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Insurance Approval Questions



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I am getting close tothe time for my final medical clearance and I have a huge issue.

I have actually gained weight.

I started this process at around 241 and I now sit at around 245.

I have heard from many different people that insurance companies will deny you if they see that you have gained weight whilt going through the process and so now I am freaking out. I am so afraid that I have put all this work and time into this the be denied because I have gained 4 lbs.

anyone have any experience with this?

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I would check with your surgeons office, mine flat out told me my plan didn't required weight loss during the six months. I actually gained 25 pounds (def not proud of that). Mine approved me and I was sleeved on 4/10/12 I was a lot heavier though. Started my journey at 375 went up to 403 then at pre op was 384. Rather than worry, talk to the insurance coordinator at the office to get clarification so you won't stress out!

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thank you!! in all this stressing I didn't even think of that!

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You're welcome, I was the same way. You get to the end where they can finally submit and 1000 scenarios are running through your head and why they can deny you. Then you start to freak and stress. It's normal, calling and clarify will help you sleep at night and relax. Good luck and congrats!

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Definitely talk to insurance and ur doctor... I'm sure they expect some type of gain I mean if we were able to just lose weight on a simple supervised diet we wouldn't need the surgery right?! Lol

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I had the same question and finally just asked my NP at my surgeon's office. Mine did not require weightloss. Just ask.

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