Jump to content
×
Are you looking for the BariatricPal Store? Go now!
Sign in to follow this  
  • entries
    9
  • comments
    22
  • views
    2,296

Losing Toooo much weight on 6 month diet

Sign in to follow this  
losethemess

334 views

Good morning,

 

I'm worried about losing too much weight on the 6 month medically supervised diet. For some reason I'm rolling on this diet (South Beach). I've lost 7 pounds alone this week. Don't get me wrong, I need the band. I have these phases that I go through, during the year when I become serious about weight loss and some diet actually works and I lose weight. The problem, is that it works temporarily and I end up gaining all the weight and thensome back. Partly because I feel starved, loss motivation and the diet becomes too hard to stick too. Anyway how much weight is too much weight to loss in order to get insurance approval. We first weighed at doctors office I had a 40 BMI, I'm sure it dropped a little. What's a safe amount of weight to loss, or safe BMI range to be in, in order to still get insurance approval. I have BCBS TX Anthem, they are require 40 BMI, initially or 2 co-morbities (don't have any) and the 6 month diet.

 

Anyyyyy suggestions or incite is welcome

Sign in to follow this  


5 Comments


Recommended Comments

Good morning,

I'm worried about losing too much weight on the 6 month medically supervised diet. For some reason I'm rolling on this diet (South Beach). I've lost 7 pounds alone this week. Don't get me wrong, I need the band. I have these phases that I go through, during the year when I become serious about weight loss and some diet actually works and I lose weight. The problem, is that it works temporarily and I end up gaining all the weight and thensome back. Partly because I feel starved, loss motivation and the diet becomes too hard to stick too. Anyway how much weight is too much weight to loss in order to get insurance approval. We first weighed at doctors office I had a 40 BMI, I'm sure it dropped a little. What's a safe amount of weight to loss, or safe BMI range to be in, in order to still get insurance approval. I have BCBS TX Anthem, they are require 40 BMI, initially or 2 co-morbities (don't have any) and the 6 month diet.

Anyyyyy suggestions or incite is welcome

Share this comment


Link to comment

Congrats on the weight loss.

I asked my surgeon's office which weight they send to insurance company at least a half dozen times. Each time I got the same answer; the starting weight.

I am having surgery on Tuesday and will be down about 95 pounds from the time I started this journey.

Check with your surgeon's office to make sure it is the starting weight that counts and then lose what you can.

Don't sit around stuffing your face until it is pre-op time and then complain that it is so hard because you didn't practice for it.

Share this comment


Link to comment

i suggest the same thing. call the surgeons office and make sure they r sending your "starting" weight'I was 42 BMI and only 1 comorbities. I have BCBS and i was aproved. Fortunally for me i did nto have to do the 6 month diet, my surgeon just asked that i give my liver a break by not eating any fried food, junk food or alcohol. So my the time i went under the knofe i was -7 lbs.

good luck

Share this comment


Link to comment

I have definitetly heard on this site from several people that you can lose yourself right out of coverage for the band...be careful! You're supposed to fail this diet...that's what means you need the surgery (according to the insurance companies) ! Some people have asked directly and the person representing the benefits dept kind of had a wink/smile voice and said "well if you lost that much you wouldnt need the procedure, right?"

Share this comment


Link to comment

It depends on your insurance, each insurance is different. For example Aetna (who I have) didn't allow for more than 10lbs of weightloss and they require notes and weights from every visit before they approve you.

I would check with the insurance coordinator at your Dr's office, or as your dr yourself. It was my Dr that said not to lose more than 10lbs (I easily could have) but she advised me not to because of this. So follow up and see what YOUR insurance requires - calling them directly they won't tell you.. ask the dr's office, they deal with the approval and denials daily. Hope this helps!

Share this comment


Link to comment

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

PatchAid Vitamin Patches

×