ojibway 203 Posted November 19, 2015 My insurance is requiring a 6 month, non surgical weight loss regimen, WHAT did your personal physician or surgeon do for this? My Doctor isn't sure exactly what he needs to do for me. Thoughts? Help! I have every other requirement met already. except this one! Share this post Link to post Share on other sites
tmcx28 297 Posted November 19, 2015 (edited) I did the entire thing through my surgeons office. My surgical coordinator at my surgeons office basically gave me a timeline of things required by my insurance and set everything up for me. I had 3 (maybe 4?) nutritionist visits, 3 visits with my surgeon, an endoscopy (surgeon requirement, not insurance), blood work, and a psych eval. With the 6 month diet there's nothing really for your primary to do other than make suggestions on losing weight and have you come in regularly for weigh ins to make sure you're actually losing. Edited November 19, 2015 by tmcx28 Share this post Link to post Share on other sites
Sleeve_Sistah85 193 Posted November 19, 2015 I had to document my weight, diet I was trying and physical regimen. Make sure your physician is writing this in your chart. Diet types included: Low calorie, low carb, jenny Craig, weight watchers, etc Physical regimen: Work out DVDs, personal trainer or gym..make sure you write how many times per week in your chart I was attending weight watchers all year so my insurance included that as part of the 6 month...they only required me to see the doc 2x because of that. Share this post Link to post Share on other sites
newmebithebypass 713 Posted November 19, 2015 I am doing mine through my surgeons office and I meet once a month with the nutritionist and she goes over my food and exercise logs and talks about what life will be like after surgery Share this post Link to post Share on other sites
ssflbelle 829 Posted November 19, 2015 I met once a month for 6 visits with my WLS surgeon who weighed me and discussed all I had done in the past to try to lose weight and keep it off. We spoke about my co-morbidities, the type of surgery I wanted and what exercise I was currently doing. I had been following Nutrisystem before I met him so for the first month he told me to continue to follow it and document on another site what I ate. After the first month he told me to get off of that program and follow a high Protein low carb diet. I was given a blue folder of all that will happen at the hospital and the diet plan to follow after surgery and his 4 rules I must follow.The blue book explained all about the surgery as did the Dr. I was given a check list of all the tests I had to go to as well as meet with the NUT once and get a mental health clearance. Additional testing was added after certain Drs met with me. When the Cardic Dr saw the EKG he asked for a stress test. When the Pulmonary Dr saw me he also asked me to do a breathing test. Share this post Link to post Share on other sites
jimney 4 Posted November 19, 2015 Where do we get the Surgery Countdown and/or Body Weight Ticker? Share this post Link to post Share on other sites
Sharon1964 2,530 Posted November 19, 2015 You might want to doublecheck with your insurance. The ones with this requirement usually do not require any weight loss, just a medically supervised diet. My surgeon's office gave me a list of things my doctor needed to document at every visit. You might want to check with your surgeon to see if they have that. Share this post Link to post Share on other sites
PatsFanTN 5 Posted November 19, 2015 If you've been seeing a doctor (primary care) about weight loss, they may be able to go back a few months and enter data on the worksheet that your insurance requires (your surgeons office can get you that paper). In the meantime, things that would help your supervised diet requirement is using a food tracker or diary (I used myfitnesspal, but there are other apps too) to show your efforts in maintaining a healthy diet, even if you don't manage to lose weight on it. Share this post Link to post Share on other sites
ssflbelle 829 Posted November 21, 2015 Where do we get the Surgery Countdown and/or Body Weight Ticker? Go to the top of the page to the little wheel in the upper right hand corner by your name. When you do a left click on it you will see in the right hand list my tickers. Share this post Link to post Share on other sites
Cheeselife 68 Posted November 21, 2015 It's a good question to ask your insurance company. I may just be lucky, but I called mine a few times to ask variations on this question. My PCP ended up writing a letter with monthly weights over 6 months, giving information about things I've tried to lose weight. My insurance waives that 6 months if you have comorbidities such as heart issues, diabetes, sleep apnea etc, so it's worth you checking. Sent from my SCH-I545 using Tapatalk Share this post Link to post Share on other sites
lilbarn752 3 Posted November 21, 2015 I had to meet with my PCP 3x in a 6 month period. Insurance gave me paperwork for my PCP to fill out with questions like what diet am I doing, how much exercise am I getting, and a list of things to discuss like eating without distractions, stopping soda, etc. Very easy! Share this post Link to post Share on other sites