Thread: Who knows best?
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Old 03-27-2008, 09:19 PM   #3 (permalink)
frances
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Join Date: Oct 2007
Location: california
Surgeon: S. Patching
Posts: 79
Default I agree read the policy, but.....

Quote:
Originally Posted by calicowgirl View Post
I am currently insured by Kaiser but I'm switching to HealthNet as soon as I get the packet in the mail.

I asked the nurse at Dr. Callery's office what the requirements with HealthNet are and she said all I have to do is prove that I've been on a supervised diet (with no specification of how long) and prove that I've been overweight for at least 2 years. This, I can handle.

I found online, though, that HealthNet requires a 6 month diet, at least 5 years obesity and a few other things.

Question: Do you think she probably knows best since she's dealt with HealthNet before and maybe they just aren't strict about the specifications listed online or that she is wrong and I'm going to be hit with a list of qualifications I'm not prepared for?

I am almost positive I was healthnet at the time (4 yrs ago) and my policy book stated "You must meet the National Institute of Health" guidelines for GBS." I looked and at that time the NIH standards were BMI over 40 or BMI over 35 plus a co-morbidity.
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