Newbie: has to lose 10% before surgery

[jacobsmomma02 0]

Hey everyone! I kinda have a situation and I'm not real sure about what to do. My ins. covers the surgery but I it says:

The attending physician must submit records that the individual has successfully lost 10% of their initial body weight prior to the date authorization is requested. The attending physician must be someone other than the surgeon and the attempt must be within the prior 2 years

So I asked the lady at the bariatric center, does this mean I have to lose 10% before I have the surgery and she said yes. I don't mind losing the 10percent but I calculated it and my bmi will be like a 34something after I lose. The ins. also says your BMI has to be 40 or higher, or 35 and higher with comorbidities.

So what now?? I lose the 10% and then not qualify for surgery?? Has anyone ever been through this situation? Thanks for your help!

[I'MREADY 0]

Good question. I'm in the same situation. I'll be interested what the answer to that is too. I am just starting the process and have my first seminar July 7.

[YankeeFanatic 0]

Dont Worry about it, they use the weight that you started with when you came in for your first visit. If your still worried just say you are a inch smaller than you really are they dont check.

[jacobsmomma02 0]

That's crazy!!! (in a good way) I never even thought of the whole height thing. A very simple solution. Thanks for the idea Yankee :thumbdown:

[jacobsmomma02 0]

And let me add...that is a huge sigh of relief! Come all this way to not even be able to have the surgery...that would have been awful!