Hey everyone! I am new to the forum! I was wondering if anyone has been told by their insurance provider that they needed to follow a supervised diet for 6 months with a doctor, before insurance will approve it? I just went through all my other evals and drs appts to get cleared for the surgery only to have my insurance provider say this after the fact. I've been overweight my whole life, and I've done all the diets! If I had success losing weight the "old fashioned way" would I be prepping for this surgery? I think not! Lol, anyways, I live in CA. Does anyone know how to dispute this? Thanks for reading!

That is EXACTLY what happened to me last year, i was scheduled for Surgery Nov 30th, after meeting all requirements my Insurance Provider Required, 6 Month Diet and Exercise program was not required when we inquired in August, to only be denied in Nov because this requirement wasn't met. I was Pissed so was my Doctor, but I just completed the requirement on April 5th and my paperwork being submitted that day, the Insurance Company told me yesterday they were back logged and began my review yesterday, they told me to call tomorrow, as they should have reached a decision by then. So a new $3000.00 deductible had to be met, so I am praying no denial this time around. Just for your info though, I DID learn a lot from the class.

Yes I have to have 6 months through my primary and 3 through my secondary.. They go off primary... It would take 3 moths to get all of these visits in anyway lol.