Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Went To Doc Today Bmi Is Borderline :/



Recommended Posts

Yes! They gave me a surgery day because I specifically asked for that day.. I was kinda surprised too. I was told that as long as I follow what they say to do exactly, there shouldn't be much of a reason for them not to approve. So I listened and started the "diet" over. My doctor hasn't did this before so I have to tell him exactly what should be documented... hopefully she is correct. I trust that she knows... since she deals with these people on a day to day basis...idk lol

Share this post


Link to post
Share on other sites

That's awesome! The doc that's doing my diet. Does it all of the time so he better do it right! Lol

Sounds like we will b going thru this together ! ;-)

Share this post


Link to post
Share on other sites

I feel bad for you all who are having trouble getting approved! I was borderline too...a bit before...but with my comorbities, Horizon BCBS just wanted to see attempt proof (printed out membership to WwAND with my pcp's letter...I didn't have any trouble. Since the surgery I am w/o HBP, HC, Diabetes (a biggie!!) and my sleep apnea is almost nonexistent. Still c-papping though..number is way down...not sure I'll be a candidate for total removal :( but hey!

Feeling great. Best wishes to all of you struggling to get the approvals! Keep on keeping on!

Share this post


Link to post
Share on other sites

Laura I am going to new surgeon the other one I went to was great but the girl who does his insurance not so much.. She was NOT a. Patient

Advocate @ all but that's ok .. I have a good feeling! I go the 19th

Share this post


Link to post
Share on other sites

Goodluck to you all! I finish 6 month supervised diet febuary 5th. Will do psych eval, pulmanologist,(spelling?) Cardialogist, nutritionist, another class, and sleep study starting this month and finishing by febuary. Will switch insurance plan march 1 hope to submit everything the week of march5th. Have aproval by end of march and surgery by end of april at the VERY latest! Although my bmi is at like 54. and I have high blood pressure. Although lately only been borderline high (dropped about 10 lbs in the last 4 months of diet) so assumeing that's helped my hbp. I'm excited and waiting seems like a life time although its actually gone by pretty fast and just hopeing everything goes as planned. Praying to god for everything to go as planned and god willing it will! My insurance plan I have now rarely approves anyone and needs 5 years of all sorts of records so can't wait to switch (as suggested by my surgeon and all the people involved in helping me get approved) and should be approved (the insurance plan I'm switching to approves people with bmi of 35 and above. (No need for comorbities, but having them puts the cherry on the cake) so cannot wait. Hope everything goes smoothly for all of us and good luck to you all! And yay we are all pretty much on the same schedule for our diets and whatnot!

Share this post


Link to post
Share on other sites

No it doesn't work for everyone .The surgeons all agree its another way for insurances to make u jump thru hoops & give up.. I myself need to loose about 110 pounds to fall in to the healthy BMI category.I feel good about this and am keeping the faith;-)

Share this post


Link to post
Share on other sites

I agree! It doesnt work for everyone! They know that...smh

Having that said,according to the BMI Charts obesity begins at 31-32. So, why not review those who are 31- 34 as a case by case basis. 35-39 (having a co-morb qualifies you according to your plan), 40> (obviously need help...and qualifies you according to your plan?) I mean they made up the rules.. they say we are all fat at 31- 32! lol

Share this post


Link to post
Share on other sites

i went ahead and chose to self-pay ($30,000 total). I viewed the surgery as an investment in myself. I cannot rely on insurance companies for my health. The insurance company does not care about my health. I hope that one day the American system will treat healthcare as a right rather than a privilege. Only we as citizens can advocate the necessary legislative change. There are groups that we bariatric patients can join to help make the necessary legislative changes regarding bariatric surgery.

Share this post


Link to post
Share on other sites

Lol its official as fat as I am I suck at gaining weight under pressure. I had to go ahead and submit with a lower bmi...

Share this post


Link to post
Share on other sites

I submitted and they said they bounced it back to Dr office.they needed him to sign off that I knew ins and outs or surgery. They sent it on to insurance all forms in...if that's all they asked for so you think its a good sign?

Share this post


Link to post
Share on other sites

I'm a 37.5 for bcbs il

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • Ladiva04

      Hello,
      I had my surgery on the 25th of June of this year. Starting off at 117 kilos.😒
      · 1 reply
      1. NeonRaven8919

        Congrats on the surgery!

    • Sandra Austin Tx

      I’m 6 days post op as of today. I had the gastric bypass 
      · 0 replies
      1. This update has no replies.
    • RacMag  »  bhogue925

      Hi, I’m new here. I’m currently on the liver shrinking diet. So far so good, but I have to say I haven’t found a protein shake I like. Anyone have any suggestions please? My surgery date is September 17th. 
      · 2 replies
      1. BlondePatriotInCDA

        Fairlife Core are by far the best. They taste just as they are - chocolate milk. You can either get the 26 grams or the 42 grams (harder to find and more expensive). For straight protein look at Bulksuppliments.com ..they have really good whey proteins and offer auto ship plus they test for purity. No taste or smell...

      2. BlondePatriotInCDA

        Fairlife has strawberry, vanilla and of course chocolate. No more calories than other protein drinks. Stay away from Premiere, they're dealing with lawsuits due to not being honest about protein content.

    • Doctor-Links

      HGH For Sale
      hgh for sale at our online pharmacy
       
      Human growth hormone (HGH) is a small protein which is made in part of the brain called the pituitary gland. It travels in your bloodstream all over your body to make your body grow.
      HGH is very important in the body. It is needed for children to grow normally. It helps make sure there is enough muscle and fat in the body. It keeps our bones healthy.
      Buy Rybelsus online, Rybelsus tablets
      You can order for wegovy at our online pharmacy
      Check for the prices of 0.25mg, 0.5mg and 1mg at our online pharmacy and buy ozempic.
      · 0 replies
      1. This update has no replies.
    • Doctor-Links

      hgh kaufen  in unserer Online-Apotheke  
      Menschliches Wachstumshormon (HGH) ist ein kleines Protein, das in einem Teil des Gehirns, der Hypophyse, produziert wird. Es wandert in Ihrem Blutkreislauf durch Ihren ganzen Körper, um Ihren Körper wachsen zu lassen.
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×