What If You Drop Under The Required Bmi Before Surgery?

[kvr1977 28]

Thank you both for your feedback. I have Aetna insurance. They said I need the 4 months of the nutrition classes. Hopefully the dated photo and letter will be enough. I have an undiagnosed hernia that they are going to check out as well, maybe this will help. I've never in my life wished I was unhealthy until now...lol. I guess I should be thankful I'm not in too bad off. If it is denied I will have to go mommykristies route. best of luck to you both.

[NWgirl 574]

Thank you both for your feedback. I have Aetna insurance. They said I need the 4 months of the nutrition classes. Hopefully the dated photo and letter will be enough. I have an undiagnosed hernia that they are going to check out as well, maybe this will help. I've never in my life wished I was unhealthy until now...lol. I guess I should be thankful I'm not in too bad off. If it is denied I will have to go mommykristies route. best of luck to you both.

I know what you mean by being unhealthy- I thought the same thing pre-op!

[justathing2me 146]

I've been searching the forum and couldn't find an answer to this but what if you drop under the required BMI before surgery? I began my journey last month and have finished all of my testing for surgery. My insurance requires that I have a BMI over 35 instead of 40, because I have high blood pressure and high cholesterol. My insurance also requires 6 months of visits to my doctor. At my first visit with my surgeon on Feb 20th my BMI was 39.1 and I weighed 235. I now weigh 228 and my BMI is 37.9, losing 5lbs just this past week! My surgery isn't until the end of July and according to the BMI calculator, if I lose 20lbs, my BMI will be under the requirement. Again, losing any weight is a positive thing but I still think I need the lap band to reach my goal. Has this happened to anyone else? What did you do?

My doctor's office called my insurance company (Connecticare) and basically I will need to have a Bmi over 35 at the time they submit for approval. They do not submit your original weight, so basically I can not lose more than 20lbs before my surgery is approved.