Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Missing 1 Year of 3 Year Weight History



Recommended Posts

I have done everything.. I have passed all the tests. I have jumped through all the hoops.. The only thing I do not have is 1 year of my 3 year documented weight history. I didn't go to the doctor in 2016. I was told I would be denied the first time I submitted and that it was normal. The insurance coordinator told me I could submit dated photos for the missing year. That was almost two weeks ago. My surgery has already been set for June 15th. Has anyone else had success using pictures for weight history?

5'10"

CW 328

BMI 47

Share this post


Link to post
Share on other sites

Is your insurance self-funded, or county/city contracted? How many years history is required - seems a little extreme.

Share this post


Link to post
Share on other sites

I have BCBS Alabama through local government. They require 3 years documented weight history or dated photographs. I spoke to my insurance coordinator and she doesn't seem concerned. They scheduled my surgery and said to get ready.. Just makes me nervous.

Share this post


Link to post
Share on other sites

Thanks. I am trying not to worry. This whole process has been an emotional rollercoaster..lol

Edited by MzKelly615
Spelling

Share this post


Link to post
Share on other sites

Same issue here. I have my pre-op and the coordinator said not to worry about the weight history. I have none. Getting on scales was a big fear. I have bc/bs Federal. Hope my luck is like your's!

Share this post


Link to post
Share on other sites

I used Facebook pictures because they are automatically dated. Good luck to you!! I'm sure you will be fine. 😊

Share this post


Link to post
Share on other sites

I'm scheduled for Surgery on May 30th & still worry about some BS insurance issue. If I downed all these shakes & for some reason they start chirping I'm going to flip out! Hopefully they just disappear long enough for most of your stomach to do the same. That's what I'm hoping for as well. Good luck!

Share this post


Link to post
Share on other sites

I refused to get excited about my surgery or even think about it until I was approved. This has been such an emotionally up and down journey. I don't know if I could have taken it if they would have denied me..lol Good luck to you too!

Share this post


Link to post
Share on other sites

Good luck to you!!!!!!

Share this post


Link to post
Share on other sites

My wife is in this exact same situation. She has proof of weight BMI 35+ with sleep apnea and depression from 2014, 2015, and 2017 from the doctor's office. She did not go to a doctor in 2016. She does have documented photos from 2016 with weight and date from when she tried to lose weight with one of those direct marketing shake companies. We are Blue Cross Blue Shield Federal. She is now BMI 41+.

Is that lack of medial weight documentation from 2016 going to be a problem and reset her weight history clock?

Share this post


Link to post
Share on other sites

I have BCBS AL and was approved. I used fb photos because they are dated. It took a little longer but it was approved. If your policy states they will accept photos, there shouldn't be a problem. Good luck.

Share this post


Link to post
Share on other sites

My wife is in this exact same situation. She has proof of weight BMI 35+ with sleep apnea and depression from 2014, 2015, and 2017 from the doctor's office. She did not go to a doctor in 2016. She does have documented photos from 2016 with weight and date from when she tried to lose weight with one of those direct marketing shake companies. We are Blue Cross Blue Shield Federal. She is now BMI 41+.
Is that lack of medial weight documentation from 2016 going to be a problem and reset her weight history clock?

So long as the sleep apnea is documented by a physician or a sleep study report. Depression is not considered a comorbidity for WLS. She didn't see a do tor in 2016 for anything. Annual, mamo , flu? They may make her start again. Everything must be documented for bcbs FEP.
I got approval in 2 days. But I gathered tons of documents.

Sent from my SM-G955U using BariatricPal mobile app

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • LadyVeteran1

      Sleeve surgery is on April 14th.  I am counting the days!!  Can't wait!
      · 0 replies
      1. This update has no replies.
    • buildabetteranna

      Down 33 lbs and slightly stalled, but I'm gonna reevaluate and push through. I started back to work last week after 2 years of being disabled due to mental health as well as my weight. It's a great job and I'm just so happy to have this opportunity at a second chance at life. Hope everyone is having their best journey ❤️ Together, we got this!
      · 2 replies
      1. DaisyChainOz

        Great work Anna! Keep it up 😁

      2. buildabetteranna

        Thank you ❤️

    • Bashbee91

      Hey guys new to the process looking forward to this new life. 
      · 0 replies
      1. This update has no replies.
    • Bugg

      Hi everyone! I’m brand new here. I just went through all my pre-op requirements per my insurance company and now everything has been submitted and I’m just waiting for final approval and my surgery date. I’ve been doing research, watching YouTube videos, TikTok’s, ect.. trying to prepare my mind and what to expect so I’ll be ready for the surgery. I was so sure and so set and so ready and excited. However, now that I’ve done everything & it’s almost here, I am sooooooo scared! I know why I want it bc I’ve tried everything and I just don’t feel like I can lose weight by myself. I’m tired of being overweight my entire life. I’m miserable, but I keep psyching myself out afraid of GERD bc I know how that can be and I don’t want to have to get a bypass after already gaining the courage to even get VSG. I’m scared of complications like I’mgoing to regret doing it and be depressed that I didn’t just be more disciplined and try again to lose the weight on my own even sitting here typing this knowing in my mind i just can’t and don’t possess the discipline. I’m also afraid I won’t be able to handle the restrictions of the sleeve. What do I eat? I don’t know how to eat healthy really and don’t enjoy healthy food. I don’t know how to do this! I feel so defeated!Someone tell me they felt anything similar to this or am I not ready? I thought I was. I am so tired of being sick and tired and so tired of myself and so tired of being stuck and stuck in this body and somebody different on the outside from what I feel inside. I just want to ball up and cry.
      · 1 reply
      1. stevieoriole

        Am feeling this right now. My surgery date is 4/1. Sign the consent tomorrow. I feel like I overloaded myself with too much info, too many opinions. Got to the point where I was wondering if I should do this. Then I thought of my reasons for taking this step and that settled my nerves. Still get moments of doubt but am striving forward. Am just going to follow my book from the surgeon. Joined this because I was told by my dietician that I should do this for support

    • buildabetteranna

      over 20 lbs down since4 the pre surgery diet and surgery on the 14th
      · 1 reply
      1. Selina333

        Yay!! Congrats. I know how good that feels. 🤩

  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×