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

Bmi help!!!!!!!!!!!!!!



Recommended Posts

I'm new to the site and I need help, help, help! I go to my first seminar at Mercy Hospital in Chicago in a week and I am not sure what's going to happen. My BMI is low (about 37.5) and I am afraid I wont qualify for insurance approval (medicaid). I wont bore you all with my struggles with weight loss, but I will say, this is insane to me to not be fat enough.

I know HOW to lose the weight. Ive done it a million times before. What I need the WLS for is help keeping it off once Ive lost it.

Please, please help me with the quailifying process over at Mercy.

Is the seminar weigh in, the number they use for approval? Will the nurse put my weight up a bit since I'm close? Help!!!!!!!!!!!!!!!!!!!!!!!!

Kimber

Edited by Kimber7
mistakes

Share this post


Link to post
Share on other sites

Assuming all seminars are pretty much the same, it is an informational session where the various surgeries are explained, and info about what you need to qualify. Some insurances may have different criteria, but, in general, a BMI of 40 plus 100 lbs overweight, or a BMI 35-39 with one or more co-morbidity (diabetes, high blood pressure, high cholesterol, joint arthritis, reflux, sleep apnea--there may be more, but that is the basic list). There is no weigh in at the seminar; that would take place either at your surgical consult, or when you meet the dietician. Some insurances require a documented 6 month weight loss attempt (I didn't have that so I met with the dietician who set me up for it and I had to wait until that was over before they could submit to my insurance). You will also get a psych consult and a pre and post op meeting with the dietician, plus a class with the bariatric nurse. I had all of that, and I think in general most places work that way. The seminar is just informational, to give you an idea what to expect. If you find you don't qualify you don't have to make any other appointments, and the seminar is usually free. Good luck on your journey. The band is a tool to help you control portions; it is still up to you to eat right and exercise. Hope this helps.

Share this post


Link to post
Share on other sites

In general, most insurances require a bmi of at least 40. A lower bmi is approved if the patient has co-morbidity issues.

The seminar is informational only. You will be there with many other people. They do not do a weigh in at the seminar.

Share this post


Link to post
Share on other sites

Thanks so much for that information Patchelton and Tquad. That info coupled with my PM's from Maquirre are just what I needed to calm down. I know I'm a bit under without any serious comorbitities, but I'm hoping something will give. I'm not opposed to putting quarters in my pockets (smile).

Share this post


Link to post
Share on other sites

I have heard of people wearing weights or placing heavy items in their pockets. My doctor's office required that we weigh with shoes and socks off.

I heave heard other people have gained weight to meet the bmi requirement.

I am not recommending the above, but I have read on several threads on this forum that people have done some of the above, so they can get the surgery.

Share this post


Link to post
Share on other sites

Well sign me up, because if I thought I could wear weights and get away with it for approval, I would. I don't have a problem losing weight. I just don't know how to keep it off.

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

    • Alisa_S

      Gearing up for my consult 01/14! Starting to get a little nervous.
      · 0 replies
      1. This update has no replies.
    • Goyafigs

      I had VSG 11.20.24 with Miguel Burch, MD Cedars-Sinai and I am 1 month post-op. 
      · 0 replies
      1. This update has no replies.
    • DaisyChainOz

      🥳 Jan 1 2025 - Day 1 of Pre Op, surgery on the 16th! 😬😅
      · 0 replies
      1. This update has no replies.
    • Alisa_S

      Just been waiting until time for my consult with my bariatric surgeon. It's scheduled for Jan 9th. Turns out I won't actually be seeing him. Apparently it'll be with his P.A.             Not sure what to expect. I thought this is where the surgeon would discuss the best surgery option for me. For years I had my heart set on the sleeve, but I've read so many people have issues with reflux - even if they've never had it before - that they've had to be revised to the bypass. I already deal with GERD & take 40 mg of Omeprazole daily, so I started studying about bypass and honestly, it seems like it might be the better choice for me. How can we discuss surgery options if the surgeon is not there?
      What happened at your first consult? Trying to get an idea of what to expect, or maybe I should say, what NOT to expect.
      · 0 replies
      1. This update has no replies.
    • rinabobina

      I would like to know what questions you wish you had asked prior to your duodenal switch surgery?
      · 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

    ×