Mrs Husker 3 Posted October 20, 2006 We are doing our open enrollment for insurance coverage here at work and I have to switch from BCBS to Mutual of Omaha because of my zip code. I was almost done getting things ready for my third appeal with BCBS now I am going to have to start over. I did call Mutual of Omaha and the lady who answered the phone said that it is covered but must be medically necessary. I asked what they consider medically necessary, she didn't know. I asked it they require a 2 year medically managed diet, she said that she has never heard of it. She did say that as soon as I switch I could send in for my pre-certification. At the next support group meeting, I will ask the nurse if they have a problem with Mutual or not. I just hope that this is going to be easier than BCBS and that I will get approved the first time. Anyone else had to deal with Mutual of Omaha? I read on Obesityhelp.com that many where approved their first time, but they were approved 2 or 3 years ago. One last note, I saw my doctor last week for my A1C (for those who don't know, this is a blood test that show your sugar levels for the last 3 months) and to talk to him about my knees hurting all the time now. Well the good news is my A1C is 5.9 (someone without diabeties is 5.6) but the x-ray show arthritis in both my knees. A little good news, a little bad news, life goes on. Share this post Link to post Share on other sites