Hello everyone, I am fairly new to this forum. My question is has anybody went through AvMed Insurance? If so, was the 6 months supervised diet complicated?

Hi do u have high option low option or pos? I have avmed as well

I have AvMed POS

Oh lucky u I have high option so now I have to wait 8 months so I can change it to get pos. pod pays for the surgery. A coworker of mine started her process in feb and she gets operated next week she also has pos.

She never told me about a 6 month supervised diet

Yes, I am in Hollywood Fl. and AvMed POS you have to do a six month supervised diet which is a requirement. Where are you and your friend located?

Hi,

I also have avmed insurance through the state of fl. I had to go to my dr for 6 mos and just had the last visit last week. Waiting on a form from my pcp from 2 years ago stating my height and weight in 2011. Hoping that my surgeon is able to put the request for coverage in this week and will wait and hope. He had me start pre op diet yesterday which consists of protein shakes , bars and meat. I'm hoping for surgery date in April. I'm from Orlando, it's been a long six months.

we are in miami fl

It is so crazy because I know of people that don't do the six months diet and get their surgery so fast.

It may be the type of avmed they have. I have an ***.its six months unless you can prove you did some type of weight loss program like ww or Jenny Craig.

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Weird it won't spell out h m o

Hello,

Sorry it takes me so long to respond. For some reason at work when I pull this site up it ties my computer up so I can't log on at work. But I checked into AvMed requirements and it mentioned that

1.9.3 Weight loss attempts through programs such as Weight Watchers, Curves, personal trainers, etc., are insufficient to meet these criteria;

so I am still trying to figure this all out.

Where exactly can u see this info. Because from what I've read I didn't see that so I just want to see if we're looking at the same thing

I think ww personal trainers etc should be enough

Bad news and good news. Today I was denied. BMI is 38.6 and avmed said that at that number I didn't qualify. I'm only on one bp med and to qualify I had to be on three or Have severe sleep apnea and diabetes. Having high cholesterol wasn't on the list or borderline diabetes. Dr was told that if my BMI was 40 I would be approved automatically. Was told that I actually may have to gain weight to qualify.I figured a few pounds ,about 20 ,considering ive dropped a few doing the pre op diet this week. I'm 5-8 and if I was shorter, at my current weight would qualify. So figured that I would see if I was still 5-8 since I'm older , had back surgery and haven't checked my height since forever. Low and behold I've shrunk about an inch and a half which qualifies me. Have appt at dr mon morning .keep your fingers crossed.