Hey everyone

[smarcelin2014 5]

Im confused about that because when i called healthfirst, I spoke to authorizations department and they said there wasnt a 6 month requirement that all they need is proof that it is a medical necessity but the hospital said that the insurance company requires it. Did you get that from the insurance or the hospital that you did the surgery at? If you don't mind me asking where are you doing your surgery?

I've also seen posts on here where it wasn't required for some.

I was told by my hospital that the 6 months was a requirement. I don't know exactly if it was a requirement for my insurance but just like me they required proof of medical necessity, so there is a possibility they want you to do the six months for better chances of being approved. I actually heard of one patient who had a BMI of 35 and undiagnosed co-morbidities of arthritis and high cholesterol and finally decided to get medication for it but since there was no wait requirement her paper was submitted immediately and she was denied due to no medical history of treatment/illness.

PS- My hospital is The Center For Metabolic And Weight Loss Surgery (New York Presbyterian/Columbia University Medical Center)