Question:
Kaiser requirements - what are they??

I have Kaiser Mid-Atlantic and I've seen this same question gone unanswered on the boards. I've been with Kaiser 4 months and would like to know if they will, no ifs, ands or buts, require me to be on the plan 1 year and go through the 6 months of meetings with a nutritionist. My BMI is 52 and I have a number of co-morbidities. I haven't even been to see my PCP for anything yet, so I'm wondering how my request for WLS referral will be viewed. Thanks!    — antiques55 (posted on April 19, 2003)

April 19, 2003
I have Kaiser Mid-Atlantic. They are pretty stringent with their guidelines. I haven't been on the plan for a whole year yet. That wasn't one of my requirements. I am currently seeing the nutritionist and have 2 more visits to go. I tried to fight with an appeal. They denied my appeal but they sent me a letter stating that once I successfully completed the nutritionist visits that they would approve me. I have already completed the other requirements such as the Nutrition for Weight Loss Class, psych eval and attempts at weight loss. I hope this helps. My only advice is to just find out exactly what it is that they require and do it before you apply for approval.
   — Morna B.

April 20, 2003
Thanks everyone. I'm going to go see my PCP and just request that I be referred. If I'm denied until I meet certain requirements, so be it. I'll press on, do what they want me to and then resubmit.
   — antiques55