Lower BMI

[julasif 13]

Hey weight loss buddies! I wondered if anyone has found themselves in a similar situation as myself. I meet the requirements for bcbs to cover my surgery. My bmi is 36.7 and I have sleep apnea with cpap machine. I am currently on month 2 of my 6 month supervised diet, but I calculated if I lose more than 6 lbs over the course of the 6 months, I will no longer be at the required 35 bmi. But also, insurance wants to see I can follow a plan and lise some weight beforehand. I feel like this is a real catch 22. Any thoughts?

Sent from my SM-J700T using the BariatricPal App

[Malin 470]

I'm looking at self-pay...for many reasons, one of them is the scenario you described. I'm at a 36 BMI, also sleep apnea BUT it's not a high-enough score on sleep test for insurance to pay. My cholesterol is HIGH but that's not a factor my insurance considers. Arthritis too, again insurance doesn't consider it. My BMI was 32 for the past 3 years, so I can't prove 35 BMI for the past 3 years to get my insurance to pay for it. I found a very affordable surgeon here in the States (right here in Alabama) so I'm going for it. I think the 6 mths of 'playing diet' is ridiculous. I know people have to do it. I guess I'm just impatient and want it NOW. My luck I WOULD lose weight during those 6 months (because my body loves messing me!) and I'd be S.O.L. Good luck with your journey!

[julasif 13]

I know! I think its pretty ridiculous that I have to make sure to limit my weight loss to 6 lbs over half a year. My friends were joking I should justwear weights to all my weigh ins.

Sent from my SM-J700T using the BariatricPal App

[Kdn76 33]

I was in the same predicament, my team let me know it was ok not to lose any weight during that time it's more just for documentation. If you lose below requirement bcbs will not cover you. I actually gained 10 lbs during 6 months and had no problem whatsoever getting approved with bcbs. Good luck!

Sent from my iPhone using the BariatricPal App

[julasif 13]

Great to know! I'll bring it up in my next visit. Thanks for sharing!

Sent from my SM-J700T using the BariatricPal App