I have my last nut apt Wed and then my stuff will be submitted to insurance. My bmi was 40.1 so they told me not to loose any weight. I weighed myself this morning and I am 3 lbs heavier. Should I reschedule my apt until I drop those pounds? I dont want to be denyed. The surgery cord did not say not to gain, just not to loose but I have read here that some people have been denyed for a gain.

I don't know what to say. I would think there is a fluctuation that they can account for. Even after losing weight my weight still fluctuates. Meaning I can weigh 240 in the morning, 242 at night and 241 the next morning.

Don't worry about losing too much weight pre-op on account of insurance. In fact, the more weight you lose pre-op, the better your chances are of getting approved.

Insurance companies like to bet on sure things. A candidate that has shown they're able to lose weight pre-op is someone they consider a good bet to have a successful surgery.

It depends on your insurance provider. Most companies will not approve surgery if your BMI is less than 40. At 40.1, you're close to that number. That's probably why they told you not to lose anymore weight. Don't worry about gaining too much because youd have to gain quite a bit, I'd say, for your insurance to not cover it if your bmi is only 40.1

I would talk to your coordinator. That's what I did.

Pre-op at my first appointment, I was 260. At my 2nd nutritionist appointment I was 265. I was worried about the weight gain. I e-mailed my coordinator. With my insurance, Aetna, if I had kept the weight on, they wouldn't have approved me. I spent the month working the weight, and more off.

The only thing that will totally ease your mind is asking your coordinator, they'll have all the answers.

I started with a 45 BMI and ended up with a 39 BMI and was still approved. Unfortunately there is no standardization among different insurance companies, so whether the slight weight gain will hurt you or not you'd had to find out directly from your carrier.

I hope you get approved! Good luck!