Can they deny me?

Apart of my problem is that I YO-YO ....I can gain and drop pretty easy but when I drop I gain double. Not good for the heart.

Anywaysssss....will insurance all of a sudden say "no" if it comes back my BMI was too low? And by that point I will have already had the surgery

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Edited December 4, 20169 yr by Calizzer

I doubt it, if your surgery is already booked why would they keep going back and looking at your weight? Once they approve you it is out of their hands.

I had a similar situation, BMI 40 with no health problems. I probably lost a couple of pounds pre-op with my easy 3 day per-op diet. I can't see any way that insurance would know that unless the hospital or your surgeon called them right before they rolled you into the ER.

Each insurance is different though, many ask you surgeon? Believe me, he/she wants to operate on you. That's how they make money.

They didn't weigh me on surgery day. I wish they did.

Where I had my surgery, they used our weight from starting preop, not pre surgery.

Also, our cutoff was BMI 30 and not 35.

Seems shady that they would deny you for following their diet plan and losing a few pounds prior to surgery.

Edited December 4, 20169 yr by Hammer_Down

My insurance uses my starting weight and bmi. I specifically asked because I was at 42 bmi with no health issues. Doc asked me to lose 15#'s that put me at 40 bmi. But I was also told if I weighed more than my surgery goal weight on day of surgery that the surgery will be cancelled.

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They didn't weigh me on surgery day. I wish they did.

You might want to ask your surgical team about what your weight was on day of surgery if you really want to know. I'm pretty sure they had to weigh you for anesthesia reasons.

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I was told that once you approved for surgery, you are approved for a year (keep in mind all plans are different, but I would think that part would be across the board) all surgeons want you to lose weight before the procedure so that it helps to move the liver out of the way, and also to show that you are ready for it. Is there an insurance specialist at the surgeons office? I would inquire with them. Good luck in your future endeavors

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