Is This Enough?

[Tracyde730 7]

My insurance BC BS of Nj requires a 6 month diet plan before approval. Well....today I got a letter from my Psychiatrist stating he has been treating me for anxiety and weight issues since 2004. (He even wrote all 16 dates). He said in the letter that "She has been given instruction over this time for weight reduction" and "She has been unsuccessful in using diet and exercise to achieve a normal body mass"...Do you think this will be good enough??What if my PCP write something similar and includes weight??? Helpp...I need opinions! Thanks!!:cursing:

[RealBTuna 0]

Based on what I was told during my process this will not be enough for approval. You have to be on a supervised weight loss program and they will track your weight loss. I have Aetna insurance so I am not sure the info I am giving is accurate for BC.

[Ms.Bee 0]

Hi,

I have BCBS of MD and they definately have specific requirements. For example, the 6 months supervised weight loss had to include weigh-ins within 30 days of each other, if you missed an appointment, you have to start the whole 6 months over again. A psychiatrist evaluation is only a part of the requirements and I think that the psych eval has to be pretty specific to you getting the lap band and the psych's recommendations about you and the procedure. You should go to a surgeon who is familiar with insurance requirements and knows what each plan requires. My surgeon's office knew exactly what needed to be done and they made sure that everything was done. After I had completed my 6 months, it was only like 3 weeks before my approval came through. Good luck and I hope this helps!