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Need help with insurance qualifications!



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I have already met my six month minimum requirement for insurance. I also have all my other required appointments scheduled. My question is, I started my 6 month journey at 259 pounds (BMI of 49.1), the lowest I ever got in that 6 months was 251. I have always fluctuated between 255-257. I have never gone over the 259 that I started this journey at. I'm worried that insurance won't approve me if I can't lose more weight.

I have been on a very strict diet and going to the gym every other day meeting with a trainer. My body just won't lose the weight.

Will insurance still approve me even if I haven't lost a substantial amount of weight?

PLEASE HELP!!!

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Atena is the only one that I know that is a stickler and won't approve if you even gain a pound from the first time you have documented your weight.

i maintained and bcbs had no issues with approving it. I think you will be fine as long as all of the doc's are in-line.

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I didn't have a problem getting approved and at one point in time I gained.

It really depends on your insurance.

Edited by achappex3

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HI, It also is how and what your Surgeon puts down on your insureance papers. The good thing is the one in your Surgeon's office knows exactly what they want and need. They can word it just like it is wanted from your insureance. I would rely on them to document everything that they need to do.

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Can one lose too much weight?

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i think if you can provide your insurance with your documented meets with your trainer, it should really help your case! My surgeon was extremely happy that I was able to provide documentation of my meetings and weight check ins over the 6 month period i saw my trainer- he said it was extremely helpful to send to my insurance. me and you are about the same BMI at the moment and my doctor told me I only need to lose 7lbs before surgery, so maybe your BMI alone will help your case! Hopefully this helps a bit but keep us posted!

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If you are on a 6 month dr supervised diet prior to the surgery. They do that to see if you can lose that weight without surgery. Yes if you do that diet and you cant lose it ins will approve you. There is not a max weight limit to be approved, but there is a minimum.

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Honestly i think it really depends on your insurance. My insurance required 4 months of consecutive weigh-ins , however for me i wasn't even required to really loss weight at all. Of course i did loss weight,but i could have gained 5lbs and they still would have approved me. Lol

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