Courtney, I just now noticed that you mentioned that your surgeon was in the basic network. Good Deal!
One thing I don't understand is that if your BMI is 40.3, how come they are still saying that you need the supervised diet. The brochure I quoted the info from doesn't make any distinction about the requirements for Basic of Standard. It only makes a distinction about the payment of benefits and how much is owed.
It wouldn't hurt to call the phone# on the back of your ins. card and ask them why if your BMI is 40 or over, you were told that you would have to do this but that a friend (me
) with a BMI of over 40 had the surgery in July and was not required to have a supervised diet. I do have several co-morbidities, but was told that those didn't matter since I was over 40 BMI. After all, the requirements are supposed to be the same in every state!! Sometimes I think that the answers to questions vary between personnel. Whoever answers, the phone one time may not tell you what the other person told you on a previous call!
O.K. I am done ranting now.
