How much did you lose before surgery was approved through insurance?

[CheriCline 0]

I am just wondering how much weight you lost before your surgery? I have to see a doctor for a year prior to the surgery being approved by insurance. I was told that they want me to lose some weight to "show" I can lose weight. I have gone down ten pounds and then up six and then stayed the same. I don't want to lose too little or too much ya know. Because if I lose too much I won't qualify. I am at 300 and can't lose too much for my BMI to fall below the required BMI. How much did you lose while waiting to get approved by insurance?

Help, Cheri:eek:

[faithmd 14]

call your insurance comapny and ask them for a copy of the requirements for Adjustable Gastric Banding coverage. Ask them specifically how much weight it is required you lose. My ins co has a complex case management department that I was transferred to and a nice woman worked it out with me on the phone and then snail mailed me a copy so that I have it in hard copy in hand. My insurance requires a 12 month MD supervised diet with MONTHLY visits (and don't miss one, not ONE or that clock starts again) and a 5% loss of excess weight. What they do is take your starting weight (the first month you start seeing the MD) and then look at your ideal body weight according to the MetLife tables. They then take the difference between those and multiply it by .05 to get 5%. Mine was 9 lbs. So I had to lose 9 lbs in a year, not bad, huh? Well I got sick in that year and ended up gaining weight (starting weight was 344, went to 371). Despite having two MD letters explaining that I gained weight from meds, etc. My insurance company said I still had to lose the original 9 lbs and denied me the first time around. I applied at 348 (so I was already losing, but that didn't matter) and I had to be 335. No budging on that.

Hope that helps, please call your ins co ASAP for what they require.

[WASaBubbleButt 41]

I am just wondering how much weight you lost before your surgery? I have to see a doctor for a year prior to the surgery being approved by insurance. I was told that they want me to lose some weight to "show" I can lose weight. I have gone down ten pounds and then up six and then stayed the same. I don't want to lose too little or too much ya know. Because if I lose too much I won't qualify. I am at 300 and can't lose too much for my BMI to fall below the required BMI. How much did you lose while waiting to get approved by insurance?

Help, Cheri:eek:

What is your BMI?

http://www.barixclinics.com/surgery/bmi_calculator.jsp