janiadurl 10 Posted September 17, 2011 Someone please help me. I am seeing Dr. Enochs and want lap band surgery. Everything was going great. I went to the consult and had all the labs ( a thousand dollars worth) and saw the nutritionist. But when I call my insurnce they are saying that a six month dr supervised weight is needed. I called the surgeons office and told them what was said. They told me the same thing that I was told initially. I do NOT have to have a dr. supervised weight program. Now what do I do. My coordinater is promising me that I wont and she says they verified my insurance before my consult. The insurance company is saying no one called to verify any benefits. Now what do I do. Im already out over a grand so far. I cant wait for six months because I may not even have this insurance then. What do I do??? Share this post Link to post Share on other sites
LB4Me 35 Posted September 17, 2011 Someone please help me. I am seeing Dr. Enochs and want lap band surgery. Everything was going great. I went to the consult and had all the labs ( a thousand dollars worth) and saw the nutritionist. But when I call my insurnce they are saying that a six month dr supervised weight is needed. I called the surgeons office and told them what was said. They told me the same thing that I was told initially. I do NOT have to have a dr. supervised weight program. Now what do I do. My coordinater is promising me that I wont and she says they verified my insurance before my consult. The insurance company is saying no one called to verify any benefits. Now what do I do. Im already out over a grand so far. I cant wait for six months because I may not even have this insurance then. What do I do??? What the WL doctor requires and what your insurance may require are two different things. Some drs do not require the 6 month diet and some do. Some insurance does not require it and some do. I would try to get a better clarification from the insurance company as to their requirements directly from them, not the surgeon's office. Share this post Link to post Share on other sites
janiadurl 10 Posted September 17, 2011 What the WL doctor requires and what your insurance may require are two different things. Some drs do not require the 6 month diet and some do. Some insurance does not require it and some do. I would try to get a better clarification from the insurance company as to their requirements directly from them, not the surgeon's office. Thanks for the advice. I did call and get clarification. My insurance is saying that they do require it. My surgeon is saying that they ( my surgeons' office) don't and that they called my insurance and verified that they ( the insurance company) doesn't either. I have Blue Shield of California but live in NC. Now what do I do?? Share this post Link to post Share on other sites
Cindy C 150 Posted September 18, 2011 Have your doctors office send the paper work through and see if you get approved. Just because the insurance requires a six month diet that doesn't mean it has to be now. You just have to be able to prove that you have done it at some time in the past. Share this post Link to post Share on other sites
carmelqt 1 Posted September 20, 2011 I live in Charlotte, NC and I have Blur Coss Blue Shield and I go to Dr. Vollinger and neither one required a 6month supervision diet. I don't know who your surgeon is but since they said they callled then I would find out who they talked to and then call back and let the insurance company know the person who gave the doctors office the information and find let them work it out. Best wishes and hope things work out for you. Share this post Link to post Share on other sites