What does 3 mo. Behavior Mod Program mean?

WDW Luver · April 5, 2009

From what I have read my insurance requires either the 6 mo. medically supervised diet OR a 3 mo. Behavior Modification Program. Obviously to me the sooner the better!

What is a 3 mo. Behavior Mod program? What is involved in it?

Mr. Green · April 5, 2009

My insurance required the 6 month diet and I guess you could call it Behavior Mod Program. It included monthly weigh-ins along with life style change and education (how to eat right, make good choices, avoid stress eating, etc.). The 3 month program to me sounds like the same thing where they instruct you on all of the above, basically to change those nasty habits we all have to help lose weight. Just make sure you have everything spelled out for you and you follow it exactly leaving no room for the insurance to deny you.

lindas0809 · April 5, 2009

It sounds like maybe you have Aetna - I know they had three month multidisciplinary option. If that's the case then they want you to have a more intense three diet & exercise program VS. just diet. I know my surgeon had an in house class that fulfilled this requirement. I thought about it but it was extra money I couldn't afford and I was already four months in with my PCP.

It's definately a great option but make sure it's well documented. i would ask your surgeon if they have classes or know of any that fulfill the requirement.

Good Luck!

WDW Luver · April 5, 2009

Looking at the Doctor's website the clinic has an inhouse dietician you have to see before and after the surgery, at least one class you have to take before, several support group options, a required meet with a personal trainer before and after, and a required nutrition class. Wonder if all that counts?

I am leaning more towards doing this so I signed up for the introductory seminar they do, and it happens to be tomorrow so I will hopefully get answers then.