6 Month Supervised Diet I Am Almost Done With... Did I Mess Up?

[fattymcfatterson 107]

Ok, hopefully some people who have already been approved can tell me if I have messed up here. Due to my work situation I had to schedule my days like this:

Feb 21

March 26 (34 days apart)

April 23 (28 days apart)

May 21 (28 days apart)

JUne 25 (30 days)

July 24 (29 days)

It would just be awful if I was denied on a scheduling technicality. Anyone have any insight??

[SleeveDreamer 383]

What are you scheduling?

[fattymcfatterson 107]

This is the schedule of appointments I had for the 6 month mandatory supervised diet. Wondering if I did something here that would cause my insurance to deny it. I think I am just panicking....

[fattymcfatterson 107]

I edited my title.

[valdostaGA 149]

Does your policy state 6 consecutive months or monthly with no less than 30 days apart? It all depends on what your policy states but your days look fine they're not gonna fall on 30 days exactly due to weekends and holidays.

[kczar 166]

Hmmm, good question. I think they have to be at least 28 days apart, but I'm sure it varies from insurance to insurance. I've got my last appointment tomorrow and then my surgeon's office should submit the paperwork. If I find out before you, I'll let you know.

[valdostaGA 149]

Depends on policy. Mine states 6consecutive months with no less than 30 days apart. Good luck to you guys:)

[fattymcfatterson 107]

This is exactly what and ALL it says about it:

• Documentation of participation in and compliance with a physician led multidisciplinary non-surgical program of at least 6 consecutive months in duration within the past 3 years. This includes a low or very low calorie diet, supervised exercise, behavior modification, and support, with possible medication. Actual progress notes are required. Summary letters will not be accepted.
  

Not sure how I am suppose to accomplish "supervised exercise". I didn't so we will see what happens. And "compliance" in the diet? How do i prove that? Ya know, we PAY for insurance, it's not like we are trying to get this for free. Shouldn't be this difficult..

[kczar 166]

Yeah, it seems to be a game that insurance companies play to make sure we don't take the "easy way out." My surgeon's nutritionist had a form she used to track all this stuff, including exercise. And she asked me about specifics on what kind of exercising I was doing, how long and how often. I mean, I don't know what it proves because I can tell them anything I want.

[valdostaGA 149]

It is ridiculous! As far as the compliance...my coordinator told me they wanted to see that I at least made an attempt to follow a diet for 6 months. I seen on a forum some where that a lady didn't lose a lb and they denied her for being non compliant with the 6 month supervised diet. I hated doing the 6 months but it will help u in the end to get rid of old habits and adopt new ones. Give it a try u can do it:)