mommabear2311 31 Posted August 25, 2016 Hello, Does anyone know if BCBS requires 6 months or 180 days of monitoring before surgery? TIA ~Sandy~ Share this post Link to post Share on other sites
Charlotte Krenzer 0 Posted August 25, 2016 I varies from state to state, I believe. However, in Wyoming they require six months of monitored dieting. Additionally you must prove that you have been obese (with documentation for 5 years). Share this post Link to post Share on other sites
Monet08 63 Posted August 25, 2016 For NC it's a little different if they do it as inpatient you have the 6 visits with NUT and need an authorization. Outpatient you don't have to do all the visits nor will a authorization be needed Sent from my iPhone Share this post Link to post Share on other sites
PNWsleever 44 Posted August 25, 2016 Bcbs of illinois does not require any dieting. Best of luck! Sent from my SM-G900T using the BariatricPal App Share this post Link to post Share on other sites
KristenLe 5,979 Posted August 25, 2016 @@mommabear2311 It not only depends on the State but often on your particular BCBS plan and patient circumstances. You need to find out the requirements specific to you and have the surgeon's office confirm them (I was given wrong information by BCBS Rep). Share this post Link to post Share on other sites
Monet08 63 Posted August 25, 2016 (edited) You should also be able to go to your insurance plan main page and under medical policy of you don't know the code type in weight loss and it will show you all requirements . I hope this helps Sent from my iPhone Edited August 25, 2016 by Monet08 Share this post Link to post Share on other sites
Nana1222 159 Posted August 25, 2016 I went to look at my main page and med pol and it shows no requirements I'm going to call BC/bs and ask where they see the six month requirement to visit pcp or nutrionist Sent from my iPhone using the BariatricPal App Share this post Link to post Share on other sites
Nana1222 159 Posted August 25, 2016 I actually found the right page and it doesn't give me access darn it lol I'll call and ask them to send me them. I'm so impatient Sent from my iPhone using the BariatricPal App Share this post Link to post Share on other sites
amyflores 23 Posted August 25, 2016 Bcbs in Kentucky requires 6 months Sent from my iPhone using the BariatricPal App Share this post Link to post Share on other sites
RNMomof4 86 Posted August 25, 2016 6 months medically supervised diet for Anthem BCBS of va Sent from my iPhone using the BariatricPal App Share this post Link to post Share on other sites
maredarlin 12 Posted August 25, 2016 I'm pretty sure it differs between the plans within BCBS. I have BCBS in New Jersey and it took me a little more than three months to complete all the pre-cert requirements. The Doctor told me it could take anywhere from 5 - 15 business days at that point for Horizon to make a decision, but it only took them five days. So It moved along pretty fast for me. It's just a matter of getting all of your pre-cert work done, showing your committed to the process, and doing what needs to be done. Good luck! Share this post Link to post Share on other sites
bia1nca1 38 Posted August 25, 2016 BCBS MN required 6 months of supervised diet by PC doctor or dietician. I just got my approval today. It took 8 business days for approval. They told me it could take up to 10 business days for approval. Now I'm just waiting on a surgery date. Sent from my SM-N910P using the BariatricPal App Share this post Link to post Share on other sites
busybeebug 415 Posted August 25, 2016 Highmark BCBS in PA requires 6 months Sent from my SM-G935V using the BariatricPal App Share this post Link to post Share on other sites
pansy27 23 Posted August 25, 2016 My bcbs in NC did not require any supervised diet.. It did require I meet with nurtrionist but no required number of appts. Sent from my SM-N900R4 using the BariatricPal App Share this post Link to post Share on other sites
mommabear2311 31 Posted August 25, 2016 Thanks so much everyone! Sept 7 will make my 6 months. I'm looking forward to surgery! ~Sandy~ Share this post Link to post Share on other sites
