Insurance requirement - pre-op weight loss diet & exercise

[bombardier 0]

Hi all. This is my first post and I looked through pages of threads, but didn't find a similar topic.

My insurance company requires a 3 month pre-surgical diet and exercise plan that includes a visit with a dietician, frequent face-to-face visits with my PCP, and exercise overseen by a person trained in the field. The exercise isn't a problem since I work out 6 days a week anyway and I see my doctor every other week... already lost 5 lbs in the first two weeks on Medifast! Just had the dietician visit yesterday.

I'm just hoping to hear that other people got approved after jumping through these hoops and ask what sort of paperwork you submitted to prove you completed each of these sections?

Can anybody help me sort out the details? I still need to call my insurance company to get specifics on what they require for those stipulations, but in the meantime would like to hear from others.

Thanks in advance!

[Makingchanges 51]

Hi, I have read some people blog about doing things like this and they all has gotten approve. My insurance require me to do a 6 month supervised diet with the dietician, complete a Health & Behavior Assessment, with a licensed Psychologist. They are the ones who has to submit the paper work to the insurance coordinator to be submit to my insurance company and then I have to wait to be approved. I hope this help and I pray that you get approve as well.

Gina

[MeMeMEEE 206]

This seems to be pretty normal, the few things I have heard are - number one make sure your insurance covers the sleeve - a few have been disappointed when they submitted and found out they didn't. And number two, make sire you discuss everything you are doing weight loss wise at your meetings, in detail. I am just passed my 4th visit, next one is June 13th. Mine I have to see my primary care Doctor.

[wishes 125]

The ladies above have definitely hit the major points, and you seem to know what is required of you and double checking to make sure with insurance. Definitely, make sure that you are recording everything with your PCP and everything is in your notes. Keep track and make copies. I am in month 3 of my 6 monthly supervised visits, and I have already met with a psychologist for my psychological evaluation. I hope to have everything ready to be submitted on August 12th with my last PCP visit.