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Who determines if you have to go on a pre-surgery supervised weight loss program?
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The surgeon or the insurance company? I called BCBSNC to see if I was covered. I was told under our plan it was if deemed medically neccessary (minus the $1,000 family deductible) (we have PPO-Blue Options 123). I then asked who determines if you have to go through a supervised diet before being approved. The BCBS rep told me that was up to the doctor, if he said I needed a 2 month or whatever prediet first, that BCBS would pay for it if the doctor deemed it was neccessary.
It just seems on here that I read it that when people say they have to diet for 6-12 months first before approval that it is the insurance company making them jump through this hoop. Anyone have any input?
Thanks in advance!