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Soo nervous!

I just started my journey and meet my surgeon next Tuesday (3/10) I know that I'm going to have a 6 month supervised diet for my insurance. My BMI is 43 and I'm so scared that if I lose too much weight or gain during those 6 months that insurance will not cover surgery! Has this happened to anyone or am I just freaking out for no reason? I just don't want anything to happen to prevent me from getting surgery!

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  • portuguesegal10
    portuguesegal10

    Phew ok thanks so much! I'll definitely ask him on Tuesday just to be sure! I don't have any comorbidities so my BMI has to be over 40. Those diseases run in my family though and at the rate that I'm

  • I'm in a similar boat. I now have my PCP support and his recommendation. My insurance also requires 6 months dr supervised diet. They will also accept Weight Watchers if I have my stamps and doctor su

  • portuguesegal10
    portuguesegal10

    @@donnag53 that's good. I don't have any comorbidities (yet) so my BMI has to be above 40 (which it is, 43) I have my very first appointment tomorrow so I'll ask him all that good stuff. @@bncbabe2015

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I have my initial consult on Thursday and I am worried about the same thing. I have Anthem BCBS. Can't wait to get all of my questions answered! I hope everything goes okay for you!

I'm in a similar boat. I now have my PCP support and his recommendation. My insurance also requires 6 months dr supervised diet. They will also accept Weight Watchers if I have my stamps and doctor support to do WW. I had 4 months of WW April - Aug last year and we're trying to get it to count. Then he wants me to see his nutritionist for 2 months and focus on some of the new eating rules now. Meaning quitting diet soda, fast food, and sweets. Getting used to protein first now (and water) during this 2 month period. I think this is a good plan. Good luck and let's keep moving in our new right direction.

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@@IMS1985 I wanted the lap band at first too! But after going to the seminar and hearing what they had to say and also hearing a lady that was there talk about how she had the band and it was awful and didn't work made me change my mind and want the sleeve instead! Not looking forward to the wait but I can't wait to get started! I meet my surgeon tomorrow!! Yay! :)

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@@donnag53 that's good. I don't have any comorbidities (yet) so my BMI has to be above 40 (which it is, 43) I have my very first appointment tomorrow so I'll ask him all that good stuff. @@bncbabe2015 I can't wait either! I wrote down all the questions I could think of to ask him! I hope all goes good for you too! :)

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@@KS123 wow that's a great idea I didn't think of that! I was part of weight watchers last year too so I'm going to try to see if my insurance accepts that as part of my 6 months. I contacted weight watchers and got my records so I could bring them in with me to my appointment tomorrow. I hope that it can count towards my 6 months that would be awesome! Thanks soo much for the suggestion!! Has your insurance accepted the weight watchers for you?

@@portuguesegal10 Good luck tomorrow. Let me know how you do. I'm off the Cardio for my last test. Hope he will clear me for surgery today.

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@@donnag53 thank you! Wow that's soo exciting! Good luck!

Good Luck. Your surgeon's office will probably have an insurance specialist. They are usually very helpful. Insurances commonly count from when you start the program, however, not all do- so you are wise to find out all the facts now.

That is awesome girl I can't wait either! I actually meet mine tomorrow too, I decided to go with MGH so I cancelled my apt with the other surgeon today. I have already met with the nutritionist and psychologist there too!

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@@IMS1985 yay! I hope you like your surgeon! You're more ahead of me I haven't done any of that. Only thing I did was go to the seminar. And meeting my surgeon at 3:30 today, that's it. Hopefully I can schedule a bunch of stuff today though!

You need to call your insurance company and ask them. They all vary in requirements. Mine does not care if you lose or gain during the 6 months... the BMI submitted for approval (at the end of 6 months) has to be at least 35 with comorbidities or 40 without.

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@@IvyLeagueNP ok I will do that thank you!

When I first went to get my weight and BMI, I had a BMI of 42 and had the same fear as you. The nurse told me that she wanted me to stay about 40 BMI and gave me a goal of only losing 10 lbs and told me that you just need to show that you are making an effort and that even just few lbs lost and maintaining should be enough.

I just did my second CO test this morning and passed so I am all done with all appointments and I just started my 2 week pre-op diet this morning to shrink my liver. I get sleeved on the 3/25 and I'm very excited.

Good luck to everyone!!!

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@@moonlitrose25 wow that's awesome! I'm so excited for you! I can't wait until I get there! Let us know how surgery goes! Good luck!

Mines the 24th. Yay us

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