Here's my dilemma. Coordinator told me 3 month diet history was all that was required. Print out WW progress notes and all will be well. However everything I see about Cigna says I need a 3 month supervised diet by a RD or MD. I have attempted to find someone local without success--as I don't want to waste 3 months. I'm already 5 weeks into my diet.

So here's the problem. I travel for my job and am away from home from Monday am to Friday pm. It doesn't leave much time to see anyone. Do any of you have a nut that does phone visits for out of state patients? I am willing to pay cash.

I appreciate any referrals! Thank you.

I kno

You might want to check with your insurance because mine specifically says it has to have significant face to face time.

Here's what it says...doesn't sound like it has to be in person?

Medical management including evidence of active participation within the last 12 months in a weight- management program that is supervised either by a physician or a registered dietician for a minimum of three consecutive months. The weight-management program must include monthly documentation of ALL of the following components:

 weight

 current dietary program

 physical activity (e.g., exercise program)

Programs such as Weight Watchers®, Jenny Craig® and Optifast® are acceptable alternatives if done in conjunction with the supervision of a physician or registered dietician and detailed documentation of participation is available for review. However, physician-supervised programs consisting exclusively of pharmacological management are not sufficient to meet this requirement.

Here's my dilemma. Coordinator told me 3 month diet history was all that was required. Print out WW progress notes and all will be well. However everything I see about Cigna says I need a 3 month supervised diet by a RD or MD. I have attempted to find someone local without success--as I don't want to waste 3 months. I'm already 5 weeks into my diet.

So here's the problem. I travel for my job and am away from home from Monday am to Friday pm. It doesn't leave much time to see anyone. Do any of you have a nut that does phone visits for out of state patients? I am willing to pay cash.

I appreciate any referrals! Thank you.

Your doc doesn't have an a nutritionist they work with?

I saw her today for my consult. She only does the assessments. No ongoing evals. I was hoping she would, that's why I waited before figuring something out.

You have to be weighed each month in an office for the MD to chart your weight for 3 consecutive months. Along with other information. If this is important to you - you should find the time to find the right place that will help ya. Don't be in a hurry either -this is your life. Good luck.

How about joining Weight Watchers and schedule monthly visits with your doc. Based on what your listed as your insurance requirements, wouldn't that work?

Ccarter I would find a different doc. If you are mot set on this one. My surgery price with dr. curry included 2 years of follow up with surgeon and NUT. If traveling they have an option to do via video camera on compute or phone.

How about joining Weight Watchers and schedule monthly visits with your doc. Based on what your listed as your insurance requirements' date=' wouldn't that work?[/quote']

Thanks for everyone's suggestions. I am doing WW but it will be hard to see my doc monthly. I will keep trying!

Yay! I found someone local who will "see" me via Skype. She also sees out if state patients if anyone is interested, please DM me.