Weight?

[KelseyBennett_vsg 28]

I can't say how relieved I am that I found this thread! I have had one helluva ride trying to get ins approval. I started in September and weighed 352, well by the time I found out that I had to do a Dr guided weight loss study (after all of my other appts were finished and send off to ins and they denied me) it was February and I had gained 8 lbs. I proceeded to do the weight loss study and couldn't lose any weight, just yo-yo'd 3 lbs back and forth. I just finished my weight loss study Tuesday, and the NP will get the Dr's signature on everything and then off to the surgeon's office and to ins from there. I'm an absolute nervous wreck that the ins will think that I didn't try to lose the weight, even though I did everything that my Dr told me, and deny me again.....its been such a nightmare trying to get this surgery that I KNOW will save my life. I don't have any co-morbidities but my BMI is above 60....I'm just another "healthy" big girl and it sucks.

Anywho, thanks for reading my little rant. I hope to be very active on this forum as I progress with my journey...its been long so far but I know I'm just beginning.

Edited July 22, 2016 by AngelBennett

[loca_lette813 30]

See i sidnt just gain a little lol, i gained a whole 40pounds! But i ended up going down 38pounds these last couple months! I just hope and pray they see im trying and accept me!

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[KristenLe 5,980]

@ Don't worry - I didn't lose much during my supervised weight loss and was approved. I tried - but my Nutritionist said not to worry that it's difficult to lose with PCOS and that's why I'm having surgery.

[katiecem 24]

Yes. Me too. Thankful for this thread.

I was 269 at my first visit in January. 280 at my highest. 277 at my last visit on 7/12. Waiting for insurance approval. Doctor told me he would do my surgery if I continued to lose .

They must know that we wouldn't need the surgery if we could lose well on our own, right?

[loca_lette813 30]

Yes. Me too. Thankful for this thread.

I was 269 at my first visit in January. 280 at my highest. 277 at my last visit on 7/12. Waiting for insurance approval. Doctor told me he would do my surgery if I continued to lose .

They must know that we wouldn't need the surgery if we could lose well on our own, right?

See and its crazy because on them my 600pound life shows they have to lose like 100pounds before they have surgery but i get it because it's more of a risk or something. But i hope and pray we get accepted!

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[GeekyChicLa 15]

I've gained over 30 lbs during my 6 month supervised program. My doctor never said anything about getting denied if I gain weight- they just told me not to LOSE any because it would drop my BMI too low to qualify.

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[SharBear617 146]

Thanks For sure. I've already given up so many of those naughty things - but I think I am going to try replacing Breakfast and lunch with Protein shakes until my weigh in August 5...

Then I'll have the weekend before I start my pre surgical liquid diet before surgery August 22.

I'm so done with people telling me to have a "last meal" I think that is kind of defeatist at this point but I do plan to go to city island for crab legs with my husband August 7.

He deserves it since he is wholeheartedly supporting the cancellation of his 50th birthday vacation because my surgery got scheduled the week we were supposed to be away.

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Great hubby! I was a similar situation, had already started paying into a trip to Europe with my daughter, way in advance of knowing I'd be facing a WLS right before the trip was scheduled to depart (it was sponsored by some of her teachers thru a tour company, so no control over the dates). When I knew my surgery would most likely prevent me from going, and I wasn't sure if I'd lose the $ I had already put into it or not, I talked to my husband and he said pretty much the same thing, he wanted what I felt was best for me. Super tough decision because I was so looking forward to having that trip and memories to share with my daughter, but the way I saw it, the surgery and weight loss would allow me many, many more opportunities for the same well into the future. It is a great thing to have a supportive family going thru this journey. And great news! Two weeks after having my surgery I found out the travel insurance carrier would honor my request for a refund, and I got back almost all the $ I had put in...yay!

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[SharBear617 146]

@@loca_lette813 when I had my first appointment with Dr., I was 271. My insurance requires 90 days supervised weight loss. During my middle appointment I was up to 283. By my last appointment I was down to 276. They just submitted to my insurance (BCBS Federal) yesterday so I don't know yet if I'll be approved because of the weight gain. I'm really nervous, but Drs office thinks it should be okay...

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You should be ok....I also have BCBS Fed insurance, was up a few lbs on my 2nd weigh in, then lost like a pound or 2 on my third weigh in, and I was still approved. Granted, my pre-surgery BMI was 42, and I had high BP for years, but I think the BCBS Fed is one of the better carriers for approvals.

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