HAS ANYONE ELSE NEEDED TO LOSE WEIGHT TO BE APPROVED FROM YOUR INSURANCE??

[tal 129]

Has anyone needed to lose weight in order to get VSG? This is the most frustrating thing in the world. 🙄

[GradyCat 3,697]

No, I didn't have any requirements for approval other than meeting BMI and comorbidities. I didn't even have to do six months of weight loss management.

[DuchessDeviance 50]

Yes. My insurance required that i be on a medically supervised diet for three months. I had to be weighed monthly and submit progress reports through my dietitian. I guess they wanted proof that i was committed to weight loss and a good investment in my own insurance benefits! I lost 8 lbs. the first month but then gained 5 pounds back in the second (which turned out to be PMS) and then lost 3 in the last month. Despite the yo-yo i was approved. It was frustrating but i paid only $350 out of pocket for everything.

[Briswife15 890]

I had to be on a medically supervised diet for 6 months, although they did not dictate how much I had to lose. Over the 6 months I probably lost 15 pounds.

Sent from my SM-N960U using BariatricPal mobile app

[Jobber 321]

I had to maintain a 5% weight loss over 6 months in order to get approved. If you don't, they also required a 6 month food diary that would be reviewed to see why you didn't lose the 5%. The easy part was losing what I needed to initially, the hard part was maintaining it for 6 months.

Good luck to you

[FluffyChix 17,418]

Yes. I had to lose 10%.

[tal 129]

2 hours ago, GradyCat said:

No, I didn't have any requirements for approval other than meeting BMI and comorbidities. I didn't even have to do six months of weight loss management.

Gee must be nice lol when i met with the dietician all she wanted me to do was to lose 10 lbs. Which i felt was easy but that was like 3 months ago lol so this month i got very serious about eating healthy and working out and i go in tomorrow to my PCP to get weighed in. I hope im down but i wont give up!

[Ed_NW 684]

I had to drop 10% of my weight in 6 months.

[New&Improved 1,780]

In Australia all we need is doctor and surgeon to approve surgery that's it but I do have to see a dietitian at least once before surgery and do a 2 week Protein Shake diet to help operation he said to shrink liver but may also shed a few kgs.

But even with full coverage we still pay gap out of pocket anywhere between 3k and 6k generally but that covers hospital stay any meds need in hospital.

No psych needed, no supervised diet or hurdles needed but I've been doing my own mental preparation for months before taking the leap myself.

Looking at a late September surgery! (12 month wait prerequisite)

[New&Improved 1,780]

Is there a specific amount of weight needed? Maybe your BMI is too high for SLEEVE but not for RNY BYPASS?

[Frustr8 7,886]

They may be merely seeing if you are committed enough to try losing even before your surgery.

[tal 129]

24 minutes ago, Mikeyy said:

Is there a specific amount of weight needed? Maybe your BMI is too high for SLEEVE but not for RNY BYPASS?

I think the dietician just wanted me to be committed to lose a few pounds. But i just got weighed in yesterday at my doctors and i made the weight! So im super happy right now😀