What counts as 6 months?

[barefoot_gardener 18]

When did you start your 6 month plan and when did it all get submitted to insurance?

Insurance has denied me because they say there isn't 6 months of a documented weight loss plan.

I went to my PCP in October of last year. She weighed me and we talked about diet/exercise along with getting my referral to a bariatric center in our area. I started going to them in November and have not missed a month. So, March should have been month 6, correct? I'm not sure if they just aren't counting the PCP one or if they count their months differently (October-November, November-December, December-January, January-February, February-March would only be 5?).

If anyone has had this situation and had it resolved, I would love to hear from you! Although I will know the answer in a few days I can't help but ask!

[Syaniya 319]

It depends on your insurance. My insurance will use a pcp visit to count as one of the 6 month visits. I went to my pcp 10/26, then surgeon and nut nov, dec, jan, feb, and on Monday march 6 had my last visit with surgeon, they submitted it either that day or the next to insurance and got approved on thursday. Im now getting sleeved this Friday 3/31.

I have heard that some insurances want exactly 6 months to the day and also if the pcp doesnt have good notes regarding weight issues they may have excluded that visit. Good Luck [emoji4]

[barefoot_gardener 18]

Thank you. I'm getting pretty anxious. They were thinking they would submit to insurance on the first and I'd have the surgery over with by now. I'm really hoping it's not much longer!

Good luck to you as well!