Surgery, Coverage and BMI concerns

[TriGirl 15]

My BMI is 40.1, my NUT said I can't lose any weight before surgery (which has not been scheduled yet). I have gone through all but 3 out of the 17 requirements from my doctor. (EDG, sleep study and a cardiology clearance are left) How do I maintain my current weight with the 2 week pre-op diet coming up? I have BCBS CareFirst of MD.. they require a BMI over 40 unless I have a pre-existing condition.Insert other media

[sassy683 184]

6 minutes ago, TriGirl said:

My BMI is 40.1, my NUT said I can't lose any weight before surgery (which has not been scheduled yet). I have gone through all but 3 out of the 17 requirements from my doctor. (EDG, sleep study and a cardiology clearance are left) How do I maintain my current weight with the 2 week pre-op diet coming up? I have BCBS CareFirst of MD.. they require a BMI over 40 unless I have a pre-existing condition.Insert other media

my bmi was 40 too my nut told me I couldn't lose any weight either, for 6 months I had to maintain my weight ... i got approved in august ... Tomorrow is my last day of my all liquid pre-op diet and when i weighed myself on Monday i was 7lbs down .. i asked my coordinator at my surgeons office if i lost weight on my pre-op diet would that be a problem and she said no because i was already approved ... My surgery is in 2 days and the hospital called me yesterday to register me....

[TriGirl 15]

3 minutes ago, sassy683 said:

my bmi was 40 too my nut told me I couldn't lose any weight either, for 6 months I had to maintain my weight ... i got approved in august ... Tomorrow is my last day of my all liquid pre-op diet and when i weighed myself on Monday i was 7lbs down .. i asked my coordinator at my surgeons office if i lost weight on my pre-op diet would that be a problem and she said no because i was already approved ... My surgery is in 2 days and the hospital called me yesterday to register me....

4 minutes ago, sassy683 said:

my bmi was 40 too my nut told me I couldn't lose any weight either, for 6 months I had to maintain my weight ... i got approved in august ... Tomorrow is my last day of my all liquid pre-op diet and when i weighed myself on Monday i was 7lbs down .. i asked my coordinator at my surgeons office if i lost weight on my pre-op diet would that be a problem and she said no because i was already approved ... My surgery is in 2 days and the hospital called me yesterday to register me....

Thank you very much for responding, that makes sense now. I have not been approved yet. My doctor wanted to wait to see if I had any co-morbidity conditions like sleep apnea, etc. I still have a month to go before I have my sleep study then he will go for the approval.

[sassy683 184]

2 minutes ago, TriGirl said:

Thank you very much for responding, that makes sense now. I have not been approved yet. My doctor wanted to wait to see if I had any co-morbidity conditions like sleep apnea, etc. I still have a month to go before I have my sleep study then he will go for the approval.

no problem good luck

[Tanyatata 28]

My BMI is 40.1, my NUT said I can't lose any weight before surgery (which has not been scheduled yet). I have gone through all but 3 out of the 17 requirements from my doctor. (EDG, sleep study and a cardiology clearance are left) How do I maintain my current weight with the 2 week pre-op diet coming up? I have BCBS CareFirst of MD.. they require a BMI over 40 unless I have a pre-existing condition.Insert other media

I think you need to maintain through insurance approval but once that happens, losing weight shouldn't risk surgery. In fact, I think I recall it being indicated that losing weight actually shrinks the liver, making the surgery easier for the surgeon.

[kaytlin 3]

From what I was told by the few surgeons I have spoke to is that they will submit from your BMI at your first doctors visit. My insurance requires six months so they said even if my BMI was to go below 40 I would still qualify

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[tracysantiago 1]

That’s is exactly right the BMI is at the first diet appt that documents it the diet is for insurance to see that you can follow the direction post surgery