6 Month Insurance Requirement

[Jerseygirl4523 44]

It’s been a while since this topic has come up.. but I have some concerns as a near the end of my insurance requirements.

I have anthem bcbs and I am required to do the 6 month medically supervised weight loss. Is that 6 months with just 6 appointments or does it truly have to span a minimum of 180 days?

My surgeon’s office was able to confirm that this is the last requirement I need to complete. However, I have not had a chance to ask them about the technicalities yet.

Edited March 18, 2018 by Jerseygirl4523

[trinjen 32]

Mine was 4 months, 4 appointments, not exactly 120 days.

[Mattymatt 491]

8 hours ago, Jerseygirl4523 said:

It’s been a while since this topic has come up.. but I have some concerns as a near the end of my insurance requirements.

I have anthem bcbs and I am required to do the 6 month medically supervised weight loss. Is that 6 months with just 6 appointments or does it truly have to span a minimum of 180 days?

My surgeon’s office was able to confirm that this is the last requirement I need to complete. However, I have not had a chance to ask them about the technicalities yet.

I believe that it's 6 appointments over 6 months. It doesn't have to be 180 days.

[Jerseygirl4523 44]

I finally got access to the patient portal the bariatric clinic uses, outside of mychart, yesterday. It’s where they keep your checklist online. I got nervous because it said “medically supervised diet program (6 consecutive months covering 180 days min.)”

I’m know that could be an auto populated choice and not what my individual insurance actually requires.

[Mattymatt 491]

6 minutes ago, Jerseygirl4523 said:

I finally got access to the patient portal the bariatric clinic uses, outside of mychart, yesterday. It’s where they keep your checklist online. I got nervous because it said “medically supervised diet program (6 consecutive months covering 180 days min.)”

I’m know that could be an auto populated choice and not what my individual insurance actually requires.

Dayum! That's strict. Well, maybe the doctor's insurance administrator can use certain fancy terms to make things happen a little faster? :-)

[Apple203 1,314]

8 hours ago, Jerseygirl4523 said:

It’s been a while since this topic has come up.. but I have some concerns as a near the end of my insurance requirements.

I have anthem bcbs and I am required to do the 6 month medically supervised weight loss. Is that 6 months with just 6 appointments or does it truly have to span a minimum of 180 days?

My surgeon’s office was able to confirm that this is the last requirement I need to complete. However, I have not had a chance to ask them about the technicalities yet.

Mine was the full 180 days -- bcbs carefirst md

[aNYCdb 310]

I wouldn’t worry to much about it. The Doctors want Tom give you the surgery almost as bad as you want to get it. They are really good at getting this stuff approved.

[newmebithebypass 713]

Mine is 6 months aprox 30 days apart so yeah probably 180 days im also in md

Sent from my LGLS676 using BariatricPal mobile app

[jenpa 34]

Hi !!! I have Anthem BC/BS. I did my six months sent in Friday the 17th & received my approval today! The docs office said a week or so! I was a low BMI, but doctor did great write up & had my primary do a letter to! Mine was 6 appts not 6 months! I hope you get good news! Keep us updated. I get my surgery date tomorrow...it will be June sometime:)

[sillykitty 10,705]

So strange, I'm Anthem BCBS, and had no 6 month requirement.

[jenpa 34]

Got a date June 5th .... crazy excited nervous!!!! Best wishes to all!