6 Month Diet Requirement

[DRoseman 34]

Are there any insurance companies that DON'T require 6 months of dieting prior to surgery?

D.R. Potential Sleever

[autumn_waid 0]

Mine just handed me a paper with the diet and said “this is basically what you’ll eat for the rest of your life”, and he said with my insurance (Aetna) the process takes 3-4 months to complete and get your date.

[jcb123 115]

I have Aetna and I was required to do a 6 month diet plan.

[336Mike 554]

I have Aetna as well, but my requirement was 3 months diet. It depends on several factors. The clinical policy bulletin outlines everything pretty well:
http://www.aetna.com/cpb/medical/data/100_199/0157.html


VSG 10/11/17
HW = 360
SW = 292
CW = 278
GW = 220 (6'5")

[DRoseman 34]

I have Aetna as well, but my requirement was 3 months diet. It depends on several factors. The clinical policy bulletin outlines everything pretty well:
http://www.aetna.com/cpb/medical/data/100_199/0157.html


VSG 10/11/17
HW = 360
SW = 292
CW = 278
GW = 220 (6'5")

Thank you!

D.R. Potential Sleever

[trailtramper 107]

Cigna is >89 days or 90 days with four weight loss visits. The initial surgery consultation counts as a visit.

https://cignaforhcp.cigna.com/public/content/pdf/coveragePolicies/medical/mm_0051_coveragepositioncriteria_bariatric_surgery.pdf

[Roxanne47 0]

My BC/BS of Texas is requiring a 6month period, 6 visits and have to show weight loss attempt

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[watsongirl17 52]

I have BCBS Texas , but I don’t have a weight loss period. I just have to do EDG, one nutrition appointment and a psych elevation. Then I submit to the insurance. No waiting period.

[Roxanne47 0]

I don't have to do the EGD, ... I do have to have a psych eval and medical necessity letter/recommendation

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[temkins 71]

Exactly my case

With AETNA this is not a dieting per se, but a "supervised weight control program", which means you have to follow up on monthly basis either with a professional dietician during a 6 month period, or with a dietician AND a PCP during a 3 month period. During that time you should demonstrate some positive weight loss dynamic - if you lose at least 1-2 lb during that 3-6 months, you are fine and AETNA will clear you for the surgery.

Edited October 31, 2017 by temkins