6 consecutive months with PCP

[Danielleh 48]

I started my WLS journey back in March. I’m May, I finally found someone who takes my insurance. I had to do a seminar before they would schedule me for a consult.

They called me the day they received my certificate of completion and told me that my insurance requires 6 consecutive months of weightloss with my PCP and that I have my consult on July 8th. Has anyone else had to do the 6 month thing and what exactly happened in each appointment?

[Briswife15 890]

I had to do 6 consecutive visits with a nutritionist Not a PCP. At my appointments we went thru my food diary, took my weight, talked about diet and exercise. I couldnt3miss one visit or I would hav to start over. Perhaps yours will be similar. You should check with your i insurance carrier if this is their requirement. Good luck on your journey.

Sent from my SM-N960U using BariatricPal mobile app

[GradyCat 3,697]

I didn't end up having to do it, I changed insurance before the surgery, but they did tell me it was very strict and that you must visit your doctor once each calendar month or it starts all over again; it has to be six consecutive months and not off by a day.

[catwoman7 11,239]

I would say most of us had to do that (not all, but most). It's a requirement of most insurance companies. My appts were about the same as the commenter above described. I could do it with either a doctor or a dietitian.

[kbee88 14]

My insurance requires it as well, I have my final appointment on Wednesday. Every appointment we go over a worksheet that my surgeons office provided. We log my weight, talk about what eating habits I’m doing, different exercises I’m doing, what things I’ve put in place to create/keep good habits in my lifestyle. Then at the end she will provide the worksheets and a letter of support to my surgeons office and they will submit that with my other documents to my insurance.

[Danielleh 48]

I’ll definitely give them a call to get clarification. I just remembered them saying 6 consecutive months with PCP. I told her I think I already have that and that it might have already been over two. If I have to start over, I should have 2 consecutive months at least so I’m hoping it won’t take forever to get my surgery date after I complete the requirements.

[Danielleh 48]

I just spoke with them and they said I can see my PCP or a nutritionist. But it definitely has to be 6 consecutive months and they just have to document what I’ve been doing and my loss/gains. He also informed me that I’ll be getting a checklist during my consultation of things I have to do before surgery!