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6 month diet program - Anthem



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I just started the process of getting approved for weight loss surgery last month. I went to my first diet class last month too. I have Anthem BCBS and am required to complete a 6 month diet program where I successfully lose weight.
Tonight’s my 2nd diet class and weigh in. I weighed myself this morning and I’ve gained 5 pounds in a couple of days time. I’m starting my cycle and I always bloat like this beforehand.
Will this gain keep me from getting approved? I’ve been told that I have to show I can lose weight- but what if I gain weight at one of my weigh ins?

Thanks in advance for the replies!

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I guess that's why it's six months, to allow for fluctuations like yours and to show overall progress over a period of time. Good luck!

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For me I gained while on the program and was told that I needed to show I can lose or stay at the same weight before moving forward,but I think it depends on your nutritionist I did gain 10 lbs in a month

I was asked was I serious about losing weight moving forward I had to either lose a pound or more or not gain in order to move forward in the program I did lose 5 lbs the following month. As of March 7 I’ll be having my surgery I’m doing the sleeve.

Edited by Levetha
Misspelled words

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4 hours ago, soccermom2 said:

I just started the process of getting approved for weight loss surgery last month. I went to my first diet class last month too. I have Anthem BCBS and am required to complete a 6 month diet program where I successfully lose weight.
Tonight’s my 2nd diet class and weigh in. I weighed myself this morning and I’ve gained 5 pounds in a couple of days time. I’m starting my cycle and I always bloat like this beforehand.
Will this gain keep me from getting approved? I’ve been told that I have to show I can lose weight- but what if I gain weight at one of my weigh ins?

Thanks in advance for the replies!

I also have Anthem BCBS (California non-resident policy). Things may be different depending on your conditions and your surgeon's preferences, but my surgery coordinator said they only submit my initial weight from the first surgeon visit to insurance. So if I gain or lose it's truly not going to make a difference unless I lose too much and my BMI tanks or I gain out of control, which isn't happening. I don't think you have to worry about 5lb fluctuations from your period. That's to be expected for women. Now...if you walk in 20lbs heavier than the previous month, that's a cause for concern ;) :783_heart_decoration:

Edited by 🅺🅸🅼🅼🅸🅴🅺

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I have Anthem BCBS, too. I have been approved for surgery and slso had the 6 month physician supervised diet program. One month I gained like 10 lbs and lost it the following month. I still got approved, so don't worry, but don't gain 5 lbs every month!!

Sent from my SM-N960U using BariatricPal mobile app

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Hi

I have Anthem BCBS Through my employer. And at first they told me i had 6 Months and a psch eval and a Medical Necessity form from my PCP . WHEN I WENT TO MY FIRST APPOINTMENT they told me i only had to do 4 months instead of 6 . I started the process in November and they just sent my Forms to my insurance to get approval.

My dietician said to me it doesnt matter if you gain but she didnt want me to loose to much weight because that would hurt my approval chances

Edited by Dabeyhive

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I also have BCBS Anthem with my employer. Went last week for my 1st appointment for my medically supervised diet, and I have 6 months to go. Looking around August for my Surgery??? Psychological evaluation at the end of the month!

Sent from my SM-G955U using BariatricPal mobile app

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