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Insurance - 6 months or 6 visits?

My insurance says I need to be in a medically supervised weight loss program for "six months" and the bariatric center I'm working with says that when they called about insurance requirements they stated "six visits". I'm going to call insurance on Monday and verify once again, but I'm curious, if you've gone through a required # of visits, did they count it as visits within a month?

For instance (my first visit was 11/15/15) - six months to me means:

11/15-12/15: month 1

12/15-1/15: month 2

1/15-2/15: month 3

2/15-3/15: month 4

3/15-4/15: month 5

4/15-5/15: month 6 - making me ready to submit to insurance around the end of May.

OR - was it viewed as this?

11/15 - month 1/visit 1

12/15 - month 2/visit 2

1/15 - month 3/visit 3

2/15 - month 4/visit 4

3/15 - month 5/visit 5

4/15-month 6/visit 6 - making me ready to submit to insurance around late April.

If it's the second, I'm a month closer to surgery than I was originally planning, which would be incredible! Like I said, I will call insurance on Monday when the bariatric center is open to confirm, but I'm curious now. :) I have United HC.

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  • shrinkingkimber
    shrinkingkimber

    Mine just requires 6 different months. My last visit will actually be on June 1 so that they can submit to insurance that day to try to get me in for surgery before my insurance year restarts in July!

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  • Yay! Found out it really was just six visits. Submitting to insurance tomorrow!

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Mine required "6 months" but it was actually 180 days. I ended up having to go to a 7th appointment because they had to be each month until after the 180 days.

Sent from my iPhone using the BariatricPal App

I have BCBS Mine was just 6 visits, just got approved today!

Sent from my iPhone using the BariatricPal App

  • 1 month later...

Anyone known the exact with This/emblem health?

Sent from my LG-H820 using the BariatricPal App

I just did it so I know

It's 7 visits, first is a "consult"

6 nutrition visits

Then you have to wait for approval

Sent from my iPhone using the BariatricPal App

I did 6 visits in 5 months my first visit counted as 1 month and I was just approved no problem. Your coordinator should be able to let you know what your insurance requirements are though.

Sent from my iPhone using the BariatricPal App

How many visits with Medicare? Does anyone have original Medicare insurance & knows the exact requirements as far as how many visits of supervised weight loss? When I call medicare, they won't tell me much & they said it doesn't say how many visits, just that I need to have failed diets in the past & to have my docs office call them to get exact info

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