Jump to content
×
Are you looking for the BariatricPal Store? Go now!
$99 Yearly Supply Alert! 🌈 "1 per Day!" Bariatric Multivitamins

Missing 1 Year of 3 Year Weight History

MzKelly615

By MzKelly615, in Insurance & Financing

Recommended Posts

MzKelly615    10

MzKelly615
Posted

I have done everything.. I have passed all the tests. I have jumped through all the hoops.. The only thing I do not have is 1 year of my 3 year documented weight history. I didn't go to the doctor in 2016. I was told I would be denied the first time I submitted and that it was normal. The insurance coordinator told me I could submit dated photos for the missing year. That was almost two weeks ago. My surgery has already been set for June 15th. Has anyone else had success using pictures for weight history?

5'10"

CW 328

BMI 47

Share this post

Link to post
Share on other sites

Sosewsue61    3,185

Sosewsue61
Posted

Is your insurance self-funded, or county/city contracted? How many years history is required - seems a little extreme.

Share this post

Link to post
Share on other sites

MzKelly615    10

MzKelly615
Posted

I have BCBS Alabama through local government. They require 3 years documented weight history or dated photographs. I spoke to my insurance coordinator and she doesn't seem concerned. They scheduled my surgery and said to get ready.. Just makes me nervous.

Sosewsue61 reacted to this

Share this post

Link to post
Share on other sites

MzKelly615    10

MzKelly615
Posted (edited)

Thanks. I am trying not to worry. This whole process has been an emotional rollercoaster..lol

Edited by MzKelly615
Spelling
ProudGrammy reacted to this

Share this post

Link to post
Share on other sites

shelleee7399    24

shelleee7399
Posted

Same issue here. I have my pre-op and the coordinator said not to worry about the weight history. I have none. Getting on scales was a big fear. I have bc/bs Federal. Hope my luck is like your's!

Share this post

Link to post
Share on other sites

MzKelly615    10

MzKelly615
Posted

I used Facebook pictures because they are automatically dated. Good luck to you!! I'm sure you will be fine. 😊

ProudGrammy reacted to this

Share this post

Link to post
Share on other sites

Seahawks Fan    771

Seahawks Fan
Posted

I'm scheduled for Surgery on May 30th & still worry about some BS insurance issue. If I downed all these shakes & for some reason they start chirping I'm going to flip out! Hopefully they just disappear long enough for most of your stomach to do the same. That's what I'm hoping for as well. Good luck!

shelleee7399 and MzKelly615 reacted to this

Share this post

Link to post
Share on other sites

MzKelly615    10

MzKelly615
Posted

I refused to get excited about my surgery or even think about it until I was approved. This has been such an emotionally up and down journey. I don't know if I could have taken it if they would have denied me..lol Good luck to you too!

ProudGrammy reacted to this

Share this post

Link to post
Share on other sites

Goingthedistance    0

Goingthedistance
Posted

My wife is in this exact same situation. She has proof of weight BMI 35+ with sleep apnea and depression from 2014, 2015, and 2017 from the doctor's office. She did not go to a doctor in 2016. She does have documented photos from 2016 with weight and date from when she tried to lose weight with one of those direct marketing shake companies. We are Blue Cross Blue Shield Federal. She is now BMI 41+.

Is that lack of medial weight documentation from 2016 going to be a problem and reset her weight history clock?

Share this post

Link to post
Share on other sites

MzKelly615    10

MzKelly615
Posted

I have BCBS AL and was approved. I used fb photos because they are dated. It took a little longer but it was approved. If your policy states they will accept photos, there shouldn't be a problem. Good luck.

ProudGrammy reacted to this

Share this post

Link to post
Share on other sites

trekker954    421

trekker954
Posted

My wife is in this exact same situation. She has proof of weight BMI 35+ with sleep apnea and depression from 2014, 2015, and 2017 from the doctor's office. She did not go to a doctor in 2016. She does have documented photos from 2016 with weight and date from when she tried to lose weight with one of those direct marketing shake companies. We are Blue Cross Blue Shield Federal. She is now BMI 41+.
Is that lack of medial weight documentation from 2016 going to be a problem and reset her weight history clock?

So long as the sleep apnea is documented by a physician or a sleep study report. Depression is not considered a comorbidity for WLS. She didn't see a do tor in 2016 for anything. Annual, mamo , flu? They may make her start again. Everything must be documented for bcbs FEP.
I got approval in 2 days. But I gathered tons of documents.

Sent from my SM-G955U using BariatricPal mobile 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
Go To Topic Listing Insurance & Financing

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • Aunty Mamo

      Aunty Mamo

      Iʻm roughly 6 weeks post-op this morning and have begun to feel like a normal human, with a normal human body again. I started introducing solid foods and pill forms of medications/supplements a couple of weeks ago and it's really amazing to eat meals with my family again, despite the fact that my portions are so much smaller than theirs. 
      I live on the island of Oʻahu and spend a lot of time in the water- for exercise, for play,  and for spiritual & mental health. The day I had my month out appointment with my surgeon, I packed all my gear in my truck, anticipating his permission to get back in the ocean. The minute I walked out of that hospital I drove straight to the shore and got in that water. Hallelujah! My appointment was at 10 am. I didn't get home until after 5 pm. 
      I'm down 31 pounds since the day of surgery and 47 since my pre-op diet began, with that typical week long stall occurring at three weeks. I'm really starting to see some changes lately- some of my clothing is too big, some fits again. The most drastic changes I notice however are in my face. I've also noticed my endurance and flexibility increasing. I was really starting to be held up physically, and I'm so grateful that I'm seeing that turn around in such short order. 
      My general disposition lately is hopeful and motivated. The only thing that bugs me on a daily basis still is the way those supplements make my house smell. So stink! But I just bought a smell proof bag online that other people use to put their pot in. My house doesn't stink anymore. 
       
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      BeanitoDiego

      Oh yeah, something I wanted to rant about, a billing dispute that cropped up 3 months ago.
      Surgery was in August of 2023. A bill shows up for over $7,000 in January. WTF? I asks myself. I know that I jumped through all of the insurance hoops and verified this and triple checked that, as did the surgeon's office. All was set, and I paid all of the known costs before surgery.
      A looong story short, is that an assistant surgeon that was in the process of accepting money from my insurance company touched me while I was under anesthesia. That is what the bill was for. But hey, guess what? Some federal legislation was enacted last year to help patients out when they cannot consent to being touched by someone out of their insurance network. These types of bills fall under something called, "surprise billing," and you don't have to put up with it.
      https://www.cms.gov/nosurprises
      I had to make a lot of phone calls to both the surgeon's office and the insurance company and explain my rights and what the maximum out of pocket costs were that I could be liable for. Also had to remind them that it isn't my place to be taking care of all of this and that I was going to escalate things if they could not play nice with one another.
      Quick ending is that I don't have to pay that $7,000+. Advocate, advocate, advocate for yourself no matter how long it takes and learn more about this law if you are ever hit with a surprise bill.
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      BeanitoDiego

      Some days I feel like an infiltrator... I'm participating in society as a "thin" person. They have no idea that I haven't always been one of them! 🤣
      · 0 replies
      1. This update has no replies.
    • ChunkCat

      ChunkCat

      Thank you everyone for your well wishes! I totally forgot I wrote an update here... I'm one week post op today. I gained 15 lbs in water weight overnight because they had to give me tons of fluids to bring my BP up after surgery! I stayed one night in the hospital. Everything has been fine except I seem to have picked up a bug while I was there and I've been running a low grade fever, coughing, and a sore throat. So I've been hydrating well and sleeping a ton. So far the Covid tests are negative.
      I haven't been able to advance my diet past purees. Everything I eat other than tofu makes me choke and feels like trying to swallow rocks. They warned me it would get worse before it gets better, so lets hope this is all normal. I have my follow up on Monday so we'll see. Living on shakes and soup again is not fun. I had enough of them the first time!! LOL 
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      BeanitoDiego

      Still purging all of the larger clothing. This morning, a shirt that I ADORED wearing ended up on top. Hard to let it go, but it was also hard to let go of those habits that also no longer serve my highest good. Onward and upward!
      · 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

    Bariatric Forums

    For Patients

    Health Professionals

    Search Surgeons

    Bariatric Surgeons: Want to research a weight loss surgery surgeon? Enter their last name below to start!

    ×