Hello, I'm new here.
I'm getting new insurance starting in the new year. I'll have Medicare with Anthem Mediblue Access PPO (I am disabled with mental illness). I have some questions about insurance approval. These are the bariatric surgery requirements for my insurance:
For Part A- I have a BMI of 42, so I meet that requirement.
For Part B- I have not had a primary care doctor for about 3 years. I go to clinics and the ER when needed. I have tried various diets, and have been using a Fitbit for the past 2-3 years. I do not know if this is enough for my insurance requirement though.
For Part C- The mental health requirement; I do not take medication for my illness because I have literally tried almost all of them and they do not help, I only experience the side effects. Doctors know psych medication isn't for me. One of the reasons I am overweight is from all the medications I have taken over the years. My mental illness is under control and I will be able to handle surgery and follow doctor's and nutritionist's advice. I am also getting a new primary care doctor in the new year.
Has anyone else had these issues and had their insurance approve their surgery? Has anyone been denied because of similar problems?
Thank you very much for your help.
~Anna