Confused

[ambrosia916 9]

I had my first of 6 months of Dietician appts today and she said with a BMI of 38.8 and one CMF of high cholesterol I likely wouldn't be approved. I have BS of CA and Cigna. She then in a way told me that I would need to drop out completely, gain 8 lbs and start over. Up to this point the office staff had me Thinking I would be approved. So now I'm not sure what to do.

[marthaswett32 0]

Go on a Protein diet and make yourself have the discipline you would have needed if you could have had the surgery.

[GBLady41 393]

I had my first of 6 months of Dietician appts today and she said with a BMI of 38.8 and one CMF of high cholesterol I likely wouldn't be approved. I have BS of CA and Cigna. She then in a way told me that I would need to drop out completely, gain 8 lbs and start over. Up to this point the office staff had me Thinking I would be approved. So now I'm not sure what to do.

@@ambrosia916, I think you might want to see what is required by your insurance. Your dietician may have a point. There's a reason why you need bariatric surgery, just like the rest of us. Maybe gaining 8 lbs will put you where you need to be in order to qualify for the surgery. Check your insurance qualifications for surgery.

[toasty 371]

It's kinda crazy but true. Many insurances require either a BMI of 40+ or a BMI of 35+ and two or more Co-Morbidities. Every insurance is a bit different, so make sure you check out your own to get the details of how to qualify. The Insurance companies get very very picky when it comes to paying for bariatric surgery.

[newmebithebypass 713]

my hubby has bcbs of md and his requirements were a bmi of 35 with 2 co morbities or a bmi of 40 with none hope this helps

[Djmohr 6,965]

Yup, she is not wrong. Most companies require a BMI over 40 or a BMI over 35 with at least 2 comorbitities.

I am sad to say that if you stay on this route you will likely develop more comorbitities over time but by then you could be so much closer to better health.

Are you certain you don't have sleep apnea? It might be worth getting the study done. So many people have it and don't even know they have it. If you did, it would qualify as your second comorbitity.

Just a thought.

[ready2B 263]

I agree, you should get tested to see if you have any other comorbidities. Check with your insurance company to see which ones qualify. I think I would have a hard time trying to GAIN weight to qualify for surgery to LOSE weight. It seems so counterproductive. Don't follow her advice until you find out more specifics.