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Anthem

I went for my first appointment about a week ago. Had the majority of the testing required for insurance. When I met with the patient coordinator she told my my insurance required 4 months of nutrition and exercise counseling. I thought it was 6 months (I have Anthem BCBS). Does anyone else have Anthem? What have you been told?

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  • focusonthefuture
    focusonthefuture

    I think Jess is on point. I would imagine all doctors offices have someone on hand to do the prior authorizations. Mine has a dedicated person. That person is used to hearing plenty of "no's" from

  • My anthem plan didn't require anything except documented attempts to lose weight. I've had the same primary care for years and we've talked about it for years and that counted. Weight watchers recor

  • Losing in NWAR
    Losing in NWAR

    I have Anthem. 6 months of appts with the first included. The only extra thing they required after my last appt was a letter of support from my PCP. I got approved last Friday and am scheduled for the

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I went for my first appointment about a week ago. Had the majority of the testing required for insurance. When I met with the patient coordinator she told my my insurance required 4 months of nutrition and exercise counseling. I thought it was 6 months (I have Anthem BCBS). Does anyone else have Anthem? What have you been told?


I have BCBS IOWA I have to do 6 months supervised diet and can not have a gain.


I live in Texas and have this insurance, initially I was told 3 months, it turned out to be 6 months with the first visit not counting so it was 7 months. It all depends on what the company chooses.


  • 2 weeks later...

This is the Bariatric Surgery Policy for Anthem: https://www.anthem.com/medicalpolicies/policies/mp_pw_a053317.htm

My understanding is that different plans and states can have variations of this. For my plan (Anthem BCBC or California PPO) when I called Anthem to ask about the policy they directed me to look at that page. If you call your insurance and they don't give you a straight answer ask them if medical policy SURG.00024 is the policy that your plan uses or if there is a different one. Each plan should have a very clearly defined medical policy for coverage of any surgery included in that plan.

  • 2 weeks later...

I have Blue Cross Blue Shield as well. When I started this process in February I called Blue Cross Blue Shield to check on the requirements. They sent me a list of all of the criteria that I needed to have completed. I suggest calling Blue Cross Blue Shield and they will be able to give you the information and send you out a paper that gives you all of the criteria.



I have to do 6 months. I have BCBS of Iowa


I called BCBS, asked for requirements. They told me ask my hospital and WLS team. My team dropped the ball, failed to tell me I had to do 6 months supervised weight and education. I was supposed to have surgery in October. Now my date is Dec. 14th. Still waiting for insurance approval.


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