I have BCBS (Ohio) and the paperwork they sent doesn't specify a "supervised" 6 month period. It says
"The individual must have serially documented active participation in a non-surgical weight reduction regimen for at least 6 continuous months, in the 2 years prior to surgery, to enable both behavioral changes and adequate assessment of anticipated postoperative dietary maintenance. These efforts must be appraised and documented by the physician requesting authorization for surgery,..."
My question is this... I kept a binder last year where I recorded my daily calories consumed (breakfast,lunch dinner, snacks & total for the day), average weekly calories, my weekly weight, monthly measurements, daily steps & average weekly steps. I have 30 weeks of information. Would this be an acceptable record? Or will I still have to do the 6 month supervised, even though it doesn't specifically say that?
I haven't had my initial consult yet - have a call in for surgeon and hope to get a call back on Tuesday. I already have a referral from my PCP and his support, a BMI of 47.9 with high blood pressure. I also have a record of talking to my former (she retired) PCP about weight since 2005. The surgeon & PCP are in same health group at same hospital.
What do you think? Thanks!!!
Bookmarks