Tropical.Lover 24 Posted July 21, 2013 Thank you so much for your info. I actually have seen this document several times (as that is what they send me when I ask specifically about the pre-requisites). They don't seem defined here. Again' date=' I understand the qualifications for medical necessity, and meet those, and am hoping to find out about like the 6 month diet prior to surgery...many people have not had that requirement through Anthem, so I am curious what dictates those pre surgery 'hoops' if you will. Perhaps it is more surgeon/clinic defined...I'm sure I will get all of the information at my appointment, but just wondered if anyone had insight as well. Seems like all insurance plans are different for sure. Thanks again so much! I appreciate it. [/quote'] hey honey !!!!!!! WE ARE ON THE SAME BOAT I FEEL THE EXACT SAME WAY . WHAT DAY IS YOUR DOCTORS (PMP) APPOINTMENT ?????? Mine is on JULY 31. If then I will get 100% info I need my 10% to be complete !!!! Lmaoooo ) Share this post Link to post Share on other sites
Tropical.Lover 24 Posted July 21, 2013 Thank you so much for your info. I actually have seen this document several times (as that is what they send me when I ask specifically about the pre-requisites). They don't seem defined here. Again' date=' I understand the qualifications for medical necessity, and meet those, and am hoping to find out about like the 6 month diet prior to surgery...many people have not had that requirement through Anthem, so I am curious what dictates those pre surgery 'hoops' if you will. Perhaps it is more surgeon/clinic defined...I'm sure I will get all of the information at my appointment, but just wondered if anyone had insight as well. Seems like all insurance plans are different for sure. Thanks again so much! I appreciate it. [/quote'] keeeeeeep updated with your doctors info ) Share this post Link to post Share on other sites
RunningA5K 645 Posted July 21, 2013 hey honey !!!!!!! WE ARE ON THE SAME BOAT I FEEL THE EXACT SAME WAY . WHAT DAY IS YOUR DOCTORS (PMP) APPOINTMENT ?????? Mine is on JULY 31. If then I will get 100% info I need my 10% to be complete !!!! Lmaoooo ) My appointment is on Wednesday....just three short days away (not that I am counting or anything) LOL Share this post Link to post Share on other sites
RunningA5K 645 Posted July 21, 2013 keeeeeeep updated with your doctors info ) Will do....hope it's good info! Share this post Link to post Share on other sites
Tropical.Lover 24 Posted July 23, 2013 My appointment is on Wednesday....just three short days away (not that I am counting or anything) LOL 1 more day )) Share this post Link to post Share on other sites
RunningA5K 645 Posted July 23, 2013 1 more day )) Yes! Yes! Yes! Share this post Link to post Share on other sites
RunningA5K 645 Posted July 24, 2013 Just to update...had my appointment today. Anthem requires 4 NUT visits for me. Was hoping Anthem was consistent across the board...apparently that is not the case. Share this post Link to post Share on other sites
JillyBean 1 Posted July 25, 2013 Anthem requires you go to a COE. One of the requirements for the COE is a full pre-surgery program. Part of the approval is the Dr. Signing off that you completed this program. Share this post Link to post Share on other sites
RunningA5K 645 Posted July 25, 2013 Yes, what I have found is that Anthem is not the same across the board. As you may have read in some other posts, some people aren't required to have 6 months of dietician appointments, etc. so it definitely seems to vary by state is what I have found. Share this post Link to post Share on other sites