Question:
5 yr history of MO-- any 5 yrs?
My insurance states "at least a 5 yr history supported by documentation." It doesn't say the "LAST" 5 years, and it doesn't say consequetive 5 years. I lost weight after a spinal cord injury and surgery in 2002. I wasn't dieting-- it was a side effect of my condition. I've gradually put the weight back on in the meantime--trying lots of diets trying to stall the regaining. I guess it helped a little, but here I am--back again. I have my med records for 1996-2001 showing MO. I have even more years, but was in graduate school and the student health center shreds them after 10 yrs. So when I requested them a few months ago (2007), my last time with them was 1996, so I just missed it. They're gone. Does insurance (mine is NJ BC/BS) require it to be the most recent 5 yrs or just any? Can it be cummulative? I may only have 1 weight recorded for one of those 5 yrs (2001) and they may not accept that. However, I've been MO for the last 6 months (despite my efforts to diet). Counld they add all my revent weigh ins with the 4+ years from before? Thanks, Kahlua — Kahlua (posted on October 27, 2007)
October 26, 2007
I think that they want to see a history in general. They way that my office
had me deal with this was by having me write a diet resume. Send me your
email address and I will send you the word doc of it. Heck- use mine with
your name on it if you want to!! It was a resume of ALL diet attempts and
it spanned from when I was about 12 to 35 years old. Maybe this is the best
way to answer their question. If the 'AT LEAST five year history...."
is the question than you are MORE than satisfying it by using this format.
I was approved....and am currently post-op 5 days...Keep working on it- you
will get there!!
— Syntheia
October 26, 2007
Same here. I have MA BC/BS, and when I had both my nutritional and psych
consults they asked about my weights and dieting attempts for as far back
as I could remember, and used all that info.
— obeseforever
October 27, 2007
with my insurance it had to be 5 yrs in a row as well as any diet attempts
that were made in that time period. Best of Luck
— Alvernlaw
October 28, 2007
I have OH Anthem BC/BS. I had to write my diet history in my surgeon's
office. I had no official record because I refused to let them weigh me
when I went into the office. I was approved on the first submission. Good
Luck!
— Debbi S.
October 28, 2007
I had to do the same thing and I am one of those women that only went to an
OB and didn't have a PCP till this year. Even with my OB I dont have
consecutive 5 years. I have 4/5 last years and my insurance coordinator
said that would be fine.
No worries!
— Amanda K.
October 28, 2007
I had to do the same thing and I am one of those women that only went to an
OB and didn't have a PCP till this year. Even with my OB I dont have
consecutive 5 years. I have 4/5 last years and my insurance coordinator
said that would be fine.
No worries!
— Amanda K.
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