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6 month Insurance Requirement Anthem BCBS



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Posted (edited)

Hello I have my first appointment Jan 11th with the dietitian to start my 6 month requirement. I'm right at a 40 BMI with no major comorbidities. I want to loose some weight during this process, but I'm not sure if I will become disqualified if I go under the 40 BMI or if the go off the first weigh in.

Edited by June Weather
Miss spelling

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I think it depends on the insurance company, but most seem to go by your first weigh in. You can always call and ask them if you want to know for sure, though.

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I have Anthem BCBS. When I qualified, they went with my starting weight/BMI and didn't ask for updates. Note: I specifically asked this question to the bariatric coordinator who reassured me that any weight lost during the process does not affect insurance certification.

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Hey thank you all for responding, I asked my coordinator and she couldn't really answer this. I will make sure I check with my surgeon also. I really want to try to loose some weight during this 6 months so this really helps ! Thank you

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I'm Excited! I had my first visit with my bariatric Doctor. Now just trying to not gain no more weight in next 3 months...Eekkk! I've been eating and drinking my Organic Pure Protein Shakes & Atkins Protein shakes, eggs, 15 grain bread, cottage cheese, High Protein frozen meals. Is there anything else I can eat that will help keep the weight off that's high protein?

Sent from my moto e (XT2052DL) using BariatricPal mobile app

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On 1/4/2021 at 12:37 PM, June Weather said:

Hey thank you all for responding, I asked my coordinator and she couldn't really answer this. I will make sure I check with my surgeon also. I really want to try to loose some weight during this 6 months so this really helps ! Thank you

Hello, if you log onto anthem site and open the chat and type in customer service you can ask them this question, lol I bother them a lot via chat.

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I have BCBSIL and they wanted updates to make sure I was actively participating in all the pre-op stuff and that it was working (they wanted photos to prove weight loss). I was at 43 BMI at my first appointment and at 38 when I went in for surgery (I think). The Bariatric coordinator said that losing weight once you start the program shows the insurance company that you are ready for the lifestyle changes that come after surgery and that they always go from the weight/BMI of your first appointment. Hope that helps!

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