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6 Month Insurance Requirement



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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 by Jerseygirl4523

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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.

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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.

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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? :-)

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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

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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.

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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

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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:)


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

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


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      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
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    • Alisa_S

      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

        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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