Anthem and Requirements

This is a discussion on Anthem and Requirements within the Insurance & Financing forums, part of the Main Lap-Band® Surgery Forums category; Has anyone had to have a 6 month diet? Pre op Surgeon Consulataion? Psych Eval? Nurt Eval? If so how ...


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Old 10-28-2009, 04:31 PM   #1
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Anthem and Requirements

Has anyone had to have a 6 month diet?
Pre op Surgeon Consulataion?
Psych Eval?
Nurt Eval?

If so how long did it take for approval after submitting the paperwork?

Thanks
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Old 10-28-2009, 05:04 PM   #2
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Re: Anthem and Requirements

I was approved by Anthem 5 days after my surgeon submitted the paperwork. I did not need any pre-op diet. Neither the insurance nor my surgeon required it (except 2 days of full liquid diet before surgery day) I needed a consultation/evaluation with a psychologist and dietitian, which was set up by my surgeon and did not take a lot of time at all. Anthem covered my surgery and all the pre-op testing.

I do not know what you mean by "pre-op surgeon consultation" but you will definitely need a consultation (or to attend a seminar) with a surgeon since he will be the one that will submit your paperwork to your insurance. Anthem also requires pre-surgical testing and that surgery will take place in what they consider a Medical Center of Excellence.

If you have any questions just let me know.
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Last edited by stardustic; 10-29-2009 at 03:41 AM.
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Old 10-29-2009, 11:45 PM   #3
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Re: Anthem and Requirements

I'm still in the process but I haVe BCBSIL and they require a letter of clearance from my PCP, a 3-month supervised diet and a psychological evaluation. I've done everything and am just working on the 3-month diet now. Good Luck!
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10/02/09: Referral to Surgeon by PCP
10/13/09: Lap-Band®® Seminar
10/20/09: 1st Appt. w/ Surgeon- I'm a 'great candidate'!
10/20/09: Psych Evaluation- Green light by Psychologist!
10/20/09: PCP, start 3 MO pre-op diet
10/23/09: Appt. w/Nutritionist- quick and painless!



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Old 11-03-2009, 08:34 PM   #4
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Re: Anthem and Requirements

I've done the psych eval and the nutrionist due to that being part of my doctor's "plan".. however, I haven't had to do anything else for the insurance. They approved me the first try. I had expected to wait the 6 months which seems typical, however that wasn't required in my case. I do have Anthem for insurance.
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