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Surgery, Coverage and BMI concerns

TriGirl

By TriGirl, in Insurance & Financing

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TriGirl    15

TriGirl
Posted

My BMI is 40.1, my NUT said I can't lose any weight before surgery (which has not been scheduled yet). I have gone through all but 3 out of the 17 requirements from my doctor. (EDG, sleep study and a cardiology clearance are left) How do I maintain my current weight with the 2 week pre-op diet coming up? I have BCBS CareFirst of MD.. they require a BMI over 40 unless I have a pre-existing condition.Insert other media

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sassy683    184

sassy683
Posted

6 minutes ago, TriGirl said:

My BMI is 40.1, my NUT said I can't lose any weight before surgery (which has not been scheduled yet). I have gone through all but 3 out of the 17 requirements from my doctor. (EDG, sleep study and a cardiology clearance are left) How do I maintain my current weight with the 2 week pre-op diet coming up? I have BCBS CareFirst of MD.. they require a BMI over 40 unless I have a pre-existing condition.Insert other media

my bmi was 40 too my nut told me I couldn't lose any weight either, for 6 months I had to maintain my weight ... i got approved in august ... Tomorrow is my last day of my all liquid pre-op diet and when i weighed myself on Monday i was 7lbs down .. i asked my coordinator at my surgeons office if i lost weight on my pre-op diet would that be a problem and she said no because i was already approved ... My surgery is in 2 days and the hospital called me yesterday to register me....

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TriGirl    15

TriGirl
Posted

3 minutes ago, sassy683 said:

my bmi was 40 too my nut told me I couldn't lose any weight either, for 6 months I had to maintain my weight ... i got approved in august ... Tomorrow is my last day of my all liquid pre-op diet and when i weighed myself on Monday i was 7lbs down .. i asked my coordinator at my surgeons office if i lost weight on my pre-op diet would that be a problem and she said no because i was already approved ... My surgery is in 2 days and the hospital called me yesterday to register me....

4 minutes ago, sassy683 said:

my bmi was 40 too my nut told me I couldn't lose any weight either, for 6 months I had to maintain my weight ... i got approved in august ... Tomorrow is my last day of my all liquid pre-op diet and when i weighed myself on Monday i was 7lbs down .. i asked my coordinator at my surgeons office if i lost weight on my pre-op diet would that be a problem and she said no because i was already approved ... My surgery is in 2 days and the hospital called me yesterday to register me....

Thank you very much for responding, that makes sense now. I have not been approved yet. My doctor wanted to wait to see if I had any co-morbidity conditions like sleep apnea, etc. I still have a month to go before I have my sleep study then he will go for the approval.

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sassy683    184

sassy683
Posted

2 minutes ago, TriGirl said:

Thank you very much for responding, that makes sense now. I have not been approved yet. My doctor wanted to wait to see if I had any co-morbidity conditions like sleep apnea, etc. I still have a month to go before I have my sleep study then he will go for the approval.

no problem good luck

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Tanyatata    28

Tanyatata
Posted

My BMI is 40.1, my NUT said I can't lose any weight before surgery (which has not been scheduled yet). I have gone through all but 3 out of the 17 requirements from my doctor. (EDG, sleep study and a cardiology clearance are left) How do I maintain my current weight with the 2 week pre-op diet coming up? I have BCBS CareFirst of MD.. they require a BMI over 40 unless I have a pre-existing condition.Insert other media

I think you need to maintain through insurance approval but once that happens, losing weight shouldn't risk surgery. In fact, I think I recall it being indicated that losing weight actually shrinks the liver, making the surgery easier for the surgeon.


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kaytlin    3

kaytlin
Posted

From what I was told by the few surgeons I have spoke to is that they will submit from your BMI at your first doctors visit. My insurance requires six months so they said even if my BMI was to go below 40 I would still qualify

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Go To Topic Listing Insurance & Financing

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    • Alisa_S

      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.
      · 1 reply
      1. LeighaTR

        LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • Alisa_S

      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.
      · 1 reply
      1. summerseeker

        summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

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      Officially here for a long time, not just a good time💪
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