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Insurance requires 6 months to try to lose some weight

Hi there. I am brand new here. My insurance, UnitedHealthCare, required me to wait 6 months to TRY to lose some weight, but they don't say how much. I'm not afraid to lose too much to be Unqualified, as I have high blood pressure (on medication) and I am diabetic now (on Metformin) and I have terrible G.E.R.D. (on medication). So even if I lose 15 lbs I will still qualify. I am currently 215 lbs at 5ft. 1"

I am a bit scared of the sleeve surgery, as I'm afraid I will vomit every time I try to eat normally.

I am so sick of being so overweight, so I do want this surgery. I eat from BOREDOM for sure. The TV and Snacks go together, but I'm often very hungry as well.

I am embarrassed and don't want to tell anyone except my husband and my boss (because I will be out for 4-7 days from work)

I want to meet others In New Jersey going through the waiting process, due to insurance. It would be nice to talk to others going through this. So far I've lost maybe 3 lbs.-4lbs It's been almost 2 months. I go to the doctor on Jan 5th for the 2nd required appt for weight loss logging. I will admit when I went for weight loss logging the first time, I stepped on the doctor's scale with my heavy motorcycle boots on and heavy denim jeans and a thick sweater. I weighted 219 lbs! Ha-ha. I was trying to. At home I had weighed 215. So when I go back on Jan. 5th I will probably be about 212, if I take off my shoes and wear lightweight clothing. ha-ha. But I really did lose about 3-4 lbs.

Then in early February I go for the third weigh-in and I have to lose another pound or two. It's so hard. I eat so many veggies.

Carrie

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My insurance was 12 months, monthly dr visits (miss or go over 30 days start over), had to lose 5% of total body weight(was 10%), gain or stay the same and you start over, nicotine free for 6 months, and meet age/bmi/comorbidity guidelines, surgeon also had to agree to provide them with yearly status reports for a decade in writing before they would begin the process. Couldn't use any pharmacological aids during the 12 months. ....

I tried for 3-4 years and never could get beyond 6 months. Finally managed to do self pay. Had multiple drs write them that it was a medical necessity etc. Then they wouldn't cover my surgeon prescribed meds post-op. Luckily the johns hopkins social workers helped with the expensive stuff like lovenox.

I'm convinced that they only approve a few people each year solely so they can't be sued for having impossible requirements.

Hi! I have to jump through many hoops as well for my insurance. 6 months of Dr supervised weight loss plan, numerous health scans and bloodwork. But luckily the center that is doing my surgery is willing to walk through each step with me to ensure I meet all the requirements. I wish you the best of luck as well.

Sent from my LG-H634 using the BariatricPal App

I also had a 6 month wait and my insurance required me to lose 5% of my starting weight.

Your boots made me giggle. I have heard of people doing all kinds of things to boost their initial starting weight. Best of luck to you, the waiting period will be over before you know it.

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