My file will be submitted to Carefirst BCBS (DC Plan) tomorrow (5/26) morning. Here are my vitals:
Age 30
Female
Height: 5'3"
Type II Diabetes (diagnosed 5/10/2011)
Hiatal Hernia
Non-Alcoholic Fatty Liver Disease
= Metabolic Disorder
Weight at surgical consult: 205
Current Weight: 198
Goal Weight: 127
Carefirst BCBS through DC. Only insurance concern is that I have had two three month diet plans that went like this: My weight doctor: Visit 1/3/2011, visit 1/17/2011, 2/1/2011, 2.16.2011, 3/1/2011, and 3/17/2011, with a primary care visit in early April - should be OK for this one.
My other weight program was a visit on I think 1/20/2010 and another visit on 4/9/2011 with a primary care visit on 1/21, blood work on 2/16 and a neurologist visit on 3/17/2010. I have good documentation of visits, receipts, medical notes, etc. but there could be an issue with the fact that I did not go to the weight specialist between 1/20/2010 and 4/9/2010.The insurance coordinator at Bluepoint Surgical group seems to think that we can get approval because my documentation is good and it shows that I have lost weight but can't keep it off.