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Highmark Bcbs Of Virginia

So I have been lurking on this forum for a while. I have 1 month left to go on my 6 consecutive doctors appointments. Already have my psych eval, blood work,EKG, and chest X-ray. My first appointment with the surgeon is April 10th after that all I will need is my nutrition class. Then they will send for approval with my insurance, they said most probably I will have a surgery date sometime near the first of May! My question is this for my insurance to cover the sleeve I need a bmi of at least 50 my bmi is 49.9! Doctors office did not tell me to gain weight however they did say the bmi is calculated on your first appointment with the surgeon. So do I gain the weight? Put rolls of quarters in my pockets? Will they deny me because I have been maintaining and sometimes dropping 2-3 pounds a month on my regular 6 month appointments then suddenly gaining 5-10 pounds right at the end? I am so torn! I am scared to death of rny and the band I really want a sleeve! Advice please!

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  • beautifulnewme2012
    beautifulnewme2012

    At the end of the day, when surgery is over, it will have been well worth it friend!!

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I would never tell someone to "gain weight" to meet the requirement. But, I do know someone that did exactly that.

Yes, I agree with beautifulnewme2012. You are probably only 2-3 pounds away from that anyway. Insurance can be tough sometimes, but you gotta do what you gotta do. ;)

Good luck!

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Well guys I'm gonna do what I gotta do but I can't stand the thought of intentionally gaining weight. Thanks for the insight guys!

  • Author

Thanks beautifulnewme! That is what I'm hoping for!!

My weight was right on the line between 39 & 40. If I'm a little constipated (TMI sorry) its 41. If I'm "cleaned out" it's 39. The two days before my appointment I ate sushi, salty foods, etc so id retain water and weight. And my BMI they documented at 40.9. Beautifulnewme is right - Gotta do what you gotta do. ;-)

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