New here! About Insurance

[MrsSbisa112 0]

so I ust spoke with my "patient advocate" yesterday and she told me that my insurance does cover the lapband surgery! My question is...would have my insurance company tell me if I have to do the 6 month "waiting period" before or after I submit my claim? Would my patient advocate have told me already?

[TQUAD64 9]

My primary care doctor told me, my patient advocate told me, the BC/BS insurance company told me, and so did my nutrionist that I had to complete the 6-month supervised diet.

[RestlessMonkey 7]

Your advocate should tell you. Call and ask monday if you want to be sure! Not everyone has to do it. I'm tricare and I didn't.

[Mr. Green 3]

Go to your insurance web site, they should have the policy somewhere that you can download. If not, have your insurance company send you a copy of the policy or e-mail it to you. I did this so I know exactly what is needed for the surgery and to qualify. This way, you have it in front of you at all times. Most insurance companies seem to require the 6 month diet and exercise and your doctors group may be able to help you with this or give you the information that your PCP needs to track on a monthly basis.

[scharkco 0]

Hi everyone!

With tricare prime are you still required to have a supervised six month weight loss history or is there a way to waive this process? If anyone can give me some feedback on this, I would greatly appreciate it.

[Mimilou2004 13]

Tricare doesn't require a diet, just to meet the wt requirements.

[scharkco 0]

thank you, my reason for asking is that I was told I would probably have to show a consecutive six months of supervised weight loss history even though I am 100 lbs overweight, high blood pressure and sleep apnea,

thanks again