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Possibly A Very, Very Stupid Question!



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Here goes! I am doing the 6 month diet with PCP and am set to finish in December with it. I really, really want the surgery during winter break right after finals and a few days before Christmas (I'm in college). Can I submit to insurance in mid November even though only 5 will be documented (of course I'd still be doing the last weigh-in)...? I just know it takes time for insurance to make a decision and I'd need a two week liquid diet before surgery.

Another reason why I ask is because I don't think I even need the 6 month weigh-ins! I've spoken to a million reps from my insurance and they say they require a 5 year weight history (which I have) and a prior authorization. My patient advocate at my surgeon's office keeps telling me I need it, so I figured I'd do it anyway since I can't really have the surgery earlier than December with school and all. I wonder if my patient advocate is making me do the 6 months in order to get greater chances of approval or as a precaution.

So...all in all...could I submit to insurance in November? That would be my 5th weigh-in.

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I would call my insurance and ask :)

Everyone's policies are different.

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I wasn't required to do the six month because I had been seeing a nutritionist and I was able to get the proof from her office and the insurance company accepted it. Keep in contact with the insurance person at the doctors office because they are following a routine. I'm sure I annoyedd my insurance girl because I too had a date in mind that would work for me. I was on it!! I did all my pre-op consults in two weeks. She didn't believe me. I was on the doctors to turn in their reports. I was always pleasant and showered the office with please and thank yous. LOL

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