IJustWant2BeALoser 38 Posted November 24, 2015 I don't think I have ever been happy about being too big BUT when I called my insurance company about the surgery they told me that since I am over 50 BMI I do not have to go through the usual 6 month weight loss phase. I am really excited because my first appointment with my Dr was mid October and I am supposed to be getting my surgery date tomorrow! Fingers crossed for 12/18! Is that the case with other insurances for an individual with a BMI over 50? Share this post Link to post Share on other sites
TMG1980TMG 136 Posted November 24, 2015 That was what happened in my sisters case. My BMI was 47, but I asked my insurance if the waive the 6 month requirement if over 50- they did not. Just depends on your insurance. I hope you get the date you want!! Share this post Link to post Share on other sites
dlappjr 467 Posted November 24, 2015 I think it depends on the Insurance you have. I am on my wife's insurance. She works for St. John Providence. They did not require a 6 month protocol but if you were under a certain BMI, then you needed to have some co-morbidities, Like High Blood Pressure, Diabetes, High Cholesterol, etc. I was a 56 BMI I believe, plus I was Diabetic and had High Blood Pressure. I only had to have my psych eval and a stress test. Even with just that, It still took me almost 5 months from first appointment to surgery. Share this post Link to post Share on other sites
MojoCAMI 75 Posted November 24, 2015 That was the case for me, I was over 60bmi and as such my insurance did not require me to do the 6months physician weight loss plan. but despite being given the green light, I opted for the 6 physician visits, because I wanted to learn more about my body and the food I consumed and as i result i learned more about me. It was sort of strange, every one at my surgeons office from the Physician assistant to the NUT asked me why i wanted to do it this way, and my response was something like, surgery is not a silver bullet, if I don't mentally prepare I will fail.. I am glad I took the extra time.. despite the extra weight gain and pressure to get under 400lbs to even have the surgery, it was worth the battle for me. Share this post Link to post Share on other sites
BullyMomma 10 Posted November 24, 2015 Mine is over 50 as well. I was worried I wouldn't be approved for surgery because I don't have high BP, diabetes, etc. But I was approved based on my BMI alone. Mine is still at least a 3 month process based on my surgeon's requirements. Hoping for an early-mid February surgery date! Share this post Link to post Share on other sites
A New KK 104 Posted November 24, 2015 I was at 49% and my insurance approved without the 6 month period. I lost 25 lbs pre-op. 20 due to job loss and 5 from pre-op diet. I am only 5 days post op and I am still retaining fluids from the surgery. My weight is actually up 7 lbs. Waiting for it to start the other way. Share this post Link to post Share on other sites
BLERDgirl 6,417 Posted November 25, 2015 Mine is over 50 as well. I was worried I wouldn't be approved for surgery because I don't have high BP, diabetes, etc. But I was approved based on my BMI alone. Mine is still at least a 3 month process based on my surgeon's requirements. Hoping for an early-mid February surgery date! My story is similar. No 6mth monitoring just 3 mths of visits with my team. I used the time to have the various pre-op testing. I didn't have high BP or diabetes. I had mild arthritis in my left knee. Share this post Link to post Share on other sites
IJustWant2BeALoser 38 Posted November 25, 2015 yea I don't have HBP or Diabetes so I wasn't sure it would happen so quickly. just grateful that I can get it on this calendar year for Insurance Share this post Link to post Share on other sites
Halfagain 68 Posted November 25, 2015 I suspect my BMI of over 50 is how my approval was provided so fast. The wait I have for the sleeve is in order for my lap band removal to heal from internal scaring around my stomach. Share this post Link to post Share on other sites
newmebithebypass 713 Posted November 26, 2015 I have a bmi of 51 still have to do the 6 month but I'm OK with that I've actually lost down to 278 which is 10% of my body weight and I can already tell the difference. And I'm only on month 4 Share this post Link to post Share on other sites
blkbell 12 Posted November 26, 2015 My BMI was 53 and I had to do 6 months as well for my ins. My surgery is Dec 9 and I lost 63lbs so far and my BMI is finally under 50! My surgeon said she wanted me under 50 because over 50 increases your surgical complication risk Share this post Link to post Share on other sites
BLERDgirl 6,417 Posted November 27, 2015 My BMI was 73 and I had a completely easy surgical and recovery process. Share this post Link to post Share on other sites
blkbell 12 Posted November 27, 2015 My BMI was 73 and I had a completely easy surgical and recovery process.That's awesome! I hope mine is easy too Share this post Link to post Share on other sites