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BMI exactly 40, will I be denied if i lose any weight?



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At my consultation appt my BMI was 40.05. Now I have to do a 6 month diet to get approved. My question is will I get denied if my BMI drops below 40 prior to surgery?? My coordinator assures me that the starting weight is the only one that matters but I'm not sold. I don't have any comorbidities and my insurance is BCBS.

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Hi, at my consultation mine was 41.4 and they told us that is the recorded weight for insurance nd not to worry if we lose weight b4 surgery:) so I have to trust that. Gl

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The different insurances have different policies, and the only way to know for sure is to check with your insurance company, if you call there 800 number they should explain it to you.

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My BMI is on the line and I was told not to lose any wgt in the 6 month diet.

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I was also told not to lose any weight, my BMI was 41, I lost 4 pounds pounds one month and I was just barely over a 40 BMI and was told to maintain that weight until submission. I wouldn't take any chances with approval.

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My BMI was borderline when I was given a referral from Kaiser and the surgeons office told me that I was under the BMI. They didn't check my comorbidity of diabetes because I wasn't taking any medication for my DB. Then my surgeon told me not to lose any more weight before the surgery. So I agree with calling your insurance company. They are all so different..... Best of luck and hope to see you on the BIG LOSER'S BENCH! :P

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I have tufts insurance. When I was approved last week and the coach called me for my first conversation in my 6 month pre op program I asked about this. My bmi is 38 but I qualify for other medical conditions. She told me that no one has given then a definitive answer on this. It depends who she asks. So unless you get a 100% answer, you might wanna be careful not to lose too much pre op.

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But if they force you to do a 6 month diet they know you will lose.

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it's not a diet, it's a program that helps you set goals, prepare yourself for life after surgery. They just want to see that you are committed to being able to change your lifestyle and eating habits before you get final approval.

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But if they force you to do a 6 month diet they know you will lose.

I was specifically told not to lose any wgt on the 6 month diet or I would not be approved.

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Thanks for the input. My coordinator says doesn't matter if I lose cause insurance company knows I will just probably gain it right back.

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All we are doing during each visit is making goals getting ready for surgery an starting new habits. Each visit we target a bad behavior and begin something new. On the 1st visit I was supposed to stop sodas before my next visit and start a Multivitamin. 2nd visit I was supposed to stop eating Pasta rice and bread and begin walking. 3rd visit Portion Control, trying to stop going back for seconds. And sticking to 3 meals with small healthy Snacks. 4th visit we will see......and so on until the last visit. But at each visit I have been told do not go below such and such....its all about getting ready for the surgery and showing you can create new healthy habits and stick to them through maintenance. Create a new lifestyle.

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At my consultation appt my BMI was 40.05. Now I have to do a 6 month diet to get approved. My question is will I get denied if my BMI drops below 40 prior to surgery?? My coordinator assures me that the starting weight is the only one that matters but I'm not sold. I don't have any comorbidities and my insurance is BCBS.

We are in exactly the same situation- same bmi same insurance. Today I had my third app. Weighed in at 39.5 and was not happy. At all. Doc and every one else was reassuring but there was too much' I can't imagine it'll be an issue' and " I think it'll be fine " for my comfort. First time in my life I wanted to be fatter or have comorbidities. How crazy is that?

Call insurance. In theory that's a great idea. I cannot find one blasted person that can or will give me an answer. It's really frustrating. Hopefully you have better success than me. I'm trying very hard to keep an " if it's meant to be it will be " attitude but its a challenge. We'll just have to stay positive together :)

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We are in exactly the same situation- same bmi same insurance. Today I had my third app. Weighed in at 39.5 and was not happy. At all. Doc and every one else was reassuring but there was too much' I can't imagine it'll be an issue' and " I think it'll be fine " for my comfort. First time in my life I wanted to be fatter or have comorbidities. How crazy is that?

Call insurance. In theory that's a great idea. I cannot find one blasted person that can or will give me an answer. It's really frustrating. Hopefully you have better success than me. I'm trying very hard to keep an " if it's meant to be it will be " attitude but its a challenge. We'll just have to stay positive together :)

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I was just going to ask this exact question, BMI 40.6, no comorbidities. Getting psych done on Tuesday, then ready for final ins approval & set surgery. Realistically that is probably a good 6 to 8 weeks out. I'm ready to start working-out and eating healthier now. After reading some comments, I'll hold off until surgery is scheduled.

A few more weeks is now big deal considering I'll be changing the rest of my life.

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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 0 replies
      1. This update has no replies.
    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
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    • KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
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    • bellaamey

      https://alluniqueguide.com/java-burn-coffee-reviews/
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