paperwork question

[Watchershrink83 61]

Hi everyone,

Question -- when you submit your paperwork what is it that the insurance company looks for? Is it supposed to show that you lost weight? Can you get denied if you went up in weight?

I am trying to get my lap band done and I am struggling to get an actual date. I am trying not to get frustrated but it's crazy all the hoops they make you jump thru. Thanks in advance for your help.

Susana

[dylanmiles23 2,198]

My doctor's office did everything for me. I did nothing. Ask the office for help.

Good luck with your new journey, I love mine!

[deb059 26]

my md's office did almost everything..i was just pushy and kept in contact with my insurance casemgr. i did not have have any supervised wt loss sessions..each insurance is different. most require a psych visit, documenation that shows you have tried many other methods and either succeeded and gained back frequently or were not able to lose the weight, dietitian visit, and my md dr Keith mcEwen in Noblesville, IN included an exercise physiologist, though it was not required. to me, picking the right surgeon was crucial! I would think your md's office will work on this. you can contact your insurance company and ask them what the stipulations are for you. deb

[line-dancer 810]

yes your sugron 's office should be doing all that for you, after all its to their advantage its how they make a living...good luck....

[cheryl2586 3,053]

You should not have to be submitting anything. Its between your primary and your surgeon to get all the paper work submitted for your surgery.

[Watchershrink83 61]

All of you have confirmed what I had been thinking.

My doctor submitted all of my documents including the required medically supervised diet. My insurance requires me to do a four month diet, which I've done. It just so happens that since my initial consultation my weight has increased. I've gained weight purposely because I missed the required BMI count by 2. I need to be at a 40 BMI, at that time I was at a 38.

Another factor is that I am tall. At my initial consultation I did not qualify because my BMI was low due to my height. Now that my BMI is where it needs to be I figured it would go a lot smoother. Not the case. From what I am being told, I may have to do another four months of dieting.

The way I see it, I've been dieting all my life, how much more dieting do I need to do?!?