Letter Of Medical Necessity And Sample Letter.

[HalloweenBaby24 447]

@ Dulce_jtrivera

Yup one step closer!

I have my OB appointment next Tuesday, I'll keep updated and let you know how it goes!

[HalloweenBaby24 447]

@@Dulce_jtrivera

Just an update.

Went to the OB today and she was more then happy to fill out my letter of medical necessity.

[MzGee 65]

@ Halloweenbaby24

I figure a doctor,is a doctor and as long as they have your weight that should be good.

I went to a registered dietician, I don't have a PCP and I'm hoping all my documentation will be accepted by my insurance co. Because I read their policy and no where in the list of needed info for WLS did it say it had to be from a certain kind of physician... "medical documentation " , so I'm hoping I'm ok. I meet with the surgeon this Friday, and before hand I already submitted the paperwork to the patient advocate, who had a nurse look over it before scheduling this meeting. So my fingers are crossed!!!!

[Sunnyskies2283 23]

I've never heard of having to have 5 years of weigh-ins. Is that a normal insurance thing? I thought the requirements were usually just the 3 or 6 month supervised diet?

[Dulce_jtrivera 31]

@@HalloweenBaby24

That is great! I will let you know how my appointment goes, it's next Tuesday... excited but nervous. Keep your fingers crossed!

@@Sunnyskies2283

My insurance requires five years of weight history, you can get it from multiple doctors. They don't require the supervised diet or 6 months of weigh ins, just the history.

[Dulce_jtrivera 31]

Guess who got a letter? ..... ME!!! I am so relieved and ecstatic! I can't stop smiling Woohoo! Just wanted to update everyone and share my happiness with someone. Yay me!

[jjinWA 511]

I jumped all the hoops I was told I needed to enable me to submit my paperwork to ins (BCBS). Get all done and think I should be good to go and the facilitator asked me if I had my two years of weight history. WTF? First I had heard of it! So I had to go back to 2012 and 2013 and find doctors that I had seen to see if they had my weight recorded in their chart notes. I also checked with Weight Watchers. Apparently the ins will accept their file records also. Long story short I did get the needed support evidence to show that I have been overweight for at least 3 years. But I was sweating bullets when I first heard of this requirement. Check with your facilitator or ins company to see if this is a necessary step for you. MIT delayed me submitting my paperwork cuz I had to chase down the additional information at the last minute. Weight watchers is used to this request. They were able to find my records across multiple states. WOW....

[HalloweenBaby24 447]

When I asked WW for records of mine they claimed they looked through each state in which I had "Supposedly" been a member and couldn't find anything. Said if it was past 3 years most likely the records were erased. Every insurance is different (I have BCBS ppo of Mass), thankfully I found past weights of mind from 2000 when I first visited a dieticain at 12 due to high cholesterol, till 2008 when I had my gallbladder removed.

So I'm hoping that's enough for the insurance company.

[jjinWA 511]

Funny, the girl I talked to said they can go back 8 years or more. I was shocked I did not give her anything more then my name and the states I lived in. Nothing else and they still pulled up my records.