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6 month Insurance Requirement Anthem BCBS



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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
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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?

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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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    • Prdgrdma

      So I guess after gastric bypass surgery, I cant eat flock chips because they are fried???  They sell them on here so I thought I could have them. So high in protein and no carbs.  They don't bother me at all.  Help. 
      · 1 reply
      1. NickelChip

        It's possible for a very high fat meal to cause dumping in some (30% or so) gastric bypass patients, although it's more likely to be triggered by high sugar, or by the high fat/high sugar combo (think ice cream, donuts). Dietitians will tell you to never do anything that isn't 100% healthy ever again. Realistically, you should aim for a good balance of protein, carbs, and fat each day. Should you eat fried foods every day? No. Is it possible they will make you sick? Maybe. Is it okay to eat some to see what happens and have them for a treat every now and again? Yes.

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      1. NickelChip

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      How do you figure out what your ideal weight should be? I've had a figure in my head for years, but after 3 mths of recovery I'm already almost there. So maybe my goal should be lower?
      · 3 replies
      1. NickelChip

        Well, there is actually a formula for "Ideal Body Weight" and you can use a calculator to figure it out for you. This one also does an adjusted weight for a person who starts out overweight or obese. https://www.mdcalc.com/calc/68/ideal-body-weight-adjusted-body-weight

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      2. Clueless_girl

        I did find different calculators but I couldn't find any that accounted for body frame. But you're right, it is just a number. It was just disheartening to see that although I lost 60% of my excess weight, it's still not in the "normal/healthy" range..

      3. NickelChip

        I think it's important to remember that the weight charts and BMI ranges were developed a very long time ago and only intended to be applied to people who have never been overweight or obese. Those numbers aren't for us. When you are larger, especially for a long time, your body develops extra bone to support the weight. Your organs get a little bigger to handle the extra mass. Your entire infrastructure increases so you can support and function with the extra weight. That doesn't all go away just because you burn off the excess fat. If you still had a pair of jeans from your skinniest point in life and then lost weight to get to the exact number on the scale you were when those jeans fit you, chances are they would be a little baggy now because you would actually be thinner than you were, even though the scale and the BMI chart disagree. When in doubt, listen to the jeans, not the scale!

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    • BeanitoDiego

      Now that I'm in maintenance mode, I'm getting a into a routine for my meals. Every day, I start out with 8-16 ounces of water, and then a proffee, which I have come to look forward to even the night before. My proffees are simply a black coffee with a protein powder added. There are three products that I cycle through: Premier Vanilla, Orgain Vanilla, and Dymatize Vanilla.
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