Insurance requirements

[kaseemjones@gmail.com 1]

Hi I am in my 3rd month of

My required 6 month diet and exercise. I'm so worried I'm doing something wrong and going to be denied by insurance. I am not loosing any weight and I get extremely anxious when It's time to go in or a

Weigh in. Anyone have any experience with this and what do you suggest I do?

[Cupcake 801]

Hi just follow your program it is normal yo feel anxiouse , have your program check to see if your insurance cover the surgury first ? I would ensure there requirements , and make sure you make all appointments time will fly past and before you know it you will be on the losers bench .

[anaxila 501]

My weight was basically flat from the beginning of the 6-month supervised weight loss to the end. My surgeon asked me to lose 5% of my weight (for me, that was 15 pounds) to make surgery that much easier on both him and me. I didn't lose any of it until the last 2 weeks on the pre-op diet. I fought like crazy for that 15 pounds, and then they didn't even weigh me before surgery - lol.

I believe some insurance companies may have specific weight loss targets for the 6-month cycle, but most do not. You should be able to call and check, but calling one's insurance company with a simple question never seems to be as easy as it ought to be. Mostly, they want you to go through the process and jump through the hoops so they can check all the boxes on their checklist.

My surgeon said he'd had patients denied by their insurance for not losing enough weight ("she isn't serious about this") and others denied for losing too much ("she clearly doesn't need surgery if she can lose so much on her own"). In both cases he makes the appeal and he wins even if it means he needs to call and yell at them personally. I think getting yelled at by my surgeon would be a scary thing. He's rather fierce.

Anyway, it wasn't an issue with me either way. My insurance was very fast with the approval the first time through.

Hope this helps.

[starbuckscoffeegal 36]

I was in the same boat as you. But I just got approved today for my surgery. I didn't lose any weight even though I was at the gym, cutting calories, and eating healthier. But I am insulin dependent and it's the insulin that keeps my weight on. But I have my surgery date and I had an awesome PCP and Nutritionist who really became like my therapist. You will be fine. I'm sure your dr will work with you if you gain... You can always talk about something else and they don't count that visit and you go back a week later if you do gain. But I think you will be fine. Good luck. I have Aetna btw.