PA Highmark BCBS PPO Insurance- I need help!

[rocal6356 1]

I have the same insurance as you. Here is the link to the obesity medical policy:

https://secure.highmark.com/ldap/medicalpolicy/wpa-highmark/G-24-047.html

I hope it helps. Good luck !

[estar7708 0]

Thank you for posting! I started Jenny Craig in February (didn't do well) do you think that could count as the start of the 6m?

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[cls5186 23]

Do you guys think weight watchers online would be an acceptable form of structured weight loss for this?

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[cls5186 23]

^^You're so right about the 6-month process being a way to teach you to eat...I think that's the idea behind it. I think they basically want to know you're committed to following the process step-by-step.

Another question for someone who might know to answer, did anyone join Weight Watchers as a requirement for this insurance? Mine says "The patient must participate in and meet the criteria of a structured nutrition(WW, Jenny Craig) and exercise program."

[hcamille 6]

I have bsbc of tn and I have to see my doc for 6 visits about weight loss and my starting weight has to be higher than my final weight. There was no percentage of weight lost needed just that I had done something. I did start low carb and high Protein and I meet with my doctor today. The surgeon has booked an appointment for my lab work and tests in September but my doctor has a lady who works with the insurance requirements so she has been a great help. If you call the surgeon and talk with them they can answer a lot of questions.

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[estar7708 0]

Can I ask the people who have been approved by insurance--when did you submit to insurance? I had my initial consult 6/15. I've done all the pre op--2 NUT visits, can they submit to insurance to at least get approval pending the outcome of the 6m?

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[cls5186 23]

Dumb question, but what does "NUT" stand for?

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[KristenLe 5,980]

Dumb question, but what does "NUT" stand for?

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Nutritionist ☺

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[cls5186 23]

Thanks! I googled it and figured it out shortly after

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