Skip to content
View in the app

A better way to browse. Learn more.

BariatricPal

A full-screen app on your home screen with push notifications, badges and more.

To install this app on iOS and iPadOS
  1. Tap the Share icon in Safari
  2. Scroll the menu and tap Add to Home Screen.
  3. Tap Add in the top-right corner.
To install this app on Android
  1. Tap the 3-dot menu (⋮) in the top-right corner of the browser.
  2. Tap Add to Home screen or Install app.
  3. Confirm by tapping Install.
  • Appearance

Join BariatricPal free

  • Ask your own questions
  • Reply and follow topics
  • Message other members
  • No cost, no spam

Supervised diet 4 insurance approval & losing weight!

I have been currently completing my insurance requirements for approval to get sleeve. I'm doing the 6 month supervised diet program now an I'm losing weight fast. If I loose to much weight will I still be able to have wls? Don't they go by your initial weight? I've lost weight before with diets but the weight always comes back worse! I would rather get the surgery for the long term affect.

  • Replies 3
  • Views 495
  • Created
  • Last Reply

Top Posters In This Topic

Featured Replies

Every insurance is different however some require you to have a certain BMI on order to qualify for WLS. My insurance requires me to have a bmi of 35 or more and at least one co morbidity like sleep apnea or high blood pressure. I'm not an expert but that's what I have learner so far. The Surgery will help us reach our goals! Best of luck to you!!!

I have been currently completing my insurance requirements for approval to get sleeve. I'm doing the 6 month supervised diet program now an I'm losing weight fast. If I loose to much weight will I still be able to have wls? Don't they go by your initial weight? I've lost weight before with diets but the weight always comes back worse! I would rather get the surgery for the long term affect.

Houston,

The only way you will know for sure is to check with your insurance company for your coverage criteria. My insurance is through United Health Care and for WLS they use Optum as a coordinator. My case manager from Optum told me they use your initial weight, and if you lose weight during your six month medically supervised diet you will not be disqualified from having surgery if you drop below the minimum BMI required per policy coverage. The coverage criteria for my employer requires a minimum BMI of 35 with one comorbidity and if you are at a BMI of 40 or greater no comorbidity is required.

Good luck to you.

Hi I just met with my second surgeon today at Henry Ford Macomb Hospital and I was told that even though I am completing my 6 month requirements that they used your start weight for your insurance because they know that most doctors required you to try and loose weight before your surgery. I hope this helps.

Join the conversation

You can post as a guest; create a free account to track replies, follow topics, and be part of the largest weight loss surgery community.

Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.

Guest
Reply to this topic...

Account

Navigation

Search

Search

Configure browser push notifications

Chrome (Android)
  1. Tap the lock icon next to the address bar.
  2. Tap Permissions → Notifications.
  3. Adjust your preference.
Chrome (Desktop)
  1. Click the padlock icon in the address bar.
  2. Select Site settings.
  3. Find Notifications and adjust your preference.