Borderline Bmi 41.3 and Kaiser

[RebecaSparkles 247]

Hello

[jenakaela 24]

Which Kaiser are you with? nor cal/so cal/other state?

I'm with nor cal...Fremont Kaiser Dr Chu

[SeriouslyChange 319]

I'm NorCal as well, South San Francisco, Dr.Li

[jenakaela 24]

I'm NorCal as well, South San Francisco, Dr.Li

Have you had surgery yet? Mine is on April 9th and preop appt this Thursday and I'll find out the time I need to check in for surgery.

[jenakaela 24]

Lol...sorry SeriouslyChange I just seen your profile. How are you doing since your surgery?

[RebecaSparkles 247]

Phone ap died mid post!!!

Anyways, anyone out there with a just over the 40 or at 40 bmi have Kaiser permanente md/va/dc?

The difference between the right bmi of 41.6 & not that is about 4 # for me!!!! That's crazy!!! I got sick & lost 8# in one week. So because I've not yet been weighed for the kaiser weight loss surgery class I've been trying to keep up my " fighting" weight.

Any idea if Kaiser va/md/dc still makes you lose 10% of your body weight or any % really bc if I have to I'm worried I'll be denied.

[Dannipo 86]

I'm with kaiser also, but a BMI over 40 was just fine. I know some requirements are different I live in Maryland. We have to do 6 months of nutrition appointments and classes get approval ( which I got in February 2013 ) and it takes another 6 plus months before surgery. I'm into my 2 nd month of waiting for a surgery date. I have no co-morbilities.

[Dannipo 86]

U still have to loose the 10%. I will check my paperwork for the BMI # question. Do you have other co-morbilities. I know in my class there where people with co-morbilities that I'm pretty sure there BMI was not over 40.

[RebecaSparkles 247]

Danni-

So you had 6 months of the "weight control" classes + the weight loss surgery classes 1&2 & Nut visits

Got approved and now there's a 6 month wait time for a surgical date? Is it bc your surgeon is booked up or is it ok Kaisers end?

I thought they used non kaiser surgeons for bariatric services?

[RebecaSparkles 247]

I have pcos & high bp but its ok if I take the pills.< /p>

[SeriouslyChange 319]

I'm great! I went into the surgery really really scared, but I'm now at... Almost 4 months and I haven't had any complications. I eat small amounts, restriction is still great, and I have noticed a change. Hopefully when I start working out, my weight loss will pick up, but I'm still happy to lose even a few pounds a week.

Preop class is intense lol. Ask any and all questions. Seriously. I asked random questions during mine and got all the answers I needed. Others kept quiet but don't be shy!

[Dannipo 86]

I have to use holy cross hospital and they are running 5-6 months after approval for the procedure. The surgeon is Dr. Brian Cantor. There is/ was and position to use other surgeon and pay the higher copay which s what I wanted to do because of the wait time. It depends on ur coverage options and unfortunately that was not allowed on my coverage. That I pay 185.00 every 2 weeks!! So I'm just waiting but check with member services to see if u have that option.

[Dannipo 86]

The requirement is 6 months total between classes and ur nutrition weigh ins. Until u met that 10% your paper work doesn't move for approval. It took me 8 months to lose my 10% too many parties and holidays so close together!!!! But the next day after the board met for approvals I got a call to meet the surgeon I went in later that week we went over something's he gave me Rex for everything I would need post op and now I'm just waiting for the call for a date

[RebecaSparkles 247]

When do they weigh you at the first class or the nut? I'm stuck between losing or staying the same right now. I'm having a hard time not losing. Which is actually a problem bc I don't want to not qualify.

I'm horrified of paying premiums about 350 a month and almost never using the damn insurance & then going through all these hoops & losing the 10% & then to have them deny me.

If I have that happen I will feel very cheated.I know that if lost 10% which for me is 22# that I will be at a bmi too low for wls (37.5)

I pay out of pocket for my ins & I think I could cancel at any time. But I was much skinnier when I got kaiser & not on meds for Bp or diagnosed with Pcos. I doubt I'll have an easy time finding a reasonable plan (1000deductable, 30% co-insurance,3-400 a month) with a different carrier such as aetna or united.

Anyone out there had any luck with other insurances in virginia?

Thanks!

[Dannipo 86]

Your primary care doc. Knows all the ins and outs trust me!! Now that I'm thinking it my not have been 10%. I was around 357 and I think I had to loose around 12 lbs. my paperwork is at work. I will check it tomorrow and update the post or send u a PM. I also don't think the wait for surgery date is that long in Virginia. I'm sticking with kaiser because of the low out of pocket expense. Just small co pays and no bills!!!!