? if BMI falls below 35 before surgery

[Maggie1955 158]

Newbie here....currently my BMI is 36.8. I do not yet have a surgery date. I have been trying to follow my nutritionist's advice and have lost several pounds, but I am concerned that if I happen to get down below a BMI of 35, will insurance say I no longer qualify for sleeve surgery? Right now, my insurance will pay for the surgery because my BMI is above 35 and I have severe sleep apnea. I am so worried that if I drop another few pounds I won't qualify any more. Has anyone else had this issue?

[GassyGurl 428]

Each insurance is different. The best thing is to directly ask your coordinator and insurance company directly.

I have fepblue and was told to not drop below 35, which shucked because I was 35.6. But there are plenty of others here who had no issues.

Best wishes!

Sent from my XT1254 using BariatricPal mobile app

[FluffyChix 17,409]

My surgeon said that my qualifying weight submitted to the insurance will the one taken on the first day I saw her on 7.20.17. Hope that helps--but your insurance may be diff!!

[ReadyforChangeChan 35]

I was approved through insurance already-they send your starting and current weight. Check with your insurance. I just didnt lose much on purpose but now that its approved and I will be on a two week liquid diet i can and will lose weight before the surgery.

[Missy161 395]

Mine also said it is your starting weight that is submitted. I was told they just want to see if you will be successful following the plan. Most of us have lost and regained weight pre surgery. I think they know that's the pattern and for some sustained weight loss will only come with surgery.


Mich W
Hw 223, SW 217 CW 196.6 GW 135

[Maggie1955 158]

Thank you all! This is a great forum.

[Maggie1955 158]

Thank you all! This is a great forum.

[Sosewsue61 3,185]

Just check, each insurance is different.