Another post about it being complicated!

[cms213 119]

Sorry I know these types of post are always popping up but it's so hard I get answers!

My insurance basically wants a 6 month supervised diet to show its been ineffective and that the surgery is medically necessary.

1. I can't get them to tell me if when I started my visits in November and have met monthly with the nutritionist through my PCP if its just 6 visits or if I'll need to be 7 (because when counting months you normally don't count the month it started)

2. It has to show its been ineffective which it has been HOWEVER my bariatric center is requesting the 6 month diet and a 5% reduction in weight to be completed before they will finish the step. So if I loose 5% will that be shown that the diet was effective?

3. No one can answer my questions, I have tried asking the bariatric center and insurance. Bariatric center says ask insurance and insurance is saying to call a care compass nurse (who is only available M-F 8-5) oh did I mention those are my work hours so its been super challenging to schedule and make all these phone calls

Ok my rant is over ill try calling the care compass nurse tomorrow...

[Kimmy1813 77]

I started my journey in January and was told today that I would need 7 visits in 6 months....since my first appointment was in January, my last one will be in July and then they will submit to insurance.

[cms213 119]

I started my journey in January and was told today that I would need 7 visits in 6 months....since my first appointment was in January' date=' my last one will be in July and then they will submit to insurance.[/quote']

Thanks! I'm guessing mine will be the same and I'm fine with that I just like to know information and don't want to submit the wrong info.