LA Weight Loss and Insurance

[Mrs Husker 3]

I have to do a two year medically managed diet as per my insurance. I did LA Weight loss 12/04 to 6/05. They have just sent me a copy of my "chart documentation" with all my weigh in (I requested it in June and was told that they could not send it to me, when asked why they stated that it was "their property" and it could only be released to my doctor. Since my doctor never received it, I sent them another fax yesterday and they faxed it to ME today.) So, if my insurance accepts this as part of my two year medically managed diet, I should be ready to go by December.

My question: Did anyone else who had to do a "medically managed diet" insurance accepted LA Weight loss? I'm ready to file my third and final appeal and want to make sure I get it right.

[dashiedoodle 0]

I had to give a life history of dieting...but they didn't ask for detail records.... I think this is fairly standard when insurance is looking for any way not to pay...stupid really when you think of the money they will be saving over the course of your life in other health related co-pays!!!

[Scribby 0]

my insurance wouldnt accept WW,medifast or any diet other with a Pcp. I had to do it for 6 months

[nursekathy2u 0]

Most insurance companies want a diet and exercise program that is supervised by either a physician, nurse practioner or a physicians assistant. You can use LA weight loss only if you went to your physician and he documented your progress on diet, exercise, and behavior modifications (no junk food, smaller portions, etc.) Are you SURE your insurance requires a 2 year diet or a is it a diet within the last 2 years. Most ask for a physician supervised diet within the last 2 years. You may want to clarify that. Remember, however, that the physician MUST supervise whatever diet you do.. ww, jenny craig, LA Weight loss etc. I would recommend keeping diet and exercise logs to send in with your appeal and take them to the physician and have him sign and date them.. Also, most insurance companies want you to see the doctor on a MONTHLY basis and he MUST document at EACH visit:

1. What diet your on

2. What exercise you are doing and how often

3.And any behavior modifications you have made

If you miss one month or if you go every month but the doctor doesnt document the 3 things above the insurance companies can deny you for that reason. That is why I recommend keeping your own diet and exercise logs and have him sign and date them each time you go in.. that way you have proof that you discussed it with the doctor!

Good Luck!!

Kathy

[nursekathy2u 0]

Oh.. and LA Weight Loss is NOT medically supervised. At least not locally here in Texas. There are no medical people in the clinics.