Afraid I will not qualify after 6 month weight loss program

[chaneljene831 4]

Hey there!

I have my group intake appt on Thursday and am worried that since I barely qualify now (bmi is 36.7 and only proven comorbidity is high cholesterol) that after I do the 6 month weight loss and other testing... If I lose weight and my bmi drops they will tell me I no longer need surgery. Have you ever heard of this happening? I know I can lose the weight already. I have before a few times but its the keeping it off long term that gets me and its getting harder every time I try.

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[Risa900 32]

I'm in the same boat. My bmi is right at 40. I still have 6 months to go also!

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[grandmaofone 411]

The dr uses your first weight in to summit to insurance. My was 40 and I lost 5 lbs in the 6 months and I still got approved. Just talk to your dr to make sure this is how they do it. Most dr's office will tell you right away what to do and what not to do, just ask them. My hubby is going through the process now with a different dr and they just told him not to lose anymore weight durning the 6 month process.

Good luck to both of you!!!!

[Read2016 658]

Even if you don't get approve, there is an appeals process... As long as the doctor uses your first weight I think you will be good

"We can't solve problems by using the same kind of thinking we used when we created them"

Einstein

[alysia.rush 24]

Just dont give up, and if you do get denied, do appeal it. Im in the same boat, and worried I might get denied too. Ive already lost 21 lbs. My bmi is over 40. and I dont really have any comorbidity. I am almost borderline diabetic. I do take metformin the diabetic medication. every doc assumes I am, but im not. I do have back issues but not needing surgery.

im In WA. state on Medicaid- Amerigroup

[Marissa.Ann.C 21]

My Drs office told me not to worry, they approve you based on your start weight. The 6 mos is more to show compliance than anything else. As long as you lose some weight wou should be fine

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