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fairee

Gastric Bypass Patients
  • Content Count

    94
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About fairee

  • Rank
    Senior Member

About Me

  • Gender
    Female
  • City
    Warren
  • State
    Ohio

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Single Status Update

See all updates by fairee

  1. I finally have a date!!!!!! Two weeks from today, I'll have my RNY :) Super happy to have the date, scared to have the date too. Since I was on the border, I had to maintain my weight, now I have to go on low fat and lose 10 lbs.

    1. appletree

      appletree

      Insurance normally only looks at your starting weight not the weight you are loosing when you are following the dietitian recommendations and exercise. Why did you have to maintain your weight?

    2. fairee

      fairee

      I had a low BMI 35.6 so they didn't want me to go below that. Since I have Medicare, the only requirement is BMI of 35 and 3 co-morbiditie or BMI of 40. I'm not sure why I wasn't supposed to be on the low fat diet earlier

    3. appletree

      appletree

      I understand that but the insurance or Medicare should always look at your starting weights if you are 35.6 and have a comorbidity and then for the 3-6 months or whatever is required you are following directions of insurance - medicare they normally look at your starting BMI, they cant penalize you by following their presurgery approval recommendations! When in doubt ask to speak with utilization review nurse who can speak with their medical director.

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