alley-gator 96 Posted June 28, 2012 So....I am at a 40.0 bmi right now exactly. My insurance pays for lap band at a 40.0, ir 35 with 2 co morbidities, and I only have 1. Okay fine, so I qualify because I am at 40.0 bmi great. But they also require a 6 month diet which I am just starting... There is no doubt I will lose at least 3 lbs, and drop below 40.0 bmi since I am barely there to start. This would mean I will not be eligible for surgery, correct? So why even start this process! So frustrated. This happen to anyone else? Share this post Link to post Share on other sites
justathing2me 146 Posted June 28, 2012 I had the same question when I started my 6 month supervised diet. My starting BMI was 40.9 and I am now at 37.4. My surgery is scheduled for August 1st but I have more than two comorbidities. I checked with my doctor's office who contacted the insurance to see what weight they go by. Mine goes by your end weight but some go by your first weigh in. I would check with your insurance or Drs office. Share this post Link to post Share on other sites
Lela Clark 41 Posted June 28, 2012 I had to do the same 6 month plan for my insurance. My surgeons nurse told me to just not lose any weight. Dont change anything. I dont know everything you have to do to prepare for your surgeon, but by the time I got all my appts done (tests, nutritionist, evals) the six months are up. I do have to see a cardiologist because of EKG came back abnormal. I was really frustrated at first to. If I could lose the weight by dieting I wouldnt need the surgery. I think the insurance companies hope some people will change their minds since they will have to wait so long. Share this post Link to post Share on other sites
Lollicatt 36 Posted June 28, 2012 I was at 40 too when I started and my doc advised me to not lose an ounce or I wouldn't be qualified. I know that's counterproductive for the 6month supervised diet but.. .it worked! I was approved at first submission. Share this post Link to post Share on other sites
mufasas-mom 170 Posted June 28, 2012 call the insurance company - not your doctor's office - ask if they use the starting weight/bmi or the ending weight/bmi. I double checked this with my insurance and luckily they use the beginning weight/bmi. every time i go onto the true results office for weigh in and such - i've lost a few pounds - they just say - we'll put it at 197 to be safe. don't take anyone's word for it at your dr's office - there are WAY too many insurance policies out there and tons of variations of each policy....double check it yourself!! Share this post Link to post Share on other sites
Mayasgram 351 Posted June 28, 2012 My refering Dr said this is crazy .............don't you lose a pound as I was borderline BMI. I had to go for a year so 6 monthes sounds a lot better. It was hard to wait but worth it in the long run.. I spent lots of nights crying while I tried to be patient.. Share this post Link to post Share on other sites
