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Fidelis

Did any1 get approved that has fidelis n if so can u tell me what was the requirements I'm nervous about getting approved

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I had no problem. Think it was 3-4 months supervised diet, which can be as simple as an appt. 1x/month with your primary to get weighed and discuss nutrition. Just make sure that is the ONLY reason for the visit, if the doc puts another reason for the visit, it won't count.

  • Author

Did u have a high bmi n if u don't mind can u tell me what was the requirements

Did u have a high bmi n if u don't mind can u tell me what was the requirements

I know each state is different.. but I have fidelis and was approved only by my BMI I had no other co morbities . I was borderline high blood pressure but that's it..you can always call member services and ask..hope this helps :)

  • Author

Ty so much I

I had a high BMI (50) and many comorbidities. There should be an insurance coordinator that works with your doctor, to make sure all your ducks are in a row, before submitting for approval.

Here is what I needed to do for approval:

1 pre-op class

2 support group meetings

view an online tutorial

supervised weight loss

Psychologist, nutritionist and all the assorted medical clearances.

I'm sure there was more, but that's all I can remember. Check with the insurance coordinator or else maybe Fidelis can give you a list.

  • 1 month later...

My Insurance is Fidelis New York. I just had gastric sleeve surgery on 5/14. I was a low BMI patient (just over 35) with commorbidities. I started a six month supervised diet on 10/1/12 that ended on 4/1/13. I was approved within a few days after 4/25 (PCP pre-op clearance consult). I recieved the approval letter before my surgeon's office did! Over all, I had to go to the seminar, first office visit/weigh in, meet surgeon, nutritionist, pyschiatrist, cardiac clearance and PCP pre-op clearance. That's it. No referral. I had some bumps along the way, but not with the approval. I changed programs and surgeons. Dr. William Graber from Utica/Syracuse New York now takes Fidelis. I was his first Fidelis patient and his first Fidelis approval (even with a low BMI). I can be done!

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