I feel like my insurance company is setting me up to NOT qualify. I have short lived success with losing weight. I lose and gain the same 20 lbs. I need an extra tool to help me continue to lose weight. Under the Insurance guidelines Before I can even talk to my doctor for the referral I have to participate in the Insurance Weight Management Program for 6 months. They pay for Weight Watchers for that 6 months. The catch is in order to stay in the program you need to lose 5% in the first 3 months in order to stay in it for the second 3 months. The papers say you need to have 100% compliance in the program. It doesn't say that you have to lose another 5% in that second 3 months.
My current BMI is 45.1
BMI after 5% 42.8
Not sure if by 100% compliance means that in the second 12 weeks I would need to lose another 5%. If so that would make my BMI 40.5
After the 6 months Weight Watchers program then I have to do 6 months of the Bariatric Centers Weight loss Program.
I have no comorbidities so in order to have the surgery I need to have a bmi of at least 40.
My questions
1. Do you think 100% compliance would mean another 5%?
2. In order to qualify for surgery do you have to lose weight in the Bariatric Centers program?
3. Are you approved for the surgery BEFORE the pre-op diet or can you lose too much weight during the pre-op diet and be denied?
I'm ok if its only 5% weight loss at the center if I don't have to lose that in the 2nd half of the WW's program. I know that these probably seem like dumb questions, but I couldn't find the answers and I don't want to ask my insurance company too many questions before I complete the first 6 month program.
