6 month supervised requirement with insurance

[Mom_of2boys 7]

I have BCBS of MA- when my insurance company sent me the requirements for gastric sleeve, no where on there states a 6 month supervised diet is required. I called my doctors office and they too said the insurance didn't say anything to them about it being a requirement. All I need is nutrition eval & psych eval. Then all the pre-op bloodwork etc for the doctor.

Anyone else have insurance that didn't require this?

379 Medical and Surgical Management of Obesity including Anorexiants prn.pdf

[KristenLe 5,980]

Each plan is different from what I'm finding. My BCBS plan requires 6 months of a supervised diet (monthly weigh-ins) which was disappointing to me but I'm thinking of it as a positive - I'll even be more ready/prepared than I would have been without this requirement. My NUT and Psychiatrist felt that 6 months was too long - and they are going to try to shave off a month or two (based on my previous diet attempts). I'm going to meet with the insurance person at my practice in May and hope that we can plan for surgery in September. Many people do not have this requirement and things move much faster. Good luck with your journey!

[heidikat72 935]

All insurance plans are different and there are even different plans within the same major provider network. Some require 6 months, some don't require any and most require 3 months. If you want to be positively sure of your insurance requirements, call them.