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Bborderline BMI and 3 month pre-op diet any suggestions???



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I had my surgical consult on Aug 24, and am looking at a December date for banding ( yeah!!!). All went well, my surgeon was very positive, patient and answered all of my questions. I then went to the insurance /financial counelor. I already knew the procedure is covered and i am pre-qualified, but was surprised to find out my coverage requires 3 months of supervised diet. She then suggested I not loose very much weight because I may end up being rejected by the insurance company.. I have Blue Cross/Blue Shield New Mexico PPO. My BMI is 36. with comorbidities of sleep apnea and reflux.Has anyone else been in this position and how did you handle it? I meet with the nutritionist on Sept 9, and have been trying not to loose witght ever sence I want to the seminar July 8. I was underthe impression that the insurance companies go by the first consult weight....Thank you all...I love this site!!!!:D

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My BMI is 36 and I did a 3 month program. I did not loose much weight maybe 5 pounds. I have Type 2 Diabetes. My Dr. Submitted to Aetna on August 1st and I was approved by August 5. Good luck!

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I'm in the same boat. My BMI is 42.3 I need to stay above 40. I lost 10 lbs and gained most of it back. I have only one comorbid high blood pressure. I need 2 comorbids to qualify at a BMI of 35. So I weigh daily so at my next visit I can be at least 2 lbs smaller. I have a total window of 12lbs for 5 mths. Thiis is freaking me out I'm scared. They also suggested I not lose too much weight or insurance will deny. So I'm making better choices in food and exercise is minimal. I cut down on the Protein Shakes because I lost that 10lbs in one week using protein.About the first weight I don't think my insurance use that one, that's why I can't lose too much weight. Good luck. Keep us posted.

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Hi. I'm in the same boat you are, borderline bmi and i have no cormodities. My nurse and nutritionist both said, when they submit the paper work they always use the weight from the initial consult, so i can lose weight. My 90days will be up nov 18, so i was hoping to either get it done around that time or wait til my Christmas break

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Thank you all!!!:)

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From everything I've heard, insurance records your weight from your first consult. It doesn't matter whether you lose weight or not.

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