So I had to gain 5 more pounds to have a body mass index of 40 to be a candidate for VSG I have no health problems what so ever (thank god) but now I have to diet for about 21 days prior to surgery. My health insurance is fidelis. Does any one think I will be accepted by this health insurance please I néed some sort of opinions regarding low bmi then gaining extra pounds to be a candidate for surgery then dieting once again thanks.

Supposedly they only have to submit one weight, then you can start losing and it won't count. That first one has to be as high as possible to offer you a better chance of approval. Ducking a little during your height measurement, or subtracting an inch if they ask you, can help a lot with the BMI. My insurance requires BMI of 40 or BMI 35-39 with at least two significant comorbidities.

You need to get the exact info. from your insurance company as to what their requirements are. I had to do a 90 day multidisciplinary program or 6 months with my doc, and a two year weight history, etc. every insurance is different though.

Good luck.

Do you have to lose weight on your diet?

If not, then don't.

This is such a slippery slope. I had a BMI of 36 with diabetes and was referred from Kaisser to a bariatric facility that was contracted with Kaiser. I lost some weight in the weight loss classes and then went to see the bariatric surgeon. The surgeon's office told me I didn't qualify for surgery because my BMI was too low. It was so frustrating......Then I tried to gain weight and went back to eating the unhealthy sh** I had eaten before and still lost a couple of lbs. So I had to redirect then to the fact that I was diabetic and that then qualified me. So, if I was you, I wouldn't worry too much about losing the weight before the surgery just to be safe. I realized after the surgery was done that I could of worn an ankle weight at that time. So, don't lose and you will be fine.

Thanks. It's actually to reduce the size of my liver. I did wear weights inside my shoes. It came up to 262lbs but she takes 2lb off. Then she made me weigh myself with out shoes or coat. All I remember my nutritionist saying my bmi is 38.5 or 39.5 but I checked it online and it says 40 I'm going to see if when I go back she can help me do something. She also stated my surgeon can put something extra so I can be eligible for surgery. But he hasn't told me other wise he said everything should be fine and I should be having surgery soon. There was one surgeon who actually said no to me after I did all I did.

Do you have to lose weight on your diet?

If not' date=' then don't.[/quote']

They gave me a 1800 calorie diet. For 10 days then I should go back to do the pre-op I hope I get surgery so bad.