Insurance requirement of a year of weights/BMI's

[ckrackley 2]

Hi everyone!

I have BCBS FEP insurance and have finished all of my requirements except, today, they told me I need a years worth of weights/BMI's. I was just wondering if anyone knows exactly what that entails. I've only been to the doctor MAYBE 3 times in the last year, will this be a problem? I've called my doctor's office to request it but had to leave a voicemail... just waiting for a call back and thought maybe someone here might have experience with this.

Thanks ahead of time for any insight!

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[Neller 114]

4 minutes ago, ckrackley said:

Hi everyone!

I have BCBS FEP insurance and have finished all of my requirements except, today, they told me I need a years worth of weights/BMI's. I was just wondering if anyone knows exactly what that entails. I've only been to the doctor MAYBE 3 times in the last year, will this be a problem? I've called my doctor's office to request it but had to leave a voicemail... just waiting for a call back and thought maybe someone here might have experience with this.

Thanks ahead of time for any insight!

Sent from my SM-N986U using BariatricPal mobile app

I have BCBS FEP too, and what they want is documented weight for the last 2 years. For me, my surgery was in 2020, so I had to provide a note from my MD for 2018 and 2019 that documented my weight. In addition, I had to see my primary care provider for 4 consecutive months for weight checks and counseling, plus a psych evaluation, abdominal sonogram, a visit with a dietician, and an EGD. Then it went to BCBS FEP for approval. It’s a long process but it’s worth it.

[mswillis5 127]

My requirements required 5 years of weight history. This was only 1 doctor visit a year that had your weight listed. I was actually able to gather this from the doctors online portal that I went to for me and my wife and was one of the easier requirements that I had.

[Hop_Scotch 1,630]

14 minutes ago, mswillis5 said:

My requirements required 5 years of weight history. This was only 1 doctor visit a year that had your weight listed. I was actually able to gather this from the doctors online portal that I went to for me and my wife and was one of the easier requirements that I had.

Five years? They certainly like to make it hard don't they. I know its not really comparable but in Australia, if the surgery is covered by medicare (then the right level of private health insurance applies too after a year) as long as the bmi and/or comorbities applies all is good . For someone to be covered by the public health system without health insurance or paying anything out of pocket generally strict criteria and could possilby be waiting up to two to four years.

If all else fails can do full self pay which is quite variable from surgeon to surgeon, state to state. A lot of people go to Malaysia or Thailand or the surgery too.

[GradyCat 3,695]

My plan, not the same insurance carrier as yours, needed documentation of MONTHLY weigh-ins for the past year.

[ckrackley 2]

Thanks for all the replies, they're all so different! My doctor's office just called and said they'll get it faxed over to my weight loss doc's office today. Fingers crossed, hopefully I get good news soon!

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