Gained weight! Will they cancel surgery?

[stabb009 27]

Will someone still get the surgery if they gained weight at last appointment or is the same weight as previous appt? I really did struggle for the holidays. This is my last appt before they submit to insurance. Will i get another month to prepare?

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[JLT281 13]

I think it depends on your insurance requirements. Mine (FEP Blue BCBS) just required me to complete 3 nutrition classes. I weighed 1 lb less at my last class/appointment and had no issues with approval.

[FluffyChix 17,415]

Whatever the outcome, just don't skip it! In the end, it's not a big deal if you have to go one more month before submission. ((hugs)) I'm sure there are more out there and they are used to dealing with this situation!

[stabb009 27]

Whatever the outcome, just don't skip it! In the end, it's not a big deal if you have to go one more month before submission. ((hugs)) I'm sure there are more out there and they are used to dealing with this situation!

I think it depends on your insurance requirements. Mine (FEP Blue BCBS) just required me to complete 3 nutrition classes. I weighed 1 lb less at my last class/appointment and had no issues with approval.

Thank you. I just cant get the last 5lbs off. Im thinking about Water pills or something. Its hard

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[stabb009 27]

I think it depends on your insurance requirements. Mine (FEP Blue BCBS) just required me to complete 3 nutrition classes. I weighed 1 lb less at my last class/appointment and had no issues with approval.

I had to do 6 months. And im on my last visit as of tomorrow. But the 5lbs keeps lingering

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[JeezLouise91 55]

Im in the same boat as you hun, I have to go to the hospital to be weighed and I have really struggled to excersize and eat better. Had a lot of stress as well as being the holiday period! I'm hoping we'll both be OK [emoji21]

Surgery due January 17th 2018

CW 238
GW 133

[Introversion 1,876]

I'm embarrassed to admit I gained 25 pounds in the 6 months that elapsed while awaiting surgery. I still had surgery without any resistance from the surgeon or insurance company.

So, yes, it's still possible to have surgery after pre-op weight gain depending on your surgeon and insurance company.

Some surgeons will promptly cancel for a major weight gain whereas others don't care. Some insurance carriers won't approve payment for surgery with a major weight gain while other companies don't care.

[stabb009 27]

Im in the same boat as you hun, I have to go to the hospital to be weighed and I have really struggled to excersize and eat better. Had a lot of stress as well as being the holiday period! I'm hoping we'll both be OK [emoji21]

Surgery due January 17th 2018

CW 238
GW 133

My starting weight was 252 and i haven't been under that since i started. Im 257 now and was 255 last appt....man im so over it. Im stuck. I was gonna take Water pills

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[stabb009 27]

I'm embarrassed to admit I gained 25 pounds in the 6 months that elapsed while awaiting surgery. I still had surgery without any resistance from the surgeon or insurance company.
So, yes, it's still possible to have surgery after pre-op weight gain depending on your surgeon and insurance company.
Some surgeons will promptly cancel for a major weight gain whereas others don't care. Some insurance carriers won't approve payment for surgery with a major weight gain while other companies don't care.

I don't have a date yet. Tomorrow is suppose to be my final appt. For them to submit to insurance. But im like so nervous because i gained 5 instead of losing 5...

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[Brittanyblue 55]

5 hours ago, stabb009 said:

Will someone still get the surgery if they gained weight at last appointment or is the same weight as previous appt? I really did struggle for the holidays. This is my last appt before they submit to insurance. Will i get another month to prepare?

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For my insurance as long as you weighed the same as the first appointment with the dietitian or less, you will be fine. It's different for every insurance company. I know that my surgeon said that if you gained weight by your surgery date they will post pone it, but i made sure I had all the weight i had gained (which was 4 lbs) off before my meeting with the surgeon! So you should be fine, put your mind to work this last month! You got this! I did gain 15 lbs total within the 6 months of dietitian visits but within the last 1.5 months I was able to get it all off and then some! If you got any questions let me know

[TexasMommy80 297]

I have Cigna and my patient advocate warned that if you gain a single pound during the three months supervised diet, they will automatically deny it. I am more worried about that than the weight loss surgery itself.

[TexasMommy80 297]

Oh and Cigna will deny you if you lose too much too, because you “can do it on your own.”

[stabb009 27]

I have Cigna and my patient advocate warned that if you gain a single pound during the three months supervised diet, they will automatically deny it. I am more worried about that than the weight loss surgery itself.

I have gateway. I was told to lose 8 lbs in 6 months....3% of my weight...idk...i hope i didn't mess it up

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[Sullie06 1,013]

For my insurance and program you have to lose 5% of your body weight in order to be approved. If you lose the 5% and get sent for approval then gain it back they will postpone or cancel your surgery. As long as you lose that 5% any weight gain/loss doesn't matter. So for example if you are 300 pounds you need to lose 15 pounds and say you lose 20 but gain 5 back you're okay because you're still within that 5% but if you lose 15 and gain 2 back you are then out of the 5% approval range. You have to lose and maintain that 5%. But like other's have commented, every program and insurance company is different and have different regulations.

Edited December 28, 2017 by Sullie06

[Wendyfm 494]

I gained while going through the process and had to lose what I had gained. When I did The process went ahead.