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Question about pre-op weight loss & insurance approval



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Tomorrow is my last weigh in for my 6 month supervised diet. In the beginning of my diet I gained about 10lbs and then lost the weight I put on. So 6 months later I think I'm only a few lbs less than my 6 month diet starting weight. I did however lose 60lbs on my own before I was being medically supervised, and that is reflected in my 5 year medical history. My question is will the insurance company deny my surgery because I didn't lose 10% of my 6 month starting weight? Should I do another month of dieting to try to lose more weight before submitting my paperwork to my insurance? Will they deny me because I gained weight and then lost it during the diet instead of continual weight loss?? I have BCBS of Texas...I'm really nervous about this.

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I think it is more about making sure you are dedicated to having the surgery done than it is you losing weight.

Unless your insurance or surgeon required you to lose a certain amount of weight, I think you're fine.

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My 6 month supervised weight loss was a roller coaster of ups and downs because a lot was going on in those 6 months (college graduation, down, went on vacation, up, started exercising, down.. etc). I was approved by Empire BCBS even though my weight was pretty much the same when I was done with my 6 month supervision.

Good luck to you. :rolleyes:

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Hi, I'm new to this board. I just completed all of the criteria for submittal to BCBS-NJ. My bariatric coordinator did not sound reassuring when she saw my 6 month "diet" visits with my primary care physician. Please help me with positive thoughts that I get approved by insurance. All paperwork was faxed yesterday 7/7/09. Just waiting for an answer.

Thanks,

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