"Sustained Weight Loss"

bambam · September 9, 2008

I viewed my health insurance policy and the requirements are pretty basic but one states "no sustained weight loss in 2 years." I had lost 40 pounds but have gained about 15 of those back (same old story) so have lost about 25 in the last 2 years. Has anyone else had a similar loss and not been approved for surgery? I hate to intentionally gain more of it back. I had planned to attend a seminar next week, but while the physician was covered under my insurance the hospital where he operates was not (odd) so now I'm hoping to get to a seminar with different bariatric docs (who operate at a center of excellence facility - so probably a good move) in early October.

Also, I've seen many posts about the testing requirements before surgery (colonoscopy, upper gi, etc) - were those required by your insurance or doctor?

Appreciate any input. Thanks!

bambam

Edited September 9, 2008 by bambam

HeatherO · September 22, 2008

25 pounds is not a huge loss over two years, specially if you have a higher bmi. I am not sure it would be that much of an issue depending on what your bmi happens to be.

bambam · September 23, 2008

Heather - thanks for your response. My BMI is about 43, so I wouldn't think it would be an issue, but with insurance companies you just never know. I've gone off my diet and am just trying to maintain my weight until I am able to have my consultation, etc. I don't mind going up a few pounds, but worked hard to get off the weight I have. I've put myself in a holding pattern until I am able to meet with my doctor for a consultation.

Again - thanks for your response!

bambam