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North Dakota Blue Cross/Blue Shield Insurance Requirements
#1 The patient must be 100 pounds overweight.
#2 Medical records for the past five years need to be released to our office. The insurance company will need to see a weight for the patient once a year for the past five years.
#3 Presence of a significant disease/condition due to obesity under current medical treatment. Conditions such as high blood pressure, diabetes mellitus, sleep apnea, joint pain, high cholesterol are just a sample of a few things.
#4 The insurance company will want to see that the patient has participated in a supervised weight loss program for three consecutive months done within the past year. Examples: Weight Watchers, Jenny Craig, Optifast, Dietician, or Physician Supervised.
#5 The patient will have to have an independent psychiatric evaluation with a MMPI.
#6 It is very important that you contact your insurance company to find out if your policy has a specific exclusion to weight reduction surgery . . . Some policies will not consider this procedure for any reason. Please check for your own protection. |
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