3 months versus 6 months????

[ntthomas 1]

I am just curious---Did your insurance require a medially supervised diet of 3 months or 6 months? Which insurance do you have?

TIA!

[futurefinemama 163]

6 months United Healthcare

[JRT Mom 920]

Three months for Medicare.

[Suzi_the_Q 257]

6 months Medicaid.

[catwoman7 11,278]

six months. It seems like most of them (although not all) require six months. (I just have a regional ***)

[Puffy-no-more 141]

I had united healthcare choice plus. The representatives told me it was 6 months but when I read the fine print on their policy, it didn’t say anything about 6 months. So my surgeon submitted everything after my first appointment (I had already did the psych evaluation and my surgeons office didn’t even have my records yet from my doctor’s office) and I got approved within a few days. So in all, with the psych evaluation, surgeons appointment and being approved, it was about a 2 week process to be approved.

[TexasHeathen 12]

I have United Healthcare Choice with Surgery Plus and I rattled off all the diets and programs I’ve tried over the last decade and didn’t really have a diet to follow for approval of the sleeve, but I met with a nutritionist once a month for three months while knocking out my other requirements and we just discussed the preop and post op diet phases. It was so easy. Started in January and was originally scheduled for Apr 1st. I feel a bit guilty for those who need the surgery more severely and have to fight and appeal.

[ntthomas 1]

@TexasHeathen did you have any comorbitities?

[PSampson 0]

3 months I have Health Partners through the state

[Maryeuh 55]

Mine was 3 months with Aetna. I read somewhere on this forum that its 3 months if its a center of excellent and 6 months if its not.

Edited June 21, 2020 by Maryeuh

[catwoman7 11,278]

1 hour ago, Maryeuh said:

Mine was 3 months with Aetna. I read somewhere on this forum that its 3 months if its a center of excellent and 6 months if its not.

not true. I was at a Center of Excellence, and my insurance company required six months.

[Maryeuh 55]

1 minute ago, catwoman7 said:

not true. I was at a Center of Excellence, and my insurance company required six months.

oh ok, like I said I read on here, so probably not accurate. That's strange though. When I got my check off list for atena requirements its had 3 month nutritional visits and 6 month nutritional visits and the 3 month was checked off. So I am not sure what constitutes 3 or 6 months then. Very strange.

[catwoman7 11,278]

Just now, Maryeuh said:

oh ok, like I said I read on here, so probably not accurate. That's strange though. When I got my check off list for atena requirements its had 3 month nutritional visits and 6 month nutritional visits and the 3 month was checked off. So I am not sure what constitutes 3 or 6 months then. Very strange.

hard to say. My insurance required six months for everyone who was considering surgery - there weren't any differences regardless of which surgery, BMI, or anything. And everyone was also required to use a place with a Center of Excellence designation.

[Maryeuh 55]

1 minute ago, catwoman7 said:

hard to say. My insurance required six months for everyone who was considering surgery - there weren't any differences regardless of which surgery, BMI, or anything. And everyone was also required to use a place with a Center of Excellence designation.

Yes, same. I was required to have my surgery at a center of excellence as well. Though its not called center of excellence anymore. I think my insurance calls it now an institute of quality. Same thing I guess.

[catwoman7 11,278]

5 minutes ago, Maryeuh said:

Yes, same. I was required to have my surgery at a center of excellence as well. Though its not called center of excellence anymore. I think my insurance calls it now an institute of quality. Same thing I guess.

yea it's probably the same thing - they just changed the name.