Hey ya'll!

I am strongly considering a band to sleeve revision. I currently have United Healthcare with a bariatric surgery exclusion. So I will need to switch over to my husband's insurance (BCBSNC) during open enrollment in October. I am pretty sure that BCBS will require a 6 month physician supervised diet prior to approval, and I am wondering if I could/should start that through my surgeon's office prior to even getting on BCBS (i.e. would it count?) I know the costs of products wouldn't be covered if I did it before getting BCBS, but I am trying to get this surgery scheduled as soon as possible.

A little bit more on me, if anyone wants to comment on this info as well:

Banded September 2012 (self pay due to no cormorbidities and under BMI 40). Lost 20 lb, mostly because of post op recovery diet. Regained and more. Spent about 1 year too tight ( I thought it was normal to vomit at every meal) so I ate "around" the band and maintained at about 225 lb. About 3 months ago, had band unfilled completely, gained 15 lb. Had a 2cc fill about 3 weeks ago and continue to gain with no restriction. Currently at 240lb (5'7"), BMI is 37.6. Next fill is in about 2 weeks and I am scheduled to talk to my surgeon about revision. I have a sleep study scheduled around the same time and I am 99% sure I now have sleep apnea. Nutritionist visit scheduled next week. I am also having mobility issues including tendinitis in my right foot/ankle whenever I try to start a walking program.

Thanks for your comments!

Meredith

Hi, I have bcbs NC and I had to do the 6 month weight documentation prior to my surgery,but I found out that July 1st they changed the policy and there is no more 6 month wait. I'm not sure if it is for all plans but I am pretty sure it is

To bar them from excluding something due to fine print, be safe not sorry. Just wait until you are on the plan. Will it be much longer?