Have You Heard Of Anything Like This?

[babyblues4all2c 24]

One of the requirements for my insurance is to complete a 12 week class (start on Tuesday). My insurance also wants me to lose 10% of my weight (38 lbs.). I heard a story of a girl who recently went through the class and lost about 50 pounds and when she went in for her surgical consult the surgeons said that she had done so well with her weight loss on her own that she couldn’t have the surgery.

I’m worried that I am going to do well with my weight loss and the same thing will happen to me. I basically had no life last summer and lost almost 30 lbs. I also gained it back. I have yo-yo dieted for so long and I am just tired of not getting the results that I need.

I in no way want to hinder any weight loss that I want. I have thought about working out less and just eating right, but I want to lose as much weight as I can before surgery. I just don’t want to get my hopes up and not be able to have this done. I’m not sure how much longer I will have my insurance and need it done now while I can.

Has anyone else heard of going through all of the loops that insurance companies have for you, just to be told that “you have lost too much weight, do it on your own”?

[kczar 166]

I'm kind of going through the same thing. I have to do a six month monitored diet. Another requirement is that I have to have at least a 40 BMI for at least a six month period in the last year since I don't have two co-morbidities. If I lose 26 pounds, I'll fall below that. So my plan is to continue to work on my diet and exercise program but only try to lose another 15 pounds or so before surgery. Unfortunately, it's a game we have to play. Good luck!

[Rootman 1,101]

Yes, it can be kind of a "game" in some circumstances. That's why I choose self pay even though I had insurance - I simply didn't want to play their game, I knew I need this and was going to get it even if I had to pay for it myself.

My brother had a bypass years ago, he was at 400+ pounds and started to lose too much weigh during his 6 month monitored diet. His NUT actually warned him on the sly that if he lost too much he would be disqualified - even though he was still morbidly obese and had several co-morbidities and had failed many previous diets before. So he started to eat MORE to gain back a few pounds and ended up losing a total of maybe 10 pounds in the 6 months diet "test".

It's a shame it has to be this way. I can see where some would take advantage of it but there are some who CLEARLY need this operation and can't do it on their own - an I include myself in that group.