Confused with weight loss documentation!

[megandearcos 0]

Maybe somebody on here can help me out...

Per my insurance I have to have 3 consecutive months of weight loss documentation. So my first month I saw my PCP was June, I saw her July and I see her next week. So to me that would be 3 months. But when I've asked people in the bariatric program some say its in 3 months (June July aug) and someone else told me it has to be June-July (1 month) July-aug ( 2 month) aug-sept (3 month).

** I'm just a little confused, has anyone had this problem?**

[Macy6 356]

Mine was 6mo and I thought because my first PCP appt was Jan that month 1 would be Feb. I was wrong. Mine was Jan thru June, so like your original thought. I suppose every surgeon could be different?

[TwinsMama 483]

For me it was 30 day rotations. So the second one jun-jul, jul-aug, andaug-sep. Each program is different so you may want to go and call your Dr.

[TwinsMama 483]

Mine was 6mo and I thought because my first PCP appt was Jan that month 1 would be Feb. I was wrong. Mine was Jan thru June, so like your original thought. I suppose every surgeon could be different?

So crazy, mine was 6 months too but still it had the 1 extra month. You're right, each Dr is different.

[Macy6 356]

So crazy, mine was 6 months too but still it had the 1 extra month. You're right, each Dr is different.

Yeah, much to my dismay. You would have thought I would have been excited but instead it made me so nervous. I was month 4 when I found out and I thought I will had another 3 months and all of a sudden it was 2 months and than I got nervous. Was I ready? Had I learned all I wanted to learn? What I prayed would come quick, sped up even faster. I am fine and actually I am having surgery when I hoped I would. Now I am thankful it was a month earlier because otherwise I would be having surgery in December, but with the month gone I can have it in August. (I am in school)

[Arts137 1,811]

It's the insanity of your/our insurance... Check with them!

[lnelson796 117]

You have to read it as being monitored FOR three months. So your first appointment starts the clock, second appointment marks first month, third appointment marks second month, etc.

[notmeanymore 629]

I had a 3 month requirement and my first visit was my consultation so to speak then a month later counted as 1 month, a month later was 2 months, a month later was 3 months. So 4 visits for the 3 month medically supervised diet. It doesnt necessarily have to be 30 between the appointments. My doctors office told me it just had to be the following month. My shortest "month" was 2 1/2 weeks so that helped speed it up a little bit. Hope that helps.

[flyme_places 99]

The receptionist at my surgeons office was really good about it. I had to do 3 months worth. So she counted my first appointment there as my first weight loss/ NUT appointment. They made it really easy.

[Leleboo 104]

Maybe somebody on here can help me out...

Per my insurance I have to have 3 consecutive months of weight loss documentation. So my first month I saw my PCP was June, I saw her July and I see her next week. So to me that would be 3 months. But when I've asked people in the bariatric program some say its in 3 months (June July aug) and someone else told me it has to be June-July (1 month) July-aug ( 2 month) aug-sept (3 month).

** I'm just a little confused, has anyone had this problem?**

They don't count the first visit because you are just being seen they haven't monitored you yet - same thing happened to me but I had to do 6 months which really turned out to be 7 months and then I had to wait 2 more months ( doung nutrition class and othe required appointments) until I got the surgery.

[ribearty 544]

It is up to your insurance company how they determine the first visit. My insurance counts the first visit with the surgeon since we discuss weight, diets, and exercise. The only way to know for sure is to check with your insurance company. Sometimes also the insurance coordinator at your doctor's office is familiar enough with your policy coverage to provide an answer. The form my insurance company sent me for completion only has six areas on it to be completed. The visits per my insurance coverage have to be in six separate months but not at 30 day intervals. My first visit was 7/31, and my next appointment is on the week of 8/19. I checked with my insurance company and was told me that this was spread out enough to qualify for two visits. I plan to have my last visit in early December so I can possibly have the surgery before the end of the year.

I have a prolapsed lap band and am undergoing some tests right now. Once they are complete I will meet with my doctor to discuss the results. Then it will be decided if my claim will be submitted for a waiver of the 6 month requirement. I am scheduling my visits in case the request is denied.

Good luck in your journey.

[laffypatty 47]

Maybe somebody on here can help me out...

Per my insurance I have to have 3 consecutive months of weight loss documentation. So my first month I saw my PCP was June' date=' I saw her July and I see her next week. So to me that would be 3 months. But when I've asked people in the bariatric program some say its in 3 months (June July aug) and someone else told me it has to be June-July (1 month) July-aug ( 2 month) aug-sept (3 month).

** I'm just a little confused, has anyone had this problem?**[/quote']

My insurance (Aetna) requires 90-day weight loss documentation with dietician. My first visit was May 8 and my last is tomorrow, August 8. That's just over 90 days. I'm also required to meet with the dietician and nurse practitioner at surgeon's office four times within that 90-day period.

[SuNMooNStaRS816 423]

Check with your insurance. It's all up to them and the stipulations the employer has put on the policy. This isn't up to the surgeons office.

[megandearcos 0]

I had a support group meeting last night (my last one I need in order to be considered for surgery) and I asked the program coordinator and she said just "3" consecutive months. So next week would by my 3rd month, I'll find out for sure if I'm finished or not