I was chating with my consultant lady the other day over the phone kind of touching base on where I am in my journey to surgery. I was explaining to her that I had to restart my 3 months due to a surgery that came out of no where and not being able to get to the gym. Going on to explain that even though I was unable to get to the gym I was able to loose 8lbs by myself from March-June with just the diet and exercise plan my doctor put me on for the 3 months charting. I was pretty dang proud of myself for loosing the 8lbs yes it may have taken 3 months to get that 8lbs off, but it was off wasn't it. Her next response hit me in the gut and made me a bit angry. She informed me that if I loose more then 4lbs a month insurance won't pay for my surgery, because they will feel I can do it on my own. Hello woman I just lost almost 3lbs a month so I am pretty sure I am safe of the 4lb mark. And anyways aren't we suppose to loose weight during the 3 month period just to show we are willing to stick it out and do it no matter what the amount of weight loss a month is? From June-July I only lost 2lbs. Starting to get back to the part of the diet that always shows up the brick wall. I just hope I can manage to loose atleast a pound between now and August. Has anyone of you been told this same thing? Is there truth behind it? :cool:

I am not sure if it is true or not, but I certainly hope it isn't. My 6 months monitored weight loss was accepted with when I did WW last year and in 6 months I lost around 30 lbs, so that averages 5 lbs/month. SO I hope it is not true. The problem with me is, I can lose weight with dieting (slowly but I can), but I get bored and it comes right back, so I need to feel I can't eat as much.

I was never told that. There was a minimum amount I had to lose in order for my doctor to approve me for surgery. My insurance used the weight from my first office visit to determine BMI--none of my later weights factored in to their decision at all.

I have blue cross blue shield. I have a somewhat similar situation. My surgery had to be postponed while my body dealt with a preexisting blood clot. I had insurance approval and a surgery date only to have to postpone my surgery for at least 4 months. My surgery approval was canceled and had to be reapproved. The approval went through no problem even though I had not only lost the original 30 pounds that was required; but an additional 13 pounds in the last 3 months.