Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Need help with insurance qualifications!



Recommended Posts

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!!!

Share this post


Link to post
Share on other sites

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.

Sent from my iPhone using the BariatricPal App

Share this post


Link to post
Share on other sites

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

Share this post


Link to post
Share on other sites

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.

Share this post


Link to post
Share on other sites

Can one lose too much weight?

Sent from my SM-N920R4 using the BariatricPal App

Share this post


Link to post
Share on other sites

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!

Share this post


Link to post
Share on other sites

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.

Sent from my SM-G935P using the BariatricPal App

Share this post


Link to post
Share on other sites

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

Sent from my SM-J700P using the BariatricPal App

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 0 replies
      1. This update has no replies.
    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 0 replies
      1. This update has no replies.
    • CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
      1. This update has no replies.
    • KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
      · 0 replies
      1. This update has no replies.
    • bellaamey

      https://alluniqueguide.com/java-burn-coffee-reviews/
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×