Lisa75 3 Posted September 3, 2011 So I went to the Metobolic Center last week and got disappointing news. I started my 6 month diet for the insurance in March and my last weigh in was suppose to be Oct. 3rd. The insurance analysis told me they just that day had been informed that BCBS of Illinois had changed their diet from 6 months to 8 months, so that will put me in December. Not even sure if I will get to have it now before the end of the year. Wondering if when Dec. gets here if they will move it to a year. So disappointing. Share this post Link to post Share on other sites
pugsx3 39 Posted September 13, 2011 So I went to the Metobolic Center last week and got disappointing news. I started my 6 month diet for the insurance in March and my last weigh in was suppose to be Oct. 3rd. The insurance analysis told me they just that day had been informed that BCBS of Illinois had changed their diet from 6 months to 8 months, so that will put me in December. Not even sure if I will get to have it now before the end of the year. Wondering if when Dec. gets here if they will move it to a year. So disappointing. Hi Lisa, I'd check on this with BCBS directly. I started my 6 months of diet at the beginning of April, and had my 6th appt in August. It only took BCBS-IL a couple of days to give me my approval. I'm getting my band on Thursday and I can't wait. And don't give up - cause that's what they want you to do!! Show them you're going to do whatever it takes to get this and get healthy!! I was ready to give up a couple of times - but I'm glad I stuck with it! Share this post Link to post Share on other sites
Grider 92 Posted September 15, 2011 I do not see how they keep changing the plan at drop of a hat- it is a contract- you pay a premium for certain coverage, and the rules should NOT change, Idd call ins comish of that state, and complain Share this post Link to post Share on other sites
Lollicatt 36 Posted September 16, 2011 No freaking way!!!! My LAST apppointment is tomorrow!!!!! Are you sure?? I will be so angry.... Share this post Link to post Share on other sites
Lollicatt 36 Posted September 18, 2011 Did ever confirm this? My patient advocate never said anything about a change and they are submitting my ppw on monday. I'm so nervous now! Share this post Link to post Share on other sites
shawna_s 8 Posted September 22, 2011 I am also curious if anyone has followed up about this. I was told 3 months, hit 3 months and was then told 6 months, if they change it again I am going to lose my mind!!! Share this post Link to post Share on other sites
Lisa75 3 Posted September 26, 2011 I am also curious if anyone has followed up about this. I was told 3 months, hit 3 months and was then told 6 months, if they change it again I am going to lose my mind!!! I just got on here to say, that I called BCBS of Illinois this morning and they said there has been NO changes. It's STILL 6 months. She read it too me and told me anyone can find it on bcbsil website. I was VERY happy to hear this. So then I called the metobolic center and got that straightened out w/ their off. They had a HUGE mix up with things. Geez. lol So sorry about the confussion everyone! It's still 6. Share this post Link to post Share on other sites
bander11 0 Posted September 26, 2011 Thank Goodness!! Had me a little worried. Though I am BCBS of Delaware we had the same 6 months - do you know if yours had to be consecutive months - my advocate told me I could do 3 and 3 - I had done 3 through my employers wellness program and then 2 (third is scheduled for 10/5) through the doctors office - they said BCBS has accepted my employers program before with other patients and since I had those three and they were consecutive and as long as i did the last 3 through them consecutive all within the last year it would be acceptable. We'll see, if not I will be waiting til January (whew if they added two more months I'd be looking at March) - I am just so ready, anxious as well as nervous to get this process off and running. Share this post Link to post Share on other sites
sally125 2 Posted September 28, 2011 I just used BCBSIL and did not have to do it with 6 consecutive months. Make sure your doctor writes up what the plan is and what you are doing in great detail. I was almost denied because of "not enough documentation." Luckily, my food journals were also used with the doctor signing them as I took them to the visits. Share this post Link to post Share on other sites