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Insurance requirement for "medically supervised" weight loss program



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Spoke with my insurance company yesterday (Keystone Health Plan East). I was told that I need to participate in a medically supervised weight loss program prior to being precertified, but was unable to tell me how long that would be. A few questions...... Is there a fee for that type of program? I will most likely fall below the 40 BMI if I lose any decent amount of weight (I'm great at losing in the beginning, just can't keep it going!) Will this disqualify me for surgery approval? Will be attending free seminar at Einstein next week. Hopefully favorable answers!

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My surgeons office does the nutrition classes right in his office and bills it to insurance as an office visit because I am getting weighed and going over what changes I've made to my eating habits based on the last class. This all gets documented for pre-auth for insurance

Sent from my iPhone using the BariatricPal App

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My insurance required three months of supervised diet, and reported my weight from the start of my program when they filed my insurance packet.

I had my nutrition visits doubled up with my bariatrician visits. Insurance paid everything.

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