gained weight since my initial consult

[hedostar 0]

:closedeyes:I have gained weight, about 10 pds since my initial consult, thinking that the last weight would be used and not the first. now my insurance requires the 6 mos diet which shows that i have gined the 10 pds. i have hip ny does anyone know if the insurance company will deny me because i have gained instead of losing. i am very concerned about this and nervous. please help!!! thanks:ohmy:

[MacMadame 81]

It's hard to predict what insurance companies will do but I have never heard of one denying for this reason. They don't seem to care what happens during the 6 month diet, only that you do it and document it properly. Oh and don't drop below a BMI of 40 (35 if you have co-mordities).

[hedostar 0]

Thanks, i have a date of 2/4/09 and my initial bmi was 37.7 with hypertension whisch i am taking meds for, so u r right i didnt want to drop below the 35 bmi or o knew it was over. i hope you r right i have also given them the dr's note and my documented weight loss efforts at jenny craig i hope this works...CONGRATS TO YOU ON YOUR WEIGHT LOSS WHAT A JOB WELL DONE!!!!:wink2:

[BeautyLocs 0]

Hello--

I, too, gained weight during my six-month supervised diet (12 pounds), but learned today that I was approved by my insurance company (Blue Care Network, Michigan). I think that it's true that they're looking for participation and documentation from the program. I would check, however, to make sure that they are not requiring you to lose or maintain. I've read some posts from people who said their insurers do have those specifications.

I also sent in a letter from my Jenny Craig counselor, copies of Weight Watchers weigh in booklets, and a letter from a hypnotherapist I worked with on weight issues.

Best of luck to you,

Beautylocs

[GretaBelle 0]

I gained about 10 pounds after my initial consult, too.I was very embarrassed about it. Especially when the doctor mentioned it to me. I tried to laugh it off by saying that I had spent a week at Disney and all the good food must have gotten me, but I still felt ashamed. I have BCBS and they did not require a 6 month diet, just documented weights and a listing of the different weight loss programs you tried. I had it lucky, I did not have the insurance and approval problems that others have encountered. I am very thankful for that!

[MacMadame 81]

Oh and I should say that some *surgeons* require you to lose weight and some require you to at least not gain it. So you need to see what your surgeon requires too.

For the insurance, I see people denied all the time because their 6 month diet was not documented properly. So be sure each and every visit is documented, they are all 1 month apart with no gaps and that the documentation says you talked about weight AND exercise every single freaking time.

[daco525 0]

I have just begun the process of my 6 month weight loss visits. I was informed by the surgeons office that the insurance company will not want to see a weight gain and if they do they will probably deny me. I questioned this and they told me because it just proves to them that I cannot follow the recommendations from my doctor and therefore I may not be successful with the lap band. Honestly I made sure I gained 10 lbs. before my first weigh in. My first weigh in was the day after christmas. I felt like this assured me that I should be able to show a loss. I just wonder how much of a loss is ok. I also heard you have to be careful not to lose too much. I think it all depends on your ins. I have BCBS NJ.

[hedostar 0]

thanks to all of you!!!:mad: at least i am not alone in this venture. i see my surgeon on monday and i am so embarrased that i have gained 13 pds since 10/31/08. but i gain weight fast, but i also lose it just as quick, i just cant seem to stay focus and it is why i have opted for surgery. i do not think my insurance requires a weight loss just documented dr's note. not sure if i am approved or not but i will keep u guys posted..thanks for responding everyone!!!:tt2: