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Topic: 6 month Diet question
I have a question about the 6 month diet.
I am going through the surgeon for my diet. I started this process on 12/14/11 and they told me that at that time I would finish my diet in May and would be looking at a surgery date towards the end of May or first of June. I just did my 3rd visit yesterday and the surgeon stated I was half way done. So my quesion is it 6 weigh in's which would make sense with what I am being told or is it 6 full months of diet. If it is 6 full months I would not be finished until Mid June.
I have Horizon BCBS of NJ. I was going to ask yesterday but did not remember.
Any help with this confusion would be awesome.
Thank you
Bob
I have a question about the 6 month diet.
I am going through the surgeon for my diet. I started this process on 12/14/11 and they told me that at that time I would finish my diet in May and would be looking at a surgery date towards the end of May or first of June. I just did my 3rd visit yesterday and the surgeon stated I was half way done. So my quesion is it 6 weigh in's which would make sense with what I am being told or is it 6 full months of diet. If it is 6 full months I would not be finished until Mid June.
I have Horizon BCBS of NJ. I was going to ask yesterday but did not remember.
Any help with this confusion would be awesome.
Thank you
Bob
Topic: RE: Insurance Pre Approval question
I know that this does not help your question too much considering that every insurance provider is different, but I want to greatly thank you for your question. It caused me to look at my own requirements and I realized that while I thought I had 1 more visit left with my primary I am actually DONE with my 6 months. This allowed to me to reschedule my remaining required appts from the 7th to next Tuesday!!!! You just gave me 3 weeks 
That all said, when I called my insurance to confirm everything they did say that everything needed to be complete before it is all faxed to them for approval (BCBS of MN).
That all said, when I called my insurance to confirm everything they did say that everything needed to be complete before it is all faxed to them for approval (BCBS of MN).
Topic: tricare after honorable discharge
I was going through the process of getting my stuff together to submit for a approval, but my husband was honorably discharged from the military. Now we're standard I think? Has anyone done this before after leaving the military?
Surgery Date: March 25, 2013
Topic: RE: Aetna $15,000 lifetime max
I have Aetna but no maximum. I have to do the 6 month preop diet - I go next week for my 6 month weigh in.
The only advice I would offer is to really research the Lap Band and be aware that if you DO have problems with it, you will not be able to revert to another surgery such as RNY, with your same plan. On the other hand, if you can find out how much out of pocket it will cost you, it may be worth it in the long run.
The only advice I would offer is to really research the Lap Band and be aware that if you DO have problems with it, you will not be able to revert to another surgery such as RNY, with your same plan. On the other hand, if you can find out how much out of pocket it will cost you, it may be worth it in the long run.
Topic: Did you have to appeal to have the VSG?
Well, I finally got my denial letter in the mail, and now I have to send a letter for the appeal. Has anyone had a decision turn around with the appeal? I am just not very good with writing things out, and I didn't know if anyone had any advice on what you would put in it. My insurance is Humana, and they do cover it, but you have to have a BMI of over 50, which I do not.
Thanks in advance!
Thanks in advance!
Topic: RE: New Requirements for BCBS ?
I have BCBS of Minnesota, they have a 6 month supervised diet requirement. BUT... I was just told that BCBS of illinois just dropped the 6 month requirement.
Topic: RE: Medical Mutual ???'s
I can not help you with the insurance but I wanted to tell you Congrats and I hope you get a date real soon!!
HW:338 SW:316 CW:203 GW:190 MY HT IS 5"11"
Topic: Medical Mutual ???'s
Today I got the green light from my doctor that I was cleared for surgery and that my letter has been submitted to Medical Mutual my insurance provider. Does anyone have Medical Mutual and do you know how long they usually take to make a decision?
" Put God first in all you do! "
Topic: RE: Insurance Pre Approval question
HI,
That seems strange to me. Normally they want to see the completed 6 month supervised physician supervised diet. Who is your insurance with? I have Aetna. My info was turned in before my supervised diet was done and I was denied. I had to appeal AFTER I finished the program! I would double check with your insuance company because I have a feeling you need to complete the 6 months before submitting for approval.
Nan
That seems strange to me. Normally they want to see the completed 6 month supervised physician supervised diet. Who is your insurance with? I have Aetna. My info was turned in before my supervised diet was done and I was denied. I had to appeal AFTER I finished the program! I would double check with your insuance company because I have a feeling you need to complete the 6 months before submitting for approval.
Nan
Nan
HW 300 / SW 280 / CW 138 / GW 140
Hit Goal 4/2/2010
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