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Hi Everybody

So I decided after many years of being overweight and health issues, I decided to get the gastric sleeve. I am so ready for the surgery. I wanna know if anybody has had any issues with Anthem/Blue Cross and part of Seaside Medical Group and getting around the 6mth diet. I have Hypertension,Severe Sleep apena and borderline diabetic. Any ideas I can present to to the Dr.'s office to see if I can get the diet waived. I am ready to do this. Anybody every had to deal with this issue. Thanks everybody!

Edited by Chris Brito

  • Replies 11
  • Views 816
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Welcome! I don't have any experience with your issue - just wanted to say welcome aboard.

Is it the insurance company or the doctor's office that has the 6 month wait? I have Anthem as well, and for my policy there is a 6 month requirement from Anthem. There is no way around it. If it is the policy of your doctor's office, it is up to their discretion if they will waive the 6 month supervised diet.

  • 3 weeks later...
  • Author

It is the insurance, but I am struggling as my weight is now screwing with my knee, and I can't excersise and my wait loss had now turned into a weight gain...I wonder if that is gonna be an issue.

  • 2 weeks later...

5 back surgeries have also contributed to my weight gain. I'm very excited to change the hand I've been dealt

  • Author

So an update, now Anthum Blue Cross is in a dispute with Memorial so I have been sent to another Surgon, Dr.Malgorzata Stanzcyk, MD over at St. Marys in Long Beach. I am hitting my last month of the weight loss, which honestly after me trying so hard, has been tough. My knee has been hurting from all the walking. I have lost about 15lbs and Im terrified they are gonna say no. I have sleep apena, high BP and its taking a toll on me. I meet with the new doctor this thursday, so I am hping all will go well.

Had my nut appointment today and scheduled for exercise demonstration next month. Started subbing a protein drink for one of my meals today too. Not bad at all. Also got snack bars, good too

  • Author

Went to the doctor...love her. They said I just need to get one more step taken care of, and they can most likely get the surgery done before the end of the month....Im so excited....I go back next week to find out for sure. Just waiting on my PCP to get the diet paperwork back to me. Very exciting.

  • 2 weeks later...
  • Author

I HAVE BEEN APPROVED!!!!!! My surgury is on June 22nd......I am so excited.

Yay for you! Exciting times. Not much longer for you now. Good luck, and plz keep us informed on your journey. For I am always searching for info

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