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Could I be denied if my BMI goes down?

Hi all,

So I have a tentative surgery date of 11/11!

My first visit w/ my wlc, my BMI was 41.2 (something like that). I met with the surgeon on Tuesday and my BMI was 39.8 (no comorbids). He's going to submit my paperwork and they are using the first weight. I asked if I might get denied by my insurance because the BMI went down. And he said "it depends, I'm wording my note a certain way and I don't think it'll be a problem". He didn't even feel the need to order a sleep apnea test, which I have no idea if I have or not. He said I have "the best" insurance in terms of requirements, etc, whatever that means. He was very nice, almost TOO chill for a surgeon... So at the time he put my mind at ease but now I'm freaking out! Good old anxiety strikes again!

Meanwhile, I scheduled ALL my pre-op appointments and told my boss about the surgery since it's only 2 months away and I'll be out of the office for a bit. Man I just hope the rug doesn't get pulled from under me after all this! Does anyone have any experience with this sort of thing? Like your BMI went down at some point during the process?

Sent from my iPhone using the BariatricPal App

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I also have BCBS FEP. I have lost 6 lbs in 2 months, I have 1 month left until me last weigh in. I have to maintain until then really. Let me know how it goes for you with your insurance..@patricka76.

  • 2 weeks later...

This is also my fear. I am starting at barely over 35 BMI. I'm on the 6 month weigh in. My Dr tells me it's OK if I go under a little, but I refuse to until the very last month. Then I plan on losing 7 or 8 lbs. They always laugh at me because literally my weight stays EXACTLY the same.

Sent from my SM-J700T using the BariatricPal App

I started with 36.9 bmi, i am now at 35.89 as of yesterday. I have my last weigh in 2/2. My goal is to maintain this because I don't want to even let them try to deny me.

@@patricka76 so how long did it take for them to get your approval? Do you have a surgery date?

Thats not to bad. I am doing all my blood work this thursday, hoping that all levels are good. We shall see.

I was told that I had to have a BMI of 40 when they submitted to insurance but then I could go under. Which is good because I'll be very close to 40 within the next few pounds!!

I think it's really dependent on your insurance.

Sent from my Nexus 5X using the BariatricPal App

Where on Massachusetts are you, and who is your Dr.

Sent from my SM-G930V using the BariatricPal App

This is also my fear. I am starting at barely over 35 BMI. I'm on the 6 month weigh in. My Dr tells me it's OK if I go under a little, but I refuse to until the very last month. Then I plan on losing 7 or 8 lbs. They always laugh at me because literally my weight stays EXACTLY the same.

Sent from my SM-J700T using the BariatricPal App

I know how you feel!! I have at 35.5 bmi and am depending on sleep apnea to get approved by insurance. I just completed the test last night. I am a wreck I can't stop thinking about it. I'm only on my first month, if I don't have sleep apnea I'll be stuck

Where you already approved with insurance?

Sent from my iPhone using the BariatricPal App

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