The third month of my 6 month supervised diet and exercise program I gained 9 lbs! I had slacked off and was not feeling motivated and didn't weigh myself so I actually didn't know I had gained that much.

I have gotten back on track and have lost 5 lbs. Will my insurance company deny me because I gained weight that month?? I have Anthem BC/BS. I've got 6 weeks left until my 6 months are up and I get submitted for approval.

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We get approved because we can't lose weight on our own successfully. I got the heaviest I've been during my 6 months. My insurance company just wanted an actual record of attempting to lose weight. Don't quit trying, but don't beat yourself up for gaining. I'm 6 months post op and I'm at a standstill. But I also eat really good for a few weeks then go on a weird kinda binge eating.

Thanks@johnsons13. I appreciate your reply and encouragement. I'm just worried about being rejected and having to do another 6 months of diet and exercise!! You're right, though we need the extra help of surgery because we can't lose adequately on our own!

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3 hours ago, Briswife15 said:

The third month of my 6 month supervised diet and exercise program I gained 9 lbs! I had slacked off and was not feeling motivated and didn't weigh myself so I actually didn't know I had gained that much.

I have gotten back on track and have lost 5 lbs. Will my insurance company deny me because I gained weight that month?? I have Anthem BC/BS. I've got 6 weeks left until my 6 months are up and I get submitted for approval.

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I didn't have a supervised diet, but I DO have Highmark BCBS and my insurance was processed through Anthem BCBS, since I am having the surgery in VA. I gained 15lbs from my 1st appointment to my last (in a 2 month timespan!) and I still got approved. *shrug* Just keep doing what you're doing.

I went up 3 pounds one week into my 10 pound "weight-loss goal" set by my doctor. I'm now back down to my starting weight of 298. I contacted my nurse navigator who is super amazing and helpful. She told me to call her when I'm down 5 pounds and we'll schedule surgery whenever I want it. So, I'm kicking my water intake and food choices into high gear because I'm so ready! I recommend you contact your nurse navigator if you have one because they know all the different insurance company requirements.

GOOD LUCK... You've got this!!!!

I didn't have a supervised diet, but I DO have Highmark BCBS and my insurance was processed through Anthem BCBS, since I am having the surgery in VA. I gained 15lbs from my 1st appointment to my last (in a 2 month timespan!) and I still got approved. *shrug* Just keep doing what you're doing.

Thanks for your encouragement@mousecat88. Appreciate your input.

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I have Blue Cross also and I gained weight prior to being approved for surgery (then lost before the actual surgery - but after my approval). I don’t think you will have a problem. Good luck!!

22 hours ago, Briswife15 said:

Thanks@johnsons13. I appreciate your reply and encouragement. I'm just worried about being rejected and having to do another 6 months of diet and exercise!! You're right, though we need the extra help of surgery because we can't lose adequately on our own!

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I got so mad when I had to redo my 6 months. I started questioning everything and wanted to give up. I thought it wasn't meant to be. This wasn't because of my insurance but the crappy pcp I had and their crappy notes in my chart. Anyway, my husband reminded me of my own words to him many times. Whatever I was going through I was supposed to go through and it wasn't my time to have surgery yet.

I gained 6 lbs, but my first visit was last Sept!! I should have been done in June. My surgeon's office messed up and never scheduled the nutrition classes I needed. My bypass surgery is on Monday, 10/22. My surgeon scolded me, but I bit back and told him about his staff and their error, which they had admitted why everything was delayed. Also, since I started this I've seen my daughter pregnant and have her baby, my son got married in April, and my daughter got married in May. All in another state, so I traveled by car a lot! I developed a DVT from the traveling, which has since resolved. I've had steroid injections in both knees and my neck. He scolded me and told me I owed him 6 lbs by my surgery date. Whatever!! It could have been worse. I'm down over 11lbs today and ready for Monday.

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I lost weight the first three months, then gained it back plus a couple the last three months. When I gained the first time I talked to my doctors office and their only concern was that I didn't fall below 40 BMI (not a problem!) and that losing and gaining was not an issue....at least with my insurance...so I would give them a call. Remember they do this every single day and know how the insurance game works.

Hi, GettinSkinnywithit. Thanks for the suggestion to call my surgeon's office. I think I will see what they say. You're right that they know all the insurance requirements. I've lost a few pounds this month and go back for my next nutrition visit in 10 days.

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Hidden tell him you'll bring him a bag of white flour and a box of Powdered sugar, then the 6 pounds will be s1uare and you can move on. Besides if you are going he slim you don't need either of those items anymore.?

On 10/15/2018 at 9:07 AM, Briswife15 said:

The third month of my 6 month supervised diet and exercise program I gained 9 lbs! I had slacked off and was not feeling motivated and didn't weigh myself so I actually didn't know I had gained that much.

I have gotten back on track and have lost 5 lbs. Will my insurance company deny me because I gained weight that month?? I have Anthem BC/BS. I've got 6 weeks left until my 6 months are up and I get submitted for approval.

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Best of luck to you as you get closer to receiving a decision from Anthem. I've written on this very painful topic in the past - here is the link in case it helps!

https://wlsappeals.com/2142/walters_bariatric_surgery_blog/gained-weight-pre-op-diet-now-what/

Depends on your insurance. Some will deny with ANY gain. Others don’t care. I would ask your surgeon.