To gain or not to gain...

astone1234 · May 24, 2008

I have a question that I'm hoping someone can advise me on... I'm 5'7" and in February 08 after being on phentermine to try to shed a few pounds I had a bmi of 38.7. My PCP recommended a sleep apnea test & the results came back as "mild" so my Dr. sent a referral to Kaiser's Bariatric Dept. Because the apnea was only mild and the bmi was not 40 at the time with no other co-morbidites, I was denied acceptance to the program in April 08. I stopped taking the phentermine because I didn't like how it made me feel and I have gained back all that I lost plus a couple. I believe I'm now back at 40bmi which should allow me to now qualify.

Should I ask for the referral to be resubmitted now? My PCP is supportive and is happy to do it but I am nervous that Bariatrics will deny me because 4 months ago my bmi was too low. Will I qualify no questions asked since my bmi is at 40 or will I run into trouble?

Has anyone had the experience of being denied by Kaiser & then put on the weight and been accepted?

Any advice?

Thanks!

Edited May 25, 2008 by astone1234
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sheemac32 · May 24, 2008

I have no idea about your insurance but bc/bs of ala has the same kinda guidelines and several of my friends that are approved for surgery now gained the last little bit to push them over, yet they could prove in medical records they had been that weight before sometime in their life.

Good luck.

thanks

sheemac:thumbup: