Insurance Requirments

[MrsAnders 34]

MrsAnders I see my surgeon for the first time on August 22 also. My insurance does not require the diet either. I have a 42 BMI with no Comorbidities (that I'm aware of) but i do have to show that I've had a BMI of 30 or greater for the last 5 years. That's the part that scares me. I avoid the doctor because of my weight so I only have weights from April 2006' date=' May of 2009, February 2010, April 2011, that are from a doctors office. I have photo documentation for all years but really worried it won't be sufficient.

IF they think all this is order they will give me a surgery date on the 22nd. She said about 6 weeks out.

I'm sweating here though[/quote']

I don't blame you for being worried. I would be too bc you know how insurance companies can be. Just continue to think positive and I believe the outcome will be positive. My biggest worry is the portion of the surgery I will be responsible for. My insurance will pay 80% and I'm responsible for the other 20%. I won't know until the 22nd how much that will be. Good luck on your endeavor!

[kamkam 7]

I'm trying to stay positive. I understand your worry also. I will have to come up with a maximum of $2500 so not to bad. It was a relief when the bariatric center coordinator informed me of that

[Macy6 356]

When is your surgery or have you already had it?

Aug 27th @ 1115am... But who's counting?

[MrsAnders 34]

Aug 27th @ 1115am... But who's counting?

Lol well good luck! Can't wait for a report!

[Tiny One 223]

No diet or waiting requirement for me. Just had to complete all required specialists visits & screening. My journey started in July & had my surgery Nov 7th. Once I got the surgery date scheduled, I only had to do the 10 pre-op diet.

[kamkam 7]

No diet or waiting requirement for me. Just had to complete all required specialists visits & screening. My journey started in July & had my surgery Nov 7th. Once I got the surgery date scheduled' date=' I only had to do the 10 pre-op diet.[/quote']

Lucky you

[Kasey Parker 31]

I go for my seminar on the 22nd. I have Blue Cross of NC, and their 2013 review for the weightloss surgeries, it doesn't mention the 6 month diet (I think they recently removed it bc I checked a year ago and it was there. The lady with the Duke Weightloss Center said I had "the good insurance" because most others require a lot more paperwork. That made me feel a lot better! I had an endoscopy and colonoscopy in 2005, so I don't know if they can use that or not (had issues with my stomach when I was 18).

But good luck! Everything will go well I'm sure of it!

[kamkam 7]

I go for my seminar on the 21st. I have Blue Cross of NC' date=' and their 2013 review for the weightloss surgeries, it doesn't mention the 6 month diet (I think they recently removed it bc I checked a year ago and it was there. The lady with the Duke Weightloss Center said I had "the good insurance" because most others require a lot more paperwork. That made me feel a lot better! I had an endoscopy and colonoscopy in 2005, so I don't know if they can use that or not (had issues with my stomach when I was 18).

But good luck! Everything will go well I'm sure of it![/quote']

I have BCBS of NE and mine says the same

[MrsAnders 34]

I go for my seminar on the 21st. I have Blue Cross of NC' date=' and their 2013 review for the weightloss surgeries, it doesn't mention the 6 month diet (I think they recently removed it bc I checked a year ago and it was there. The lady with the Duke Weightloss Center said I had "the good insurance" because most others require a lot more paperwork. That made me feel a lot better! I had an endoscopy and colonoscopy in 2005, so I don't know if they can use that or not (had issues with my stomach when I was 18).

But good luck! Everything will go well I'm sure of it![/quote']

That is awesome if they removed the diet plan. It's always seems crazy to me that they had rather pay for all the stuff that comes along with being obese than pay for one surgery.

[Mel1071 149]

I suspect because they think some people won't make it through the six month period and then they wind up not having to pay. It's a gamble they are willing to take.

[MrsAnders 34]

I suspect because they think some people won't make it through the six month period and then they wind up not having to pay. It's a gamble they are willing to take.

That makes sense Mfs. But for the people that are willing to take this serious and commit to a different life style it really sucks!

[Mel1071 149]

I don't doubt that for a second! I would love to see statistics of the success rate of people who have to do these multi-month programs. I think for everyone who hates to have to go through the insurance hoops there's someone else who wishes their insurance covered it so they had hoops to jump through too.

[MrsAnders 34]

I don't doubt that for a second! I would love to see statistics of the success rate of people who have to do these multi-month programs. I think for everyone who hates to have to go through the insurance hoops there's someone else who wishes their insurance covered it so they had hoops to jump through too.

Amen!

[Mel1071 149]

All I know is that after researching WLS like mad, and especially after spending endless hours here, I want to bop anybody who says having WLS is the "easy way out." I don't care if you're going the insurance route, the self-pay route - this is a hard process regardless of how you pay for stuff.

[Mommie4 53]

MrsAnders I see my surgeon for the first time on August 22 also. My insurance does not require the diet either. I have a 42 BMI with no Comorbidities (that I'm aware of) but i do have to show that I've had a BMI of 30 or greater for the last 5 years. That's the part that scares me. I avoid the doctor because of my weight so I only have weights from April 2006, May of 2009, February 2010, April 2011, that are from a doctors office. I have photo documentation for all years but really worried it won't be sufficient.

IF they think all this is order they will give me a surgery date on the 22nd. She said about 6 weeks out.

I'm sweating here though

I was worried about that too, that's what my insurance wants as well. no diet but 5yr weight history! I also avoided doctors but I was told by surgeons office that any documented weight history is fine, weigh watchers, they gym, any will do and all you need is one for each year. I was pregnant in 2008-2009 but I still used my pregnancy weight history which actually helps..lol good luck, I hope the best for ya!