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6 months documentation- ?

Detroit_25

By Detroit_25, in Insurance & Financing

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Detroit_25    77

Detroit_25
Posted

Hello,

I have BCBS- Ohio. The requirements state documentation of 6 months non-surgical attempts at weight loss. When speaking to a BCBS nurse the other day, she stated that the consistent documentation I've done of my weight loss journey on Instagram should count with doctors approval. This goes back 18 months and includes pictures of the scale, food and exercise posts. However after reading the following, I'm wondering if I'd still have to go through the formal 6 months. Thoughts?

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dstgirl11    22

dstgirl11
Posted

I have BCBS of Alabama and they required 6 months of documention, too. I had go to the clinic where my surgeon were located to and my weight taken. A nurse had to fill out the forms and fax to the surgeon. Please call your insurance company to get some clarification. I've call many times to ask them questions about this process.

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Detroit_25    77

Detroit_25
Posted

I have BCBS of Alabama and they required 6 months of documention, too. I had go to the clinic where my surgeon were located to and my weight taken. A nurse had to fill out the forms and fax to the surgeon. Please call your insurance company to get some clarification. I've call many times to ask them questions about this process.

. Well dang, I was just on hold with the pre-qualification department for over 40 mins! Guess I'll pick up the subject another time :(

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Detroit_25    77

Detroit_25
Posted

FYI for anyone in the same boat- spoke with BCBS (Ohio) again today and as long as my physician makes an assessment of my documentation and agrees that yes, I have proof of 6 continuous months... and he signs off on it, it'll be sufficient

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blessedgirl80    3

blessedgirl80
Posted (edited)

I have BCBS Anthem does not required supervised weight loss. But 6 months of attempts in the last 2 years. The doctor has to review info, approve and forward everything to the insurance company .

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Edited by blessedgirl80

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Detroit_25    77

Detroit_25
Posted

I have BCBS Anthem does not required supervised weight loss. But 6 months of attempts in the last 2 years. The doctor has to review info, approve and forward everything to the insurance company .

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this is awesome! BCBC Ohio/ Anthem are the same, so this gives me confirmation as well :D

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cindym44    75

cindym44
Posted

I was able to document a consecutive 6 months of Weight Watchers and it was accepted. I did not have to have to attend supervised weight loss classes. My doctor's office submitted to my insurance company and I was approved in 1 day. From consultation with my surgeon to surgery date took me about 10 weeks.

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chrissy2986    1

chrissy2986
Posted

Hi! same here. I need 6 mos of a medically supervised weight loss program. Fancy way of saying I just have to go to my surgeons office once a month and step on a scale. It sucks because my last weigh in appt is April. I have been done with all my other pre op stuff since before xmas so this is kind of putting a damper on my excitement.

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Go To Topic Listing Insurance & Financing

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    • Alisa_S

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      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
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      1. summerseeker

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        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

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