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Weight Loss Before Surgery and Insurance Coverage

Hello - Question (don't mind me I am brand new here): I am currently at a BMI of 42.1 and no other serious medical conditions. Currently, my insurance will cover my surgery. I am a tad concerned reading other people's stories that my doctor will want me to lose weight before surgery and it will put me under a BMI of 40 at which case insurance could deny me. Is this a rational concern? I know it's crazy to say I want to keep my weight on but I know that I can lose a certain amount of weight without the Gastric Sleeve tool but I always re-gain plus some. I don't want to hurt my chances of being able to have this procedure done. Any advice?

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  • samelton68
    samelton68

    I was always told that the insurance company goes by your first reading submitted by the surgeon as they expect some sort of modification after the initial visit

  • CurvyCooper
    CurvyCooper

    Yeah definitely going to call! His office staff are so friendly too!

  • CurvyCooper
    CurvyCooper

    I just got off the phone with my surgeons office. The nurse that is involved in getting prior approvals told me to stay around where I am and that a little loss is okay. However, if the insurance comp

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I just got off the phone with my surgeons office. The nurse that is involved in getting prior approvals told me to stay around where I am and that a little loss is okay. However, if the insurance company sees that I can lose weight with nutrition classes they could reconsider doing the surgery. She said she could not tell me exactly to not lose weight but did tell me they could reconsider if I lost weight within the six months just with dietary modifications. Soooo.... Guess I better take it easy!

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