Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Recommended Posts

I have a question...why does the ins co require a 5 year weight history? My surgeon's office sent my paperwork in & I'm waiting for an approval. I did ALL things required, including give the 5 yr weight history. The only thing that makes me nervous is that my 1st year of the 5 year history, I weighed about 47 lbs LESS than I do now, and my BMI was only about 33. My weight has gone steadily up since then, with me having a BMI of about 39.2 now and being on high blood pressure meds. Do you think that 1 year will hurt me? Do you think I'll still be approved?? :confused2:

Share this post


Link to post
Share on other sites

i'm worried about the same thing, around 5 years ago i weighed 170, thats 60 lbs less than what i weigh now, and my weight has gradually gone up since then, it stinks...i hope itwont effect you or i, good luck to you.

Share this post


Link to post
Share on other sites

I dont know why they want it but I didnt have a weight history at all.. I did everything they asked and I wrote my own weight history from 12 on up and I was approved in 2 days !!! :wink2: bcbs!! :blink: dont worry i am sure you will be approved.. I thought I would be denied and I already had an appeal letter lol

Share this post


Link to post
Share on other sites

Thanks Emily! I have bc/bs of NJ. I guess if I could keep my weight down, then I wouldn't need this surgery. I can't, so hopefully I'll be approved soon. This feeling of waiting is the WORST!!!

Share this post


Link to post
Share on other sites

I have UHC and I have been asked for one also. I am having a very tough time getting it together. I was under one doc's care from 2000-2001 and I have gotten those records and she only documented my weight two times in a year of visits! :( After that I have my OB's records which will show my highest of 320 during preganancy. But after that I had no insurance so I was not seen by a doc until spring of 2007 ( but I was never sick either) So I do not know how to explain the lapse.

Edited by southerngirl24

Share this post


Link to post
Share on other sites

Gee I didn't have to give any pre-surgery weight history at all. I do think BCBS is a bit less strict. They want letters from your primary care doctor and from the surgeon stating why you need the surgery. I got my approval yesterday.

I have gained weight since 1985. Up and down 50 lbs. here and there. I had early menopause and hypothyroidism that wasn't diagnosed for a few years. I gained a lot of weight then.

Showing a weight gain shouldn't be that bad since your having the surgery because of that weight gain.

A history and a letter from your doctors saying you have tried to lose weight and were unsuccessful

over those 5 years should be all they need.

Good luck everyone

Having surgery August 7, 2008

Share this post


Link to post
Share on other sites

like i said you cant give what you dont have... only thing you can do is write a really good letter. In my case I wrote that letter documenting everything from age 12 till now and had about 10 family members sign it. I am sure this is why I got approved because my pcp wrote a letter only saying I think my patient needs this surgery call me with questions lol ugh I did all the pre op testing today that was horrible!!! :smile: but very happy to have my surgery and I already lost 5 pounds in 3 days on the liquid diet woohooo :scared2:

Share this post


Link to post
Share on other sites

I spoke to my "Surgical Coordinator" at my sugeon's office today. I explained how I was worried because the 1st yr of my 5 year weight history was 40+ ppounds lower. She said she spoke to many ins companies & they;re mostly concerned with making sure you went to the doctor on a regular basis. I hope that's the truth.....:smile:

Share this post


Link to post
Share on other sites

I heard from my OB's office today and they will not have my chart until Monday. :redface:

So I am thinking I need to get to work on a letter to explain my lapse and also detail my history myself to go along with the remainder of the records when I get them. Is there a way it should be written?

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • LeighaTR

      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      Hey everyone. I'm new here so I thought I should introduce myself. I am 53y/o and am scheduled for Gastric Bypass on June 25th, 2025. I'm located in San Antonio, Texas. I will be having my surgery in Tiajuana Mexico. I've wanted this for years, but I always had insurance where bariatric procedures were excluded. Finally I am able to afford to pay out of pocket.  I can't wait to get started, and I hope I'm prepared for the initial period of "hell". I know what I have signed up for, but I'm sure the good to come will out way the temporary period of discomfort and feelings of regret. I'd love to find people to talk to who have been through the same procedure or experience before. So I look forward to meeting you all. Hope you have a great week!
      · 0 replies
      1. This update has no replies.
    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×