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

Did you have to lose a certain amount of weight to be approved by your insurance?



Recommended Posts

I am just wondering how much weight you lost before your surgery? I have to see a doctor for a year prior to the surgery being approved by insurance. I was told that they want me to lose some weight to "show" I can lose weight. I have gone down ten pounds and then up six and then stayed the same. I don't want to lose too little or too much ya know. Because if I lose too much I won't qualify. I am at 300 and can't lose too much for my BMI to fall below the required BMI. How much did you lose while waiting to get approved by insurance?

Cheri:omg:

Share this post


Link to post
Share on other sites

I had to do 6 months pre-op dieting.. and I think that I am actually BELOW the 40 BMI that is required for approval.... But since I lost it during the approval process... I was still approved. My doctor said just don't gain any weight.. he said mostly the insurance companies just want to see that you're still commited after the time frame.

Hope that helps.

Share this post


Link to post
Share on other sites

My insurance only required that I see a dietian for 6 months but didn't require that I lose any weight. My BMI had to be at least 40 with proof of 5 years of documented weights from my doctor. I actually gained about 6 pounds during the 6 month process. Once they submitted it to BCBS TRS Activecare it was approved in 2 days and I had my surgery within 2 weeks. What type of insurance do you have? I wish you good luck in you journey. Hope this helps.

Banded 4/30/07

237/223/145

Dr. Clifton Thomas

Renanniance Hospital-Houston

weight.png

Share this post


Link to post
Share on other sites

I had to see an MD for one year of suervised weight loss attempt. Monthly visits, and I couldn't miss any or the year started over. I had to lose 5% of my excess weight, and on paper that isn't too bad, considering.

Share this post


Link to post
Share on other sites

I have to loose 20 pounds and I have about 2-3 months to do it so wish me luck.

Share this post


Link to post
Share on other sites

I had to lose weight and keep off for several months to show I could do it. No fixed amount, but I lost 10 lbs. FYI Cheri - Most insurance companies use the weight/BMI taken at the first appointment of this process to determine whether they will cover you. Don't worry about losing weight, that's what this is all about.

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

    • rlcpd

      Two months out from hiatal hernia repair.  Surgeon said to expect a lot more flatulence...something about the 'air' no longer being able to 'burp' out so comes out the other end.  That is my experience but have no understanding of why that swallowed air cannot be 'burped'. ???
      · 1 reply
      1. BlondePatriotInCDA

        As I understand it since your stomach is smaller and not completely resting against your diaphragm anymore you no longer have the ability to "push" burps out as well. Plus, since its smaller and we don't digest slower the trapped air moves a lot quicker out of the stomach so its no longer available to burp out. Hence the other option for removal.

    • Lizette1122

      Anyone had the TORe procedure? How did it go? How much weight did you loose? 
      · 0 replies
      1. This update has no replies.
    • LadyVeteran1

      Sleeve surgery is on April 14th.  I am counting the days!!  Can't wait!
      · 3 replies
      1. Brookie2shoes

        Me too girl!! Are you in the full liquid diet right now? It’s sooooo hard!

      2. LadyVeteran1

        Not yet. I was told I only have to do 24 hours of a liquid diet. But I have my pre-op tomorrow so I’m going to confirm if I need to do longer.

      3. buildabetteranna

        Your so close now! It's gonna be great :) Wishing you a speedy recovery and looking forward to seeing how it goes!

    • buildabetteranna

      Down 33 lbs and slightly stalled, but I'm gonna reevaluate and push through. I started back to work last week after 2 years of being disabled due to mental health as well as my weight. It's a great job and I'm just so happy to have this opportunity at a second chance at life. Hope everyone is having their best journey ❤️ Together, we got this!
      · 2 replies
      1. DaisyChainOz

        Great work Anna! Keep it up 😁

      2. buildabetteranna

        Thank you ❤️

    • Bashbee91

      Hey guys new to the process looking forward to this new life. 
      · 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

    ×