Which Weight Counts?!

[CurvyCooper 26]

Please Help!!!

Total confusion... last month when I went to the NUT she told me I should drop four more pounds to reach a 5% weight loss... HOWEVER... This was per her initial weight. I had my first NUT appointment roughly a month and a half after my initial surgeon appointment and had put on 10 pounds. So long story short it looks like I haven't lost anything from my initial surgeons appointment but I have lost since starting nutrition... which weight is my insurance going to look at?! I'm super nervous because 1/5/2016 is my last NUT appointment and that's when everything is submitted to my insurance... Thanks for the advice.

[Inner Surfer Girl 12,015]

That is a good question to ask your NUT and bariatric team since they will be submitting the data.

[CurvyCooper 26]

When I called my surgeons office (they submit everything) they told me they haven't heard of anyone not getting approved due to not losing enough weight (only for gaining) but I've seen on here where there have been people who were not approved which is what has gotten me nervous!

[Ryan TN 348]

I'm sure all insurances are different, but I don't think it's that critical in my case. It was never mentioned, the surgeons office said it was all based on my initial visit weight.

[CurvyCooper 26]

@@Ryan TN Did you gain or lose during your clearance period?

[cindyw41 761]

I yoyo'd through my 6 months of clearance. I ended up with an 8 lbs weight loss.

Have you called your insurance and asked them what the requirements are? They would be the ones that could answer about specific requirements.

Your doctor/nut could be the one requiring the loss and it have nothing to do with your insurance. Some doctors do this for you to prove your commitment to losing.

[Ryan TN 348]

@@Ryan TN Did you gain or lose during your clearance period?

My weight didn't really change much at all between my first visit and when I went for my pre-op visit. I lost several pounds during my pre-op diet however.

[Ryan TN 348]

I was actually worried about losing too much weight during my 3 month supervised diet I did with my doctor. My bmi wasn't really high starting out, like 37. I asked them what would happen if I fell below the 35 during my pre-op diet, they said it didn't matter, it was your first visit weight.

[CurvyCooper 26]

I called my insurance company and they helped me find the requirements needed for approval it says nothing about weight loss or gain so I am a little less stressed now. My nut may just want me to push myself but scaring me half to death for no reason seems a little harsh! I haven't gained and I continue to lose! Lol thanks for everyone's support I really appreciate it. I am so vested in this after all the time, energy, and money I have invested not to have it done and so fabulous with it! Can't wait to start to live again!

[RLH7882 16]

I didn't have to lose any weight prior to my pre-op diet that I will start soon. But every weight loss program is different. My surgeon said ok as of now try not to gain any weight, either lose weight or stay at your current weight until insurance approval. And approved 1/18. ???? Now the first weight loss program that I was on required a stupid 10% of weight loss prior to pre-op. ???? I was suppose to lose 25lbs. My insurance approved it but the stupid surgeon did not approve me cuz I only lost 17lbs. ???? sorry it's super long. I hope it helps!?

[CurvyCooper 26]

I'm just hoping they can see the improvement I've made since nutritional counseling even if it isn't as much as they'd hoped ????

[RLH7882 16]

I'm sure they will see the progress. Good luck ! And keep us posted. ????

[CurvyCooper 26]

You too when is your surgery scheduled now that your approved?!

[RLH7882 16]

It's 1/18. Right @ the corner ????????

[CurvyCooper 26]

Good luck that's so exciting!!!