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

Did I lose too much to qualify?



Recommended Posts


Hello! I also have BCBS Federal and I asked the bariatric coordinator which weight they send in and they told me that they only weight they send to insurance is my weight at my initial consultation. Do you know if that's correct? What was your experience with this? Sadly, I do not have much confidence in these people [emoji20]
I am right over 40 BMI. At my nutrition assesment I was right at 39.9 BMI (she made me take my shoes off of course...). I start the 3 month diet next week.



Well my program is very good. Umm but I have the benefit of being in a small state with not only johns Hopkins university but university of Maryland. Both are medical schools with in about 10 miles of each other. We pay a shite load in taxes here but get amazeballs healthcare. So back to your question typically they do use your Initial starting weight

Sent from my SM-T380 using BariatricPal mobile app

Share this post


Link to post
Share on other sites


Hello! I also have BCBS Federal and I asked the bariatric coordinator which weight they send in and they told me that they only weight they send to insurance is my weight at my initial consultation. Do you know if that's correct? What was your experience with this? Sadly, I do not have much confidence in these people [emoji20]
I am right over 40 BMI. At my nutrition assesment I was right at 39.9 BMI (she made me take my shoes off of course...). I start the 3 month diet next week.



Yes they send your weight from your first appointment. I also had Blue Cross Blue Shield Federal and I didn't think I was going to get approved because my BMI was too low but I had the lap band and I had it removed because it slipped in 2016. I wanted to get the revision sooner but I didn't think I was a candidate because of my weight but it was approved it took over a week I didn't know until the day before my surgery but thank God it was approved

Sent from my SM-G920T1 using BariatricPal mobile app

Share this post


Link to post
Share on other sites

I'm right at 40 BMI if I don't stand up too straight when they measure height, so like you, I've been concerned about losing on the pre-surgery diet then getting declined. I checked to see how much Water weighs, so plan to drink up prior to weigh in, but I love the idea of the fishing weights. too. It may be a moot point if I can't navigate the insurance maze. Very frustrating to do all the research, attend the seminars, make the decision, convince hubby it's a good idea, then learn after making appts that with Covered California Blue Shield, the closest approved hospital/surgeon is 6 hrs away. Good thing open enrollment is coming up.....

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

    • 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

      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

      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

      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

      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

    ×