Jump to content
×
Are you looking for the BariatricPal Store? Go now!

How much weight are you requires to lose?



Recommended Posts

I am just starting the process and I have my first appt. next week. How much were you requires to lose before surgery. I am doing the sleeve. My endocrinologist and I have discussed options at great length and have decided this would be the best option for me. He referred me over to the weight loss center here.

Share this post


Link to post
Share on other sites

The insurance company did not require me to lose weight, but I had to go to nutritional counseling for six months. My surgeon's program did not require me to lose weight, but once you weighed in, you could not go above your start weight. So if you weighed in at 272, but went up to 281, you would get sent back to nutrition counseling until you lost the weight and got back down to or below your start weight. Check with your insurance and your surgeon's office to see if they require you lose weight. Some plans require a 5% weight loss, some require nothing!

Share this post


Link to post
Share on other sites

I also had a 6 month program and I was required to lose 10% of my excess weight. So if you were 100 pounds overweight you would be required to lose 10 pounds in 6 months. It really was not a lot. Now that being said, I lost 23 pounds and the doctor said many patients do not lose a pound. So I am guessing they will still do the surgery but maybe insurance looks at it to see if you made any attempt to lose weight.

Edited by SherB

Share this post


Link to post
Share on other sites

I was only told to lose 5% (13 lbs), so I got off pretty easy.

Share this post


Link to post
Share on other sites

My doctor does not require any weight loss and no pre-op diet. Was told to just eat light for 2 days before surgery. However I want to do a pre-op diet on my own to ease the adjustment of eating such a smaller amount. My insurance didn't have any required supervised diet requirement, but my surgeon requested that I saw the NUT twice. It's crazy how much the rules vary from each doctor and insurance company.

Share this post


Link to post
Share on other sites

I have to take an 8 week pre-op skills class and am required to lose 10% of my excess weight which is 11lbs. Of course, I gained like 3 pounds from my initial weigh in so I have to lose 14lbs. Given that I am having surgery, I clearly have trouble losing weight on my own accord so I'm a little nervous about this.

Share this post


Link to post
Share on other sites

I was self pay in Mexico and my surgeon required me to lose 5% of my total body weight on the two week preop diet. I was afraid I wouldn't lose enough so I started 2 days early. Turns out it was easy....I lost 22 pounds in 16 days and I was only required to lose 12.

Share this post


Link to post
Share on other sites

I'm only required to have 4 monthly visits and lose "some" weight. No specific number was given. I've lost 7 in the last month. Tomorrow is my second WLV so we shall see what's next.

Share this post


Link to post
Share on other sites

I am required to have 6 months of nutritional counseling. There is no specified amount, but I have to lose a little every month. Any weight gain, and I can be denied. I'm 2 months in. Planning for surgery end of November early December. I am using fitness pal with the goal so losing 1 lb. per week. It automatically adjusts the calorie intake based on my high Protein low carb diet. I have managed to lose weight, some came from having a stomach bug, but I'll take it. I already feel the difference in my knees. I'm just taking it one step at a time. I didn't get this big overnight, and I'm not going to lose it overnight...until I get the surgery. Lol. I wish you well on your journey. Lucretia

Share this post


Link to post
Share on other sites

I am required to lose 5% (14lbs) during a 3-month period with the nutritionist before they will submit to insurance.

Share this post


Link to post
Share on other sites

.

Edited by sandralmckeehan

Share this post


Link to post
Share on other sites

I am new to this site. Has anyone used Tricare Prime Ins.? Just wondering how they handle the sleeve.

Share this post


Link to post
Share on other sites

Strangely enough, I am not required to lose any weight for approval. I weight 284 pounds, so I could totally lose 10% of my weight and still be under 40 bmi. I have BCBS of California.

I am meeting with my surgeon again tomorrow and I am sure he will ask me, for the sake of the surgery, to lose weight, which is fine. Anything that makes it easier for him and safer for me is a good thing. I have a slightly enlarged liver, according to the ultrasound.

Share this post


Link to post
Share on other sites

My insurance required me to lose 5% of the weight, in 6 months, I could not gain any weight or they would not consider they claim, I have BCBS Excellus.

Share this post


Link to post
Share on other sites

I am new to this site. Has anyone used Tricare Prime Ins.? Just wondering how they handle the sleeve.

Sandra, there is an insurance forum a little bit further down on the main GS page. Check there to see if anyone has posted previously about Tricare. :) What I did after I went to the seminar was to call my insurance and ask about WLS. I spent 20 or so minutes of my time on the phone asking about the surgeries they covered and what my obligations were. So I knew going in that they covered sleeve, band and RNY, and that I had a deductible, out of pocket max and would need to go through a six month program. Grill those insurance reps. Make them earn their paycheck!!

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • ludosummerl

      An online Ludo game is called Ludo Summer. Ludo Summer supports local multiplayer, internet multiplayer, and computer opponents. A record breaking casual game in the history of mobile gaming · Voice Chat, 6 Player Ludo, Quick Ludo mode, Tournaments, and many other exciting features!
      · 0 replies
      1. This update has no replies.
    • Nonna1213

      Hi!  I am 7weeks post-op. Have lost a total 65lbs, 27 since surgery. Anyone else on my same timeline
      · 0 replies
      1. This update has no replies.
    • Giginc

      Just starting my journey...little nervous
      · 0 replies
      1. This update has no replies.
    • Joset

      My name is Jose and I am from the UK, I had a gastric bypass a month ago so I am at the beginning of my weight loss journey.
      I would like to know how many calories I should be eating a day to stay healthy, thank you for your time
      · 1 reply
      1. summerseeker

        Hello Joset, why haven't you been given a diet plan? Did you have your surgery in the UK? Every surgeon has a different diet, and no two people are on the same one. Weird I know. Contact your team if you can

        Mine was two weeks clear liquids

        Two weeks on soups, milk shakes and broths all with out lumps

        two weeks on pureed foods { I couldn't stomach this step }

        two weeks on soft foods like Protein yogurt, stewed mince and veg, soft scrambled eggs. Pate on hard crackers

        Then onto any food I fancied. If you struggle on any step or with any foods go back a step for a few days. Eggs, salmon and chicken are hard for beginners.

        Sorry I missed your original post, hope you are still on here.

    • SpartanMaker

      Today is the day!  Have to be at the hospital in a couple of hours.  So ready get this done!
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×