Briswife15 890 Posted October 15, 2018 The third month of my 6 month supervised diet and exercise program I gained 9 lbs! I had slacked off and was not feeling motivated and didn't weigh myself so I actually didn't know I had gained that much.I have gotten back on track and have lost 5 lbs. Will my insurance company deny me because I gained weight that month?? I have Anthem BC/BS. I've got 6 weeks left until my 6 months are up and I get submitted for approval. Sent from my SM-N960U using BariatricPal mobile app Share this post Link to post Share on other sites
johnsons13 359 Posted October 15, 2018 We get approved because we can't lose weight on our own successfully. I got the heaviest I've been during my 6 months. My insurance company just wanted an actual record of attempting to lose weight. Don't quit trying, but don't beat yourself up for gaining. I'm 6 months post op and I'm at a standstill. But I also eat really good for a few weeks then go on a weird kinda binge eating. Share this post Link to post Share on other sites
Briswife15 890 Posted October 15, 2018 Thanks@johnsons13. I appreciate your reply and encouragement. I'm just worried about being rejected and having to do another 6 months of diet and exercise!! You're right, though we need the extra help of surgery because we can't lose adequately on our own!Sent from my SM-N960U using BariatricPal mobile app Share this post Link to post Share on other sites
mousecat88 2,281 Posted October 15, 2018 3 hours ago, Briswife15 said: The third month of my 6 month supervised diet and exercise program I gained 9 lbs! I had slacked off and was not feeling motivated and didn't weigh myself so I actually didn't know I had gained that much. I have gotten back on track and have lost 5 lbs. Will my insurance company deny me because I gained weight that month?? I have Anthem BC/BS. I've got 6 weeks left until my 6 months are up and I get submitted for approval. Sent from my SM-N960U using BariatricPal mobile app I didn't have a supervised diet, but I DO have Highmark BCBS and my insurance was processed through Anthem BCBS, since I am having the surgery in VA. I gained 15lbs from my 1st appointment to my last (in a 2 month timespan!) and I still got approved. *shrug* Just keep doing what you're doing. Share this post Link to post Share on other sites
Shimmy 27 Posted October 15, 2018 I went up 3 pounds one week into my 10 pound "weight-loss goal" set by my doctor. I'm now back down to my starting weight of 298. I contacted my nurse navigator who is super amazing and helpful. She told me to call her when I'm down 5 pounds and we'll schedule surgery whenever I want it. So, I'm kicking my Water intake and food choices into high gear because I'm so ready! I recommend you contact your nurse navigator if you have one because they know all the different insurance company requirements. GOOD LUCK... You've got this!!!! 1 Frustr8 reacted to this Share this post Link to post Share on other sites
Briswife15 890 Posted October 15, 2018 I didn't have a supervised diet, but I DO have Highmark BCBS and my insurance was processed through Anthem BCBS, since I am having the surgery in VA. I gained 15lbs from my 1st appointment to my last (in a 2 month timespan!) and I still got approved. *shrug* Just keep doing what you're doing. Thanks for your encouragement@mousecat88. Appreciate your input.Sent from my SM-N960U using BariatricPal mobile app Share this post Link to post Share on other sites
CyndieRI 251 Posted October 15, 2018 I have Blue Cross also and I gained weight prior to being approved for surgery (then lost before the actual surgery - but after my approval). I don’t think you will have a problem. Good luck!! Share this post Link to post Share on other sites
johnsons13 359 Posted October 16, 2018 22 hours ago, Briswife15 said: Thanks@johnsons13. I appreciate your reply and encouragement. I'm just worried about being rejected and having to do another 6 months of diet and exercise!! You're right, though we need the extra help of surgery because we can't lose adequately on our own! Sent from my SM-N960U using BariatricPal mobile app I got so mad when I had to redo my 6 months. I started questioning everything and wanted to give up. I thought it wasn't meant to be. This wasn't because of my insurance but the crappy pcp I had and their crappy notes in my chart. Anyway, my husband reminded me of my own words to him many times. Whatever I was going through I was supposed to go through and it wasn't my time to have surgery yet. Share this post Link to post Share on other sites
Vixxen90 12 Posted October 17, 2018 I gained 6 lbs, but my first visit was last Sept!! I should have been done in June. My surgeon's office messed up and never scheduled the nutrition classes I needed. My bypass surgery is on Monday, 10/22. My surgeon scolded me, but I bit back and told him about his staff and their error, which they had admitted why everything was delayed. Also, since I started this I've seen my daughter pregnant and have her baby, my son got married in April, and my daughter got married in May. All in another state, so I traveled by car a lot! I developed a DVT from the traveling, which has since resolved. I've had steroid injections in both knees and my neck. He scolded me and told me I owed him 6 lbs by my surgery date. Whatever!! It could have been worse. I'm down over 11lbs today and ready for Monday.Sent from my SM-G930V using BariatricPal mobile app Share this post Link to post Share on other sites
GettinSkinnywithit 180 Posted October 18, 2018 I lost weight the first three months, then gained it back plus a couple the last three months. When I gained the first time I talked to my doctors office and their only concern was that I didn't fall below 40 BMI (not a problem!) and that losing and gaining was not an issue....at least with my insurance...so I would give them a call. Remember they do this every single day and know how the insurance game works. Share this post Link to post Share on other sites
Briswife15 890 Posted October 18, 2018 Hi, GettinSkinnywithit. Thanks for the suggestion to call my surgeon's office. I think I will see what they say. You're right that they know all the insurance requirements. I've lost a few pounds this month and go back for my next nutrition visit in 10 days.Sent from my SM-N960U using BariatricPal mobile app Share this post Link to post Share on other sites
Frustr8 7,886 Posted October 18, 2018 Hidden tell him you'll bring him a bag of white flour and a box of Powdered sugar, then the 6 pounds will be s1uare and you can move on. Besides if you are going he slim you don't need either of those items anymore.😛 1 Vixxen90 reacted to this Share this post Link to post Share on other sites
Walter Lindstrom 42 Posted October 19, 2018 On 10/15/2018 at 9:07 AM, Briswife15 said: The third month of my 6 month supervised diet and exercise program I gained 9 lbs! I had slacked off and was not feeling motivated and didn't weigh myself so I actually didn't know I had gained that much. I have gotten back on track and have lost 5 lbs. Will my insurance company deny me because I gained weight that month?? I have Anthem BC/BS. I've got 6 weeks left until my 6 months are up and I get submitted for approval. Sent from my SM-N960U using BariatricPal mobile app Best of luck to you as you get closer to receiving a decision from Anthem. I've written on this very painful topic in the past - here is the link in case it helps! https://wlsappeals.com/2142/walters_bariatric_surgery_blog/gained-weight-pre-op-diet-now-what/ Share this post Link to post Share on other sites
AngelaM258 14 Posted October 21, 2018 Depends on your insurance. Some will deny with ANY gain. Others don’t care. I would ask your surgeon. Share this post Link to post Share on other sites