kondasa

I am a little frustrated. So in August I started my Sleeve journey with my first Pre-Op appointment where they weighed me, measured me, went over history etc. At this point I was 264 lbs. I was told for insurance I would need to do a 3 month supervised diet with a doctor and lose weight during that time-- it didn't matter how much. So in early September I met with the dietitian at the center and was 268. I told her that I was ready to lose some weight and meet the insurance goal of at least losing weight in three months (I had to putting on weight like crazy the months before). I weight in again for a monthly appt. in early October and weight 267-- not great, but I did lose a pound. The dietitian looked at me and said I will see you for your last appt. in early November and remember you have to be lower than 264 to qualify for insurance. What? that is only two months dietitian supervised diet and when working with the dietitian I was 268, so shouldn't I be lower than that? She said no and that it is the date and weight I started working with the center. I had no idea. So I have been struggling to lose weight and due to something unknown I have seen increases of a 1 lb a day with eating very little. So I am at about 268 now and need to be under 264 in three weeks. I just don't know if I can do it. Anyone find themselves in a similar situation where you had to really work to lose weight at the end of qualify for insurance? What did you do? I was initially worried about losing too much and dipping below the required 40 BMI, but that isn't even a concern anymore.

I don' t have high blood pressure or sleep apnea. I know it is a matter of time with my weight, but right now I look like a normal "healthy" person-- except for being 150 lbs. overweight.

I was required to provide three years worth of weight history for approval from my insurance. I said to the surgeon when I met with him that my biggest concern is that I will be rejected because I have been such a yo yo dieter and depending on the time I weighed in at the doctors my weight could be over 40 BMI or under 40 BMI. I just received my history from my doctors and three years ago I was at a BMI of 37 and two years ago at 39-- under the required 40 BMI that I am at now. I have no co-morbidities. Just a question- have any of you had this be your situation and how did it work with insurance? The surgeon said that he may need to fight with the insurance company, but that what he is looking for in a surgery candidate is someone who has been overweight for an extended period of time and not someone who just happened to gain weight after having a baby etc. Unfortunately, I don't know if insurance will care. Thoughts?

Chrys129, I am from Carlisle, PA and am in the Pre-Op stage right now. I am on the three month diet before they can submit to insurance. Who is doing your surgery? I am working with the Pinnacle weight loss center at cgoh and Dr. Demarco will be my surgeon.