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Insurance people no help at all! grrr

Ive spoken to insurance and was told I need certain things but no specifics on how to obtain them!! seminar scheduled for Friday..do I wait and see what dr says? 6 months of supervised weight loss attempts (that I do not have) and my insuirance person is less than helpful..and far from nice. ughhhhhhh help? also, how do I know what psych to go to and how many times? and nutritionist? one of this was specified thru insurance.

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Hi my insurance's requirement was 3 months of dietician and 1 psych evaluation and your BMI over 40 if you dont have any other illness like diabetes or hypertension

I have given them my weight loss pattern as well and they approved me thank God!!!

My BMI IS 43

  • Author

if they told me I need 6 ,mths how do I do that? can I do weight watchers or do I have to go to a weight loss dr? my bmi is 41 right now. no diabetes or anything

Yes they asked me to write down how long have I've been over weight and what have I done to lose weight. I did from atkins to the onion soup to HCG DROPS. But yes start on a weight watchers for 6 months which insurance do you have?

  • Author

I have blue cross through my husbands labor union. and I have tried everything but don't have documented dr notes or anything. I went so long without having health insurance I wasn't able to see a weight loss dr in the past. and I see that some women have a start to sleeve process of like 6 months, does this mean ill probably take much much longer?

I have Cigna and they fid not ask for prove my BMi Alone did it for me as im morbidly obese according to standards

Not sure how Blue works but I would call them and obtain what their requirements are. I fid that and then asked for a doctor referral

  • Author

yea i called and they said they need 6mth proof. im just trying to figure out who i have to go to to supervise and how that works. but thank u. i guess ill try a pcp first

Supervised means a place that can accredit that you were trying to lose weight. Like weight watchers they keep s profile on you, the gym with a personal trainer , doctors office that can monitor your weight lose.

  • Author

oh ok so i can go to ww? that's part of what i was trying to figure out. bc thatd be a lot cheaper for me than a dr.

Yes my advice is this

Call you insurance and tell them you have started to go to weight watchers what do they need from them to prove you are going. The examiner should give you all the information required

  • Author

ok thank u. :)

And if you are going to a seminar they wil more than likely help you. My first step, after my referral from my physician, was the seminar. I met my patient navigator who did all the work for me. She called my insurance, found out what I needed and what they were looking for, I met my surgeon about a week later and walked away with a list of things to do and before I left his office my patient navigator had scheduled me for half of them. Ive had to be proactive enough to make sure I do what is expected of me, but I have always been able to fall back on my patient navigator when I get lost.

  • Author

and the navigator u met thru the seminar? bc that's EXACTLY what i need, just someone to point me in the right direction. i don't want to end up spending hundreds of dollars on dr visits to find out they weren't necessary. lol

Yes. My navigator was there and I email her a couple times a month, and see her at the support group every month and she is active in our FB Group. It's pretty nice.

if they told me I need 6 ,mths how do I do that? can I do weight watchers or do I have to go to a weight loss dr? my bmi is 41 right now. no diabetes or anything

If I were you I'd go see a nutritionist for six months only because it seems like your insurance is going to give you a hard time about this. I have Kaiser and they require six months of supervised weight loss with a nutritionist and to me its the best way to get a accurate/official log. Just a suggestion, but good luck!

Call insurance company and hopefully you will get someone more helpful when you call this time. Every insurance policy is different. Some may take weight watchers some may not. You can go to your PCP for your 6 months of dr supervised visits. But you need a clear understanding o what your requirements are. And you can start the 6 month diet before you even go to the seminar for a surgeon. The sooner you start those the better off you are. Most bariatric surgeons office has a nutritionist they use so that will be done after seeing the surgeon. The psych eval you want to coordinate through your insurance because you don't wanna pay out of pocket and more than you have to. And it will be done after you meet with the surgeon also. The surgeons office will give you a time frame of when all that needs to be done.

1st call your insurance back and get a better understanding of what your plan requires exactly. Whether weight watchers is ok or not. Or do you have to see a dr or nutritionist for those 6 months of supervised visits.

2nd get started a soon as possible in the 6 month supervised diet.

3rd go to seminar's an pick a surgeon and get started in their program.

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