So confused!

[flmama 105]

I had confirmed coverage/benefits with my insurance provider and pulled requirements from their website (and even talked over those requirements with customer service). But my new surgeon's office just called and said that there are NO requirements for my specific plan...just that I have tried to diet in the past and failed. But no specifications about timelines or it being medically supervised or whatnot. I just have to list diets and details and they submit it.

I will still have the psych eval and see a nutritionist through the surgeon, but not for a specified time frame. And I've already started working with a trainer on my own and seeing my PCP 1x a month just as a precaution for documentation purposes.

I'm just waiting for the other shoe to drop and hoping that if they do institute some requirements, that what I'm doing fits the bill.

My surgical consult is scheduled for 2/6. EEK!

[MOMW 71]

Each insurance has multiple plans. It depends on your plan as to what is covered and the requirements. Your Bariatric center works with insurance all the time and they speak that insurance language when talking to your company. For your own ease of mind call both to reconfirm the requirements for your specific plan. You are very lucky if this is your actual plan. I know mine was very similar but I had to meet the bmi requirements. Good luck.

[flmama 105]

Oh yes, they do have BMI requirements! I just meant no nutritional/behavior mod/exercise requirements ahead of time. It's an Aetna plan...they linked to the Aetna website with the 6 or 3 month requirement options, but the insurance coordinator said that my particular plan doesn't have those requirements.

My BMI is currently 46, so I'm okay there.

[MOMW 71]

Aetna is who I have also. We are very lucky. So don't worry. Just keep the positive attitude as you look forward to the new you.

[flmama 105]

Thank you!! I am excited that it will be sooner!