I'm going for my first NUT visit on Friday. I'm a little worried because during my initial visit with the surgeon he said not to lose any weight bc my insurance Carefirst bases the BMI on the last visit not the first. So I'm completely confused, if I'm doing the NUT visits wouldn't the insurance want to see a change or would they basically deny the surgery bc I'll be able to lose off of diet alone.

I've never been able to keep the weight off and whatever I lose never is more than 15 lbs. and they'll slowly creep back on no matter how much exercise and diet changes I make.

Any input is appreciated

the NUT will help you know what to expect, and what to eat during each stage. It will be about education and expectations.

My BMI was close to 40- surgeon told me not to gain or lose too much weight before surgery - I am 3 months post op and all is great with diet/weight loss

I have to lose 26lbs before surgery because the surgeon wants my liver to shrink to get to my stomach easier. Helps with recovery after surgery.

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My insurance was the same as yours....bases approval on BMI throughout the process (not just initial visit). My BMI when I started was just over 40 (no comorbidities), so I could not lose weight until after they submitted my packet to insurance. After that, I began the first phase of my surgeons diet. I was approved by insurance and losing weight now on my 2 week pre-op diet.

Listen to your NUT, take in all the info and implement it a bit later .

I should also add, that I didn't want to gain any weight during the process either.

It seems counter productive, and it's a shame it has to be that way, but you have to do what you have to do [emoji3]

Listen to your surgeon. Once your insurance approves he might want you to lose some before surgery date.

Thank you ladies for the reply! The NUT told me to take in the info and be conscious of the choices I'm going to have to make but based on the insurance I can't fall below my initial weight so now I just have to make sure I don't drop during the process 2 weeks before surgery I will have to do a liquid diet so it's all good tomorrow is my psych eval

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once they have the approval you should be good. they will weigh you at your pre op, but I was not weighed at the hospital before surgery.

I'm going for my first NUT visit on Friday. I'm a little worried because during my initial visit with the surgeon he said not to lose any weight bc my insurance Carefirst bases the BMI on the last visit not the first. So I'm completely confused, if I'm doing the NUT visits wouldn't the insurance want to see a change or would they basically deny the surgery bc I'll be able to lose off of diet alone.

I've never been able to keep the weight off and whatever I lose never is more than 15 lbs. and they'll slowly creep back on no matter how much exercise and diet changes I make.

Any input is appreciated

I thought I was the only one with this question. I asked my surgeon as well. He stated that my insurance company will view the weight loss as me taking this seriously and think that it's a higher chance of maintenance after surgery. My cousin had the gastric bypass and she said she's seen people get denied. I'm going with my surgeons advice. He does this regularly and can better advise...as with your surgeon. I know insurances have different requirements. Stick with what your surgeon says. Stay encouraged!

Dawnie_doo

Thank you ladies for the reply! The NUT told me to take in the info and be conscious of the choices I'm going to have to make but based on the insurance I can't fall below my initial weight so now I just have to make sure I don't drop during the process 2 weeks before surgery I will have to do a liquid diet so it's all good tomorrow is my psych eval

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My psych evaluation was awesome. I'm a therapist, so I thought I knew everything going in. Hahaha She unveiled a few things and set them free in just one visit! Lol I'm glad that I chose that particular person.

Dawnie_doo

Today is my very first appt with our local weighloss center at the hospital. I was told i will see the Doctor and the Psych today. Im curious exactly what the Psych asks lol that party freaks me out more than anything just the unkown? And do i need to ask about my insurnace requirments or will they have them? i want my own copies for my folder lol

Hmmm, I guess it just depends on your insurance. I have BSBC CA and was told to start pre-op diet early on and to loose 10lbs.

I am very borderline BMI,(40.3) as of my very first apt with the Surgeon. Now that ive lost a few lbs it is under 40....still no comorbidities. However, I was told by my surgeons office that the insurance companies take the weight of your very first appt with the surgeon...not the last.

Today is my very first appt with our local weighloss center at the hospital. I was told i will see the Doctor and the Psych today. Im curious exactly what the Psych asks lol that party freaks me out more than anything just the unkown? And do i need to ask about my insurnace requirments or will they have them? i want my own copies for my folder lol

I filled out about 4 questionnaires and he asked questions about my parents what did they do, what did I do for a living if I liked it. It really wasn't that much although my results were surprising! I hold resentments and I have OCD! Lol maybe a little OCD

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Today is my very first appt with our local weighloss center at the hospital. I was told i will see the Doctor and the Psych today. Im curious exactly what the Psych asks lol that party freaks me out more than anything just the unkown? And do i need to ask about my insurnace requirments or will they have them? i want my own copies for my folder lol

I filled out about 4 questionnaires and he asked questions about my parents what did they do, what did I do for a living if I liked it. It really wasn't that much although my results were surprising! I hold resentments and I have OCD! Lol maybe a little OCD

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Today is my very first appt with our local weighloss center at the hospital. I was told i will see the Doctor and the Psych today. Im curious exactly what the Psych asks lol that party freaks me out more than anything just the unkown? And do i need to ask about my insurnace requirments or will they have them? i want my own copies for my folder lol

I filled out about 4 questionnaires and he asked questions about my parents what did they do, what did I do for a living if I liked it. It really wasn't that much although my results were surprising! I hold resentments and I have OCD! Lol maybe a little OCD

Sent from my iPhone using the BariatricPal App

Today is my very first appt with our local weighloss center at the hospital. I was told i will see the Doctor and the Psych today. Im curious exactly what the Psych asks lol that party freaks me out more than anything just the unkown? And do i need to ask about my insurnace requirments or will they have them? i want my own copies for my folder lol

I filled out about 4 questionnaires and he asked questions about my parents what did they do, what did I do for a living if I liked it. It really wasn't that much although my results were surprising! I hold resentments and I have OCD! Lol maybe a little OCD

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Well they had no record of my appt lol

So I see the NUT only. I go back in 3 days to see nurse and psych..

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But I did learn my bmi is from surgery day and with my high bp I can go to 35bmi which is about 20 pounds most

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My starting bmi was around 42 when I first started this process in November. Basically per my insurance they wanted to see "a net loss" during my supervised diet. My NUT told me that could be any amount of weight, but my bmi still had to be above 40 at my final weigh in. Basically, I spent the last 3 months maintaining my weight for the most part but only losing about 5 pounds. My bmi is now 41 and I was approved for the surgery which I'm having 3/22. Hope this helps :-)

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