Yesterday I had my last appointment with my surgeon but I was advised a week ago that my insurance (medical) has new guidelines that require 2years of dietary notes (it used to be 6 months). The girl at the front desk said maybe if I keep going for another year that should suffice the requirements. When I met with the surgeon I mentioned to him that I was a bit upset that now I must wait longer, he looked a bit confused and checked my record and said I am sure we can submit next month. So Who is right? It is hard when I keep hear two different things. [emoji17]

This journey of getting approved is more complex than I could have imagined. When I began thinking about this I never consider the first step should have been to look at my insurance policy. I just figured if they covered it, it would be handled like they do with any other health issues.

I wonder if the surgeon spaces out these "approval" based on their schedule. I know the one I'm using said he is booked for two months.

I love Mexico but am too chicken to have my surgery there.

Sent from my iPhone using the BariatricPal App

Edited May 18, 201610 yr by nyteacher125

I think they are just looking for a weight record, not supervised weight loss attempts. Have you been to see your PCP for a couple of years? That is who I had to get 5 years of records from for BCBS TX.

This journey of getting approved is more complex than I could have imagined. When I began thinking about this I never consider the first step should have been to look at my insurance policy. I just figured if they covered it, it would be handled like they do with any other health issues.

I wonder if the surgeon spaces out these "approval" based on their schedule. I know the one I'm using said he is booked for two months.

I love Mexico but am too chicken to have my surgery there.

Sent from my iPhone using the BariatricPal App[/quote

I am too! At the beginning of my journey Mexico was my only option. But then I was told that medical also covers this procedure I was excited and decided that I rather wait 6 months. I feel more comfortable having surgery here in the states than going to Mexico.

Edited May 18, 201610 yr by Laura Lopez

I do love vacationing in Mexico, it's so relaxing

Sent from my iPhone using the BariatricPal App

Keep me posted on your journey. I'm going on May 25th, hopefully I'll have some answers than.

Sent from my iPhone using the BariatricPal App

I think they are just looking for a weight record, not supervised weight loss attempts. Have you been to see your PCP for a couple of years? That is who I had to get 5 years of records from for BCBS TX.

I've had different pcps. I have turned in 2013, 2014, 2015. All different doctors.

I do love vacationing in Mexico, it's so relaxing

Sent from my iPhone using the BariatricPal App

Keep me posted on your journey. I'm going on May 25th, hopefully I'll have some answers than.

Sent from my iPhone using the BariatricPal App

Will do, please keep in touch! Keep me updated! Good luck

Ty????

Sent from my iPhone using the BariatricPal App

I was told something similar by BCBS - Told me my Dr would need to determine requirements for prior authorization. I could not get anything in writing other than coverage info.

Isn't it frustrating. [emoji16][emoji16][emoji16]