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Pre surgery weight loss

crystalrae

By crystalrae, in Insurance & Financing

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crystalrae    16

crystalrae
Posted

Do you guys think I will get denied if I started the process at 36 BMI and now after 2 months I'm down 20lbs and still have 4 months before surgery. Should I keep losing or just maintain? I have comorbities

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RickM    1,747

RickM
Posted

The general practice is to go from your weight when you started the pre-op games, but that can vary by company. There should be a policy bulletin online for your insurance that spells it out, or you can all them and hope to get a right answer.

Starting at such a low BMI, I would be disinclined to lose much weight at all as the surgery is plenty powerful to get the job done without any pre op weight loss. What I did (starting closer to 50 BMI) with that 6 month insurance requirement was to work on my long term diet and lifestyle (since that's the hard part - anyone can lose some in the short term!) and take whatever weightloss happened as a bonus. It wound up being about 50 pounds and for a variety of reasons (my wife being number 1 on the runway being the primary) I didn't go through with the surgery at that time, some 13 years ago. But I did maintain that loss up until I did undergo the WLS, and have maintained that loss for about six years now, so the exercise was successful from that perspective.

So, check with your insurance as to how they calculate things, and maybe readjust your focus over the remaining time until surgery. Good Luck...

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crystalrae    16

crystalrae
Posted

The general practice is to go from your weight when you started the pre-op games, but that can vary by company. There should be a policy bulletin online for your insurance that spells it out, or you can all them and hope to get a right answer.
Starting at such a low BMI, I would be disinclined to lose much weight at all as the surgery is plenty powerful to get the job done without any pre op weight loss. What I did (starting closer to 50 BMI) with that 6 month insurance requirement was to work on my long term diet and lifestyle (since that's the hard part - anyone can lose some in the short term!) and take whatever weightloss happened as a bonus. It wound up being about 50 pounds and for a variety of reasons (my wife being number 1 on the runway being the primary) I didn't go through with the surgery at that time, some 13 years ago. But I did maintain that loss up until I did undergo the WLS, and have maintained that loss for about six years now, so the exercise was successful from that perspective.
So, check with your insurance as to how they calculate things, and maybe readjust your focus over the remaining time until surgery. Good Luck...

Thanks I'm going to look on line or call

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crystalrae    16

crystalrae
Posted

I would be very careful losing that amount of weight. My doctor said 1lb/month. What is your current BMI?

33% I can lose weight. I do every spring/summer then September hits and I gain it all back. My weight loss and gain has been the same the last 20 yrs! It has taken a toll on my body and health. That's why I was hoping to get the surgery in September to help not to gain.. which will be my 6 months needed for insurance. I get to a certain weight about 29% BMI and I cannot lose anymore.

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Seahawks Fan    771

Seahawks Fan
Posted


33% I can lose weight. I do every spring/summer then September hits and I gain it all back. My weight loss and gain has been the same the last 20 yrs! It has taken a toll on my body and health. That's why I was hoping to get the surgery in September to help not to gain.. which will be my 6 months needed for insurance. I get to a certain weight about 29% BMI and I cannot lose anymore.





Tim

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Seahawks Fan    771

Seahawks Fan
Posted

What insurance do you need 6 months?


Tim

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Seahawks Fan    771

Seahawks Fan
Posted

10 minutes ago, crystalrae said:

Highmark blue cross/shield. Are you from Seattle?

Spokane

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belinda401    116

belinda401
Posted

I am on anthem and have a 35 with co-morbidities and my doctor told me to be a pound lighter at my 6 month weigh in so my BMI doesn't drop below 35.

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Rita48    65

Rita48
Posted

Hi Belinda, what part of Texas are you from? I am from the Houston area.

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belinda401    116

belinda401
Posted

Pearland!

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Rita48    65

Rita48
Posted

Pearland!

Katy!


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belinda401    116

belinda401
Posted

What doctor are you going to? I am seeing Dr. Todd Wilson at UT.

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