nervous ????

[Von82b 0]

In the 5 th month of diet attempt. No weight loss. Will this hurt me with insurance? My Bmi is 42.3 & I have hbp at 27. I just scared that I may be denied for some crazy reason.

[HatheryOnHerWay 603]

Has this 5-month diet been supervised? Many insurance companies that cover WLS make you have 6 months of documented weight-loss attempts before they'll cover the surgery.

[Von82b 0]

Oh yes!!! I've gone to my pcp every month like clock work.

[educationrulz 18]

Unless your insurance requires you to lose a certain percentage before you can be approved, the 6 month supervised diet plan does not mean you HAVE to lose weight. As a matter of fact, I ended up with a net gain after a few ups and downs over my 6 months. I was worried about this too but I had read from others that it really wasn't an issue and sure enough, I still got approved for the surgery even with my weight gain.

Now some surgeons do have requirements for weight loss before they will do surgery so if you've already seen a surgeon, that may be an issue. My surgeon only requires that his patients not gain any weight after their first consult (thank god for some sanity in this process). But, since I've had a gain, I'm in the process of "tightening the belt" and dropping those few pounds before I go in for my pre-op appointment.

[Von82b 0]

Wow thanks for the info. I have Cigna and they did not say that I should loose x amount of lbs during the 6 months.

I just thought that it may be an issue. My surgeon didn't say anything about me loosing a few pounds. I'm sure it will happen during the pre op diet anyway.