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PHCS-PPO Do they cover? Do you have to do a supervised diet?



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I have seen on many a sites that doctors will recommend that anyone trying to get the band surgery should get PHCS, and a few other insurers. Well, I was wondering how to find out if they have a supervised diet. I was reading the insurance hand book, and it said "Must be medically neccessary". Does that mean there is no other things you have to do except me medically neccessary?

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Many insurance companies have a web sit for healthcare providers that have guidelines for procedures/surgeries. But generally these are not published to the general public.

Your surgeon/office staff will/should have the ability to look at the guidelines and tell you what you need to meet the insurance companies criteria.

You also can ask the insurance company to send you the requirement guidelines or perhaps they will tell you over the phone.

Although my experience has been that whomever answers the phone at the insurance company usually has a different answer from the next person that you might talk too. Seems like you never get the same answer twice from a phone coversation. So getting the requirements in writing would probably be best.

M

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