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

Will Regence BCBS deny me if I lose too much before surgery?



Recommended Posts

What a strange pickle I'm in! My surgeon warned me that if I lose too much between now and my projected sleeve date in December (still waiting for approval letter to set the date), I will drop below the minimum BMI required by my insurance.

Has anyone here been qualified at first weigh in and later denied for losing too much?

Edited by Trillium

Share this post


Link to post
Share on other sites

No, but they will not approve you for surgery if you dip below 35 (with co-morbities) or 40 without.

Share this post


Link to post
Share on other sites

I guess that's what I mean by deny (I should have been more specific!).

I have no comorbidities unless hypothyroid is considered as one.

Share this post


Link to post
Share on other sites

@@Trillium, it depends on your insurance. First, is bariatric surgery covered? What are their BMI criteria? For a BMI of 35 or over, do they require one or two co-morbidities before they will approve? What co-morbidities are on their list that count for bariatric surgery?

Share this post


Link to post
Share on other sites

I asked my surgeon that very same question. He said " no it will not effect your surgery and ins coverage"

During the two week liquid diet to prep the liver we are expected to lose weight.

Share this post


Link to post
Share on other sites

I was told yesterday at the clinic that once a patient gets insurance approval, they are not rejected for falling below the BMI threshold (40). So I have no reason to worry. I bought all the supplements I need and am trying some new Protein powders. As this my last T-day with my "old" stomach, I thought I'd be having a food carnival, but I'm more eager to reach my goal of 30 pounds gone by December 28. Just a bite of this and a bite of that. The first bite tastes the best anyway! So pumped.

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

    • cryoder22

      Day 1 of pre-op liquid diet (3 weeks) and I'm having a hard time already. I feel hungry and just want to eat. I got the protein and supplements recommend by my program and having a hard time getting 1 down. My doctor / nutritionist has me on the following:
      1 protein shake (bariatric advantage chocolate) with 8 oz of fat free milk 1 snack = 1 unjury protein shake (root beer) 1 protein shake (bariatric advantage orange cream) 1 snack = 1 unjury protein bar 1 protein shake (bariatric advantace orange cream or chocolate) 1 snack = 1 unjury protein soup (chicken) 3 servings of sugar free jello and popsicles throughout the day. 64 oz of water (I have flavor packets). Hot tea and coffee with splenda has been approved as well. Does anyone recommend anything for the next 3 weeks?
      · 1 reply
      1. NickelChip

        All I can tell you is that for me, it got easier after the first week. The hunger pains got less intense and I kind of got used to it and gave up torturing myself by thinking about food. But if you can, get anything tempting out of the house and avoid being around people who are eating. I sent my kids to my parents' house for two weeks so I wouldn't have to prepare meals I couldn't eat. After surgery, the hunger was totally gone.

    • buildabetteranna

      I have my final approval from my insurance, only thing holding up things is one last x-ray needed, which I have scheduled for the fourth of next month, which is my birthday.

      · 0 replies
      1. This update has no replies.
    • BetterLeah

      Woohoo! I have 7 more days till surgery, So far I am already down a total of 20lbs since I started this journey. 
      · 1 reply
      1. NeonRaven8919

        Well done! I'm 9 days away from surgery! Keep us updated!

    • 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.
  • 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

    ×