Non-Surgical Weight Management Program

[Back~To~Amy 307]

I have to submit proof that I was involved in a non-surgical weight management program for at least 6 consecutive months in the last year. I have already gotten proof from Weight Watchers of my payment for 6 consecutive months in 2011. What I don't have though is a record of my weight. I'm looking for some opions from anyone that has BCBS and had to submit similar proofs. Did you have to submit proof of your weight at each meeting or was record of your payment for 6 consecutive months enough?

Thanks!

[Mab 44]

I would gather 3-5 years of physician progress notes (specifically the information that the nurse records prior to seeing the doctor). My assumption is that they want to make sure that obesity has been an ongoing issue and not something that happened within a short period of time. While my insurance did not require a diet, they did require documentation indicating that I have been obese for at least 5 years.

[Back~To~Amy 307]

Thanks Mab. They don't require anything beyond 6 months proof of active participation in a non-surgical weight loss program. I'm not sure the billing records qualify as proof of "active participation" since just because I paid doesn't mean I went and actively participated. However, why would I continue to pay if I wasn't actively participating, right? Im just not sure the insurance company will see it that way. They will be getting my doctor records for the last year though because they want proof of other criteria such as my bmi and hypertension for the last year. My doc records will certainly verify my weight but not every week or month such as would be with Weight Watchers. I guess my main concern here is proving "active participation".