Read2016 658 Posted April 21, 2016 Hi All, Looking to find someone who may be a teacher in NYC or someone else with this type of insurance. Had my first consult with the surgeon today, loved her. The guy who handles the insurance is giving me information not stated in the plan. I'm going to post what the plan says and maybe someone out there can tell me what kind of things fall under 6 months continuous. He's insisting it's medically supervised but I don't see that word anywhere. Sent from my iPhone using the BariatricPal App Share this post Link to post Share on other sites
KristenLe 5,979 Posted April 21, 2016 I would assume that he's interpreting the 6 month weight loss program has to be "appraised and documented by physician requesting referral" as medically supervised. I would specifically question what appraised means to them. Share this post Link to post Share on other sites
Read2016 658 Posted April 21, 2016 That's helpful ... Sad when good doctor have dopey staff Sent from my iPhone using the BariatricPal App Share this post Link to post Share on other sites
shrinkingkimber 200 Posted April 22, 2016 (edited) That's exactly what mine stated. My doctor looked over my food and exercise journals (from myfitnesspal)for 2 months and signed off on them then I continued seeing her for 4 months and that made up all 6 months. Sent from my iPhone using the BariatricPal App Edited April 22, 2016 by shrinkingkimber Share this post Link to post Share on other sites
Read2016 658 Posted April 22, 2016 I'm trying to see if I can submit things like working with a personal trainer etc... Thanks your response is a big help... Did you have bcbs? Sent from my iPhone using the BariatricPal App Share this post Link to post Share on other sites
shrinkingkimber 200 Posted April 22, 2016 I'm trying to see if I can submit things like working with a personal trainer etc... Thanks your response is a big help... Did you have bcbs? Sent from my iPhone using the BariatricPal App Yes. My document looks just like yours just with a different emblem up top. Sent from my iPhone using the BariatricPal App Share this post Link to post Share on other sites
Read2016 658 Posted April 22, 2016 Yep so your doctor just reviewed your documents and submitted a letter stated they had reviewed them? Sent from my iPhone using the BariatricPal App Share this post Link to post Share on other sites
shrinkingkimber 200 Posted April 22, 2016 Yep so your doctor just reviewed your documents and submitted a letter stated they had reviewed them? Sent from my iPhone using the BariatricPal App My surgeons office actually had a form that had to be filled out for each month. I printed my journals from each month and she reviewed them then filled out the surgeons form for each month/journal. Sent from my iPhone using the BariatricPal App Share this post Link to post Share on other sites
Read2016 658 Posted April 22, 2016 Where are you? Maybe I'll be headed to your doctor... How's the weight loss going Sent from my iPhone using the BariatricPal App Share this post Link to post Share on other sites
shrinkingkimber 200 Posted April 22, 2016 (edited) Where are you? Maybe I'll be headed to your doctor... How's the weight loss going Sent from my iPhone using the BariatricPal App Virginia. I haven't had my surgery yet. I finished my 6 months as of April 1 but due to a medication that I'm on my surgery has to be 8 weeks after the last dose. My surgery date is 6/9. Sent from my iPhone using the BariatricPal App Edited April 22, 2016 by shrinkingkimber Share this post Link to post Share on other sites
Read2016 658 Posted April 22, 2016 Hoping it all goes well Sent from my iPhone using the BariatricPal App Share this post Link to post Share on other sites
Amurillo04 109 Posted May 7, 2016 I have that insurance as well and unfortunately as most insurances it needs to be under a doctor. The insurance coordinators have a pretty good idea of what there doing -most of the time- and it's basically there job to get you approved because they want that 30 grand from you lol Sent from my iPhone using the BariatricPal App Share this post Link to post Share on other sites
Read2016 658 Posted May 7, 2016 Have you begun the approval process? Sent from my iPhone using the BariatricPal App Share this post Link to post Share on other sites
