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i am just beginning the process to get the lap band surgery...i have a few questions i hope someone is able to help me with....im not sure exactly what my insurance company will ask for but i do know they cover the surgery my bmi is well over 60... i am hearing that i need some sorta proof that ive been this bmi for at least 3 yrs...thing is i rarely see a doctor unless of course i feel like im about to die lol.....and when i have seen my doctor i frown at the scale and they excuse me from being weighed...:(...so what do you think will happen im my case?

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I think you needn't worry! :( As ridiculous as the insurance companies may be, it seems to be a pretty common from what I've read here and elsewhere with not having documented weight and diet plans. It may just be a matter of starting the documentation now and go from there.

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None of us can really help you with those questions unfortunately. As all insurances have different policies and procedures on getting qualified for the surgery. I was very fortunate and didn't have the supervised diet plan or weigh-ins. My PCP referred me, my surgeon documented my problems, had the pysch and nutrtion exams and then off for insurance approval. 5 days later insurance approved and then 1/16/09 I had surgery. This all started 10/24/08. So in less than 3 months I had everything done. My advice to you would be to call your insurance company and ask what their requirements for approval for the lapband. I did this with my insurance and they told me everything I needed to do. I hope this information helps!

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You really need to contact the insurance company to find out the requirements for WLS. In your case, it all starts with the insurance company.

In my case, the PC started the process by alerting my insurance company to the fact that he is requesting referrals for a pysch eval, supervised diet, and/or lab work. Once my PC received the authorization for these referrals from my insurance company, we moved forward with the process.

Yes, I had to provide I was over weight for a period of years. I cannot remember how many, but I had it well documented.

Good luck!

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