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

Recommended Posts

I was told to lose 10lbs well I lost 10 and plus now dr is telling me that if I lose anymore won’t qualify for surgery even when insurance approved me already! Stressed out!

Share this post


Link to post
Share on other sites

I had the same issue. I went from a BMI of 40 at the start of the process to a BMI of like 35.5 on my last pre-op visit. I wouldn't worry too much about it, if you need to put some rolls of pennies in you pockets or chug a big bottle of Water right before your last pre-op weigh in.

Edited by aNYCdb

Share this post


Link to post
Share on other sites

It's a valid concern! I ended up being self pay because I had only a 2 lb buffer to work with and decided it was too risky. I was drinking sweat tea every day in an effort to maintain, but felt awful. So I decided to pay cash, switched Dr's and said to heck with insurance. Much less stressful. I feel your pain, I wasn't cut out for that level of stress :)

Sent from my XT1254 using BariatricPal mobile app

Share this post


Link to post
Share on other sites

It's a valid concern! I ended up being self pay because I had only a 2 lb buffer to work with and decided it was too risky. I was drinking sweat tea every day in an effort to maintain, but felt awful. So I decided to pay cash, switched Dr's and said to heck with insurance. Much less stressful. I feel your pain, I wasn't cut out for that level of stress [emoji4]

Sent from my XT1254 using BariatricPal mobile app






It’s just crazy to me that he told me to lose weight than i do and tells me no more. I know with others he didn’t tell to lose weight bc they weren’t way pass 40 I feel like he is too busy and doesn’t get to know each patient and just says to me what he says to other ppl. I wasn’t required to lose weight either for insurance or anything...
Thanks for responding!!!


Share this post


Link to post
Share on other sites

2 hours ago, angjade2 said:

dr is telling me that if I lose anymore won’t qualify for surgery even when insurance approved me already!

@angjade2

you are officially approved by insurance, right??

"the" ins company go by your first weigh in on dr scale pre-op

if you lose weight during pre-op it should/will not effect change in status.

doc is probably very smart/good performing your WLS, but.....

i don't think he knows his asss from his elbow!:lol:

don't stress (you'll get wrinkles)!!

good luck

kathy

Share this post


Link to post
Share on other sites

I asked my doctor this question and the insurance counts your first weight and highest not subsequent weights. He’s wrong. Approved is approved


Share this post


Link to post
Share on other sites

I was told they go by your initial bmi.


Share this post


Link to post
Share on other sites

Every insurance company is different, but most definitely do not go by your initial weight. They generally approve you to begin the process based on your initial weight (which mean approving referals for nutrition, psych eval, sleep study (if indicated), etc, but you don't get approved for surgery (aka get a surgery date) until all of that is submitted and dropping out of the Morbidly Obese category is sure one way they will use to deny you, but again every insurance company is different and if the OP thinks that hers has approved her for surgery then cest la vie.

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

    • rlcpd

      Two months out from hiatal hernia repair.  Surgeon said to expect a lot more flatulence...something about the 'air' no longer being able to 'burp' out so comes out the other end.  That is my experience but have no understanding of why that swallowed air cannot be 'burped'. ???
      · 1 reply
      1. BlondePatriotInCDA

        As I understand it since your stomach is smaller and not completely resting against your diaphragm anymore you no longer have the ability to "push" burps out as well. Plus, since its smaller and we don't digest slower the trapped air moves a lot quicker out of the stomach so its no longer available to burp out. Hence the other option for removal.

    • Lizette1122

      Anyone had the TORe procedure? How did it go? How much weight did you loose? 
      · 0 replies
      1. This update has no replies.
    • LadyVeteran1

      Sleeve surgery is on April 14th.  I am counting the days!!  Can't wait!
      · 3 replies
      1. Brookie2shoes

        Me too girl!! Are you in the full liquid diet right now? It’s sooooo hard!

      2. LadyVeteran1

        Not yet. I was told I only have to do 24 hours of a liquid diet. But I have my pre-op tomorrow so I’m going to confirm if I need to do longer.

      3. buildabetteranna

        Your so close now! It's gonna be great :) Wishing you a speedy recovery and looking forward to seeing how it goes!

    • 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.
  • 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

    ×