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

Question about pre-op weight loss & insurance approval



Recommended Posts

Tomorrow is my last weigh in for my 6 month supervised diet. In the beginning of my diet I gained about 10lbs and then lost the weight I put on. So 6 months later I think I'm only a few lbs less than my 6 month diet starting weight. I did however lose 60lbs on my own before I was being medically supervised, and that is reflected in my 5 year medical history. My question is will the insurance company deny my surgery because I didn't lose 10% of my 6 month starting weight? Should I do another month of dieting to try to lose more weight before submitting my paperwork to my insurance? Will they deny me because I gained weight and then lost it during the diet instead of continual weight loss?? I have BCBS of Texas...I'm really nervous about this.

Share this post


Link to post
Share on other sites

I think it is more about making sure you are dedicated to having the surgery done than it is you losing weight.

Unless your insurance or surgeon required you to lose a certain amount of weight, I think you're fine.

Share this post


Link to post
Share on other sites

My 6 month supervised weight loss was a roller coaster of ups and downs because a lot was going on in those 6 months (college graduation, down, went on vacation, up, started exercising, down.. etc). I was approved by Empire BCBS even though my weight was pretty much the same when I was done with my 6 month supervision.

Good luck to you. :rolleyes:

Share this post


Link to post
Share on other sites

Hi, I'm new to this board. I just completed all of the criteria for submittal to BCBS-NJ. My bariatric coordinator did not sound reassuring when she saw my 6 month "diet" visits with my primary care physician. Please help me with positive thoughts that I get approved by insurance. All paperwork was faxed yesterday 7/7/09. Just waiting for an answer.

Thanks,

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

    • Bashbee91

      Hey guys new to the process looking forward to this new life. 
      · 0 replies
      1. This update has no replies.
    • Bugg

      Hi everyone! I’m brand new here. I just went through all my pre-op requirements per my insurance company and now everything has been submitted and I’m just waiting for final approval and my surgery date. I’ve been doing research, watching YouTube videos, TikTok’s, ect.. trying to prepare my mind and what to expect so I’ll be ready for the surgery. I was so sure and so set and so ready and excited. However, now that I’ve done everything & it’s almost here, I am sooooooo scared! I know why I want it bc I’ve tried everything and I just don’t feel like I can lose weight by myself. I’m tired of being overweight my entire life. I’m miserable, but I keep psyching myself out afraid of GERD bc I know how that can be and I don’t want to have to get a bypass after already gaining the courage to even get VSG. I’m scared of complications like I’mgoing to regret doing it and be depressed that I didn’t just be more disciplined and try again to lose the weight on my own even sitting here typing this knowing in my mind i just can’t and don’t possess the discipline. I’m also afraid I won’t be able to handle the restrictions of the sleeve. What do I eat? I don’t know how to eat healthy really and don’t enjoy healthy food. I don’t know how to do this! I feel so defeated!Someone tell me they felt anything similar to this or am I not ready? I thought I was. I am so tired of being sick and tired and so tired of myself and so tired of being stuck and stuck in this body and somebody different on the outside from what I feel inside. I just want to ball up and cry.
      · 0 replies
      1. This update has no replies.
    • buildabetteranna

      over 20 lbs down since4 the pre surgery diet and surgery on the 14th
      · 1 reply
      1. Selina333

        Yay!! Congrats. I know how good that feels. 🤩

    • Jenopolis

      Had a sleeve in 2017, lost over 100 pounds. Had a DS surgery this year (2025) for more sustainable weight loss. 🤞
      · 0 replies
      1. This update has no replies.
    • buildabetteranna

      The 14th was my day. I am home and recovery is going pretty smooth. They even let me walk out of the hospital. Picture of me in recovery curtesy of my boyfriend lol. 

      · 3 replies
      1. DaisyChainOz

        Glad it went well!! Wishing you a speedy recovery and wonderful success!! 🤗

      2. buildabetteranna

        Thank you ❤️

      3. Selina333

        Neat you have a pic of this day! I was sooo happy to get my surgery. It was well worth it! And I'm not even near my goal. I had surgery Dec. 2!

  • 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

    ×