Help! Can someone help me interpret my SPD?

[Louky 2]

I take this to mean I must have spoken to my dr and had an unsuccessful attempt in the previous 6 months. I do not interpret this as I have to be on a 6 month physician controlled plan. Am I wrong??? Anyone else have similar language?

[Tssiemer1 549]

My insurance didn't require a diet and said a 6 month period un supervised diet within the last 2 years.

So I'm not sure.

Edited September 29, 2015 by Tssiemer1

[katladee 156]

My Dr just documented what I told him I had tried for weight loss in the last year, i.e. counting calories, Jenny Craig, Weight Watcher's, South Beach Diet, diet shakes, etc.

[ShrinkingPeach 1,291]

You are right, you must have one documented attempt to lose weight within the last 6 months. You are not required by insurance to be on a supervised diet plan. Your surgeon's office may have different requirements than your insurance though, so check that out.

[Louky 2]

Thank you all for your input. My intake appointment where I meet the entire team (all 7 people involved including my surgeon) is on the 13th of October. I am trying to have my surgery before the end of the year but I had my first appt with my pcp on August 1 where we discussed my weight and diabetes and that I was wanting to have weight loss surgery. I saw her on September 4 and will be seeing her again on Friday October 2nd. She's on board with me so that's very helpful. My husband is having hip replacement next Monday and with other medical costs that we have had this year, we will be very near our family out of pocket maximum by the time I get to have my surgery so my costs will be minimal. If any of you have any suggestions in helping me to get thru the insurance gauntlet, I'm glad to hear anything!!!