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The idea of weight loss surgery can be very exciting, but gaining insurance approval for the surgery means being able to prove six months of medical nutrition therapy. In October 2006, the Maryland state law mandated that everyone submitting for possible insurance approval must be able to document six individual monthly notes from a physician or registered dietitian that such therapy took place.
Some insurance companies -- it is up to the specific employer plan -- will also accept Weight Watchers documentation. Each insurance carrier has different requirements in terms of the amount of time allowable (usually between 2 to 5 years) between when a patient last had medical nutrition therapy prior to approval for bariatric surgery. You should contact your benefits manager to obtain a hard copy of the specific details of your insurance policy.
The Center for Weight Management and Wellness provides complimentary six months of nutrition care for our patients. Patients require one visit a month consecutively. We do this because most of our patients have been pursuing weight loss for many years yet do not have the documentation necessary for insurance approval.
Groups -- Attend One Session a Month:
Please know that if you miss a month you will have to start the six months of consecutive visits again. If you have any scheduling changes please call your dietitian to reschedule. We attempt to accommodate all patients; however, you may also visit your PCP or a private registered dietician for the required documentation.
Individual -- Attend One Appointment a Month:
Our nutrition counseling will focus on the surgery specific lifestyle changes, education and support needed for successful bariatric weight loss and weight maintenance.
The insurance companies do look for specific details documented. Whether your diet takes place at our Center or elsewhere, each individual monthly note must contain the following: