh my soul! My consultation was this past Friday (Feb 1st.) Today I called and setup an appointment for Monday (Feb 4th) w/ my pcp for his clearance. He requires an EKG, chest x-ray, and labs. Tuesday (Feb 5th) I have my NUT appt. All that is left is my psych eval. I'm just awaiting for the lady to return my call so I can officially setup an appointment with her and then get all this info sent to my surgeon's office. Excited! And scared. So scared. But so excited. Happy and scared. I feel semi-bipolar about it all. Heh...

[montugue 34]

I also had to do 6 months of nutrition classes. And a pyc eval but all my hoops r done. My surgery is in 3 days. I'm real nervous