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Must Gain 14Lbs Before I Qualify.

MrsKitKat

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MrsKitKat    1

MrsKitKat
Posted

I have a BMI of 37. I went to a consultantion for the lap band about 6mths ago. I was told my insurance BCBS Federal would cover it, but I need to gain about 14lbs & come back. I was told I had to have a 2yr history of a BMI of 40 or above & I do. I have no co morbities. Since the visit I lost weight & gained it back & needing to gain the 14 to meet the BMI. I have decided I want the sleeve & the original Dr I had doesn't sleeve. So I have to go to a new DR, but I'm scared to go with my BMI below 40. At first gaining weight intentionally sounded crazy & out of the question, but know it doesnt seems so bad. Do I gain? Do I gain before the initial visit to the new DR?

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Ms skinniness    3,003

Ms skinniness
Posted

Yep, you must gain. I read on here one doc recommended wearing ankle weights while being weighted. then work on gaining weight while your jumping through the hoops for the insurance company. It's truly up to you. It sounds like you are set on this surgery so it's time to eat more. That's it, I can't believe I'm telling you this. It's totally up to you and I wish you luck on what ever decision you make. :)

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DebInAZ    76

DebInAZ
Posted

Geez I'm sorry to hear this!...I would try the ankle weights before I would gain the weight, easy peesy! LOL

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NDN_RN    527

NDN_RN
Posted

I have a BMI of 37. I went to a consultantion for the lap band about 6mths ago. I was told my insurance BCBS Federal would cover it' date=' but I need to gain about 14lbs & come back. I was told I had to have a 2yr history of a BMI of 40 or above & I do. I have no co morbities. Since the visit I lost weight & gained it back & needing to gain the 14 to meet the BMI. I have decided I want the sleeve & the original Dr I had doesn't sleeve. So I have to go to a new DR, but I'm scared to go with my BMI below 40. At first gaining weight intentionally sounded crazy & out of the question, but know it doesnt seems so bad. Do I gain? Do I gain before the initial visit to the new DR?[/quote']

You still need 2 years of weight history to send, sometimes they ask for it even with co-morbidities. I had a comorbidity and bmi of 37, they wanted the weight history too. Luckily, my pcp had included this in his letter of recommendation for the surgery. I have federal BCBS. I work for the VA, what dept do you work for?

Just Do It!!!

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NDN_RN    527

NDN_RN
Posted

Yep' date=' you must gain. I read on here one doc recommended wearing ankle weights while being weighted. then work on gaining weight while your jumping through the hoops for the insurance company. It's truly up to you. It sounds like you are set on this surgery so it's time to eat more. That's it, I can't believe I'm telling you this. It's totally up to you and I wish you luck on what ever decision you make. :) [/quote']

I heard this too, but be careful. That can be construed as insurance fraud, a federal offense

Just Do It!!!

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JMarshall    352

JMarshall
Posted

ankle weights sound like a better option. good luck!

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MrsKitKat    1

MrsKitKat
Posted

You still need 2 years of weight history to send' date=' sometimes they ask for it even with co-morbidities. I had a comorbidity and bmi of 37, they wanted the weight history too. Luckily, my pcp had included this in his letter of recommendation for the surgery. I have federal BCBS. I work for the VA, what dept do you work for?

Just Do It!!![/quote']

My husband works for the Postal Service. The thing that is crazy is I have two years of weight history with a BMI of over 40.

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It's all new    453

It's all new
Posted

I don't recommend ankle weights - I think you can really have a problem if you are caught defrauding the insurance company.

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coexist23    82

coexist23
Posted

I suggest donuts, Pasta and ice cream. Can you eat some for me? :)

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NDN_RN    527

NDN_RN
Posted

My husband works for the Postal Service. The thing that is crazy is I have two years of weight history with a BMI of over 40.

Then you got it made. Start eating pizza, with a hot chocolate chip bar cookie topped with icecream

Just Do It!!!

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JMarshall    352

JMarshall
Posted

NDN is right. i guess it would be considered fraudulent. so i guess you got to eat up. 14 pounds is not to bad though so you could lose that easy after surgery.

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DebInAZ    76

DebInAZ
Posted

The ankle weight thing scares me!

MrsKitKat I just want to say I WAS KIDDING when I stated I would use ankle weights, I even put LOL!!! some members on this site I believe don't read the whole context of what one has to say. My facetious comment was in reference to the doctors comment...SO...I most humbly bow down, and beg your forgiveness, for my sense of humor. To all others pleeeease take it easy!

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It's all new    453

It's all new
Posted

MrsKitKat I just want to say I WAS KIDDING when I stated I would use ankle weights' date=' I even put LOL!!! some members on this site I believe don't read the whole context of what one has to say. My facetious comment was in reference to the doctors comment...SO...I most humbly bow down, and beg your forgiveness, for my sense of humor. To all others pleeeease take it easy![/quote']

I also addressed this and it was not an attack on you - my surgeon had told me that this is actually a common problem that they have so it certainly seemed worth mentioning the potential ramifications. Also, I can see how it would be very, very tempting!

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