My insurance requires 6 month weight manage classes. I was wondering how many of you have to weight manage classes also and lost weight. I'm worried that they will say I don't need the surgery since I lost weight. Just curious and wondering what your insurance said - I'm starting to worry (only have 1 month left)

I had to do six months preop in regards to weighing in but I was not required to lose anything.if I had lost anything I probably would not qualify as I'm already on the cusp anyway

My surgery is scheduled for October 21st. In 6 months I've lost 20 pounds. I only have to do the pre-op diet one day prior to surgery. However I put myself on a low carb and low fat, high protein diet starting today, 16 days before surgery.

I'm on the 6 months diet required by insurance and with my Dr upping my dose of metformin and following the nuts plan I've lost 8 pounds in 7 weeks

I didn't lose any weight during my pre-op. I was sleeved on Friday Oct. 2 and I have already lost 6lbs. I am still very bloated and still have some gas pains but nothing unbearable. I returned to work on Monday. I have a office jobs and were I am able to get up and walk every hour so it helps out a lot.

This is what my insurance says - "The patient has participated in a non-surgical treatment (e.g., dietitian/nutritionist consultation, low calorie diet, exercise program, and behavior modification) and attempts at weight loss have failed" - this is what has me worried. They changed how it is written it changed at the end of august

This is what my insurance says - "The patient has participated in a non-surgical treatment (e.g., dietitian/nutritionist consultation, low calorie diet, exercise program, and behavior modification) and attempts at weight loss have failed" - this is what has me worried. They changed how it is written it changed at the end of august

That's almost identical to what mine says. But I lost 15ish pounds on mine and was still approved. I think it just depends on who reviews your case at insurance and what your hospital all submits to them. I really tried to lose weight on my own because my program has a no gain policy. Every month I weigh in I wasn't allowed to gain ONE pound more than my previous weigh in so I was paranoid about my monthly visits. I would call your insurance company and talk to someone on what they define as "fail" then I would call your program and talk to them about what they think.

The fear is that don't take you seriously and/or feel you aren' t prepared.

Losing weight is a bargaining chip against the insurance company playing this card.

It can also reach beyond the insurance company, too.

Both of the surgeons I consulted made it very, very clear upfront that if I didn't lose significant weight pre-op then they would not operate. This was both with insurance or with self-funding the surgery. There are some in our class that have been rolled back until later surgeries because of this very thing.

I sort of anticipated this, though, due to my high BMI. It was easy logic to follow.

If my BMI was lower....I'd probably be at war with myself on being so strict during this timeframe. Things are much simpler for me.

I had no requirement to loose weight before my surgery but I did anyway. I lost about 50lbs pre op

I had to have a 6mos monitored as well and was required a 1lbs loss each month. With swimming 4-5 times a day and calorie counting I lost 62 lbs. Now I'm waiting for approval and I'm so nervous I'll be turned down. :-(

My Dr required me to lose 10lbs Ive lost 16. I have my 6th n final pre-op Dietian appointment 11/2 hoping for surgery this year

I had to do the 6 month diet. I lost nothing. I wasn't required to lose a number/percentage of weight.

Edited to add that I also had to do the 2 week liquid pre-op and lost 11 pounds on that.

Edited October 7, 201510 yr by Chrystee

Thanks. I'm just worried that my insurance company will say the surgery isn't necessary because I lost weight (it has been only 14lbs) but still worried.

That's what Tricare did to me. I was just over 100 pounds overweight. They put me on the 6-month diet and as soon as I lost to 99 pounds overweight they said I didn't qualify for the surgery. But if I hadn't lost any weight, they said I wouldn't have qualified because I had to show I could lose weight. I ended up self-paying for the band back in 2007 (didn't work) and now thankfully my insurance has approved me for a revision. I can my own insurance through my job now and don't have to rely on my husband's Tricare. It was an awful experience.

Thanks. I'm just worried that my insurance company will say the surgery isn't necessary because I lost weight (it has been only 14lbs) but still worried.

That's what Tricare did to me. I was just over 100 pounds overweight. They put me on the 6-month diet and as soon as I lost to 99 pounds overweight they said I didn't qualify for the surgery. But if I hadn't lost any weight, they said I wouldn't have qualified because I had to show I could lose weight. I ended up self-paying for the band back in 2007 (didn't work) and now thankfully my insurance has approved me for a revision. I can my own insurance through my job now and don't have to rely on my husband's Tricare. It was an awful experience.

I had tricare and they didn't do that to me? I didn't have to do 6 months either. I did 4 and was approved.

I have Kaiser. The weight at my PCP referral was 227. Weight at my Options intro class was 225. During the 3 months options classes, I lost 17 lbs and continued to lose weight during the pre-op til surgery day where I weighed in at 196.

I lost 19 lbs in two months before I started this diet from walking , having a shake for breakfast, and watching what I ate. I almost lost too much. My pre op visit last week my Dr said he isn't going to report my weight the day of surgery because last week I was only 1 1/2 lbs from not qualifying anymore. I only have 65 lbs to get to my goal weight of 125 lbs now. I was never 100 lbs over but have 3 co morbities

Edited October 11, 201510 yr by perk4756