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Question that probably has no answer but I am still asking

JennK85

JennK85

Member
Hello! I am in the approval process and planning to get bypass surgery. I am hoping to be approved by December from the dietician. I have been approved by the surgeon and psychiatrist already. I do have a question that might not be answerable. I started the program at 41.1 BMI. I know that is on the lower side. But I am always tired and very short. My weight has gone up and down and I just have never been able to keep it off. I am not diagnosed but my blood work is equal to that of a prediabetic. That is not helpful in allowing me to go below 40 BMI. I am losing slowly which is perfectly fine. I am eating how the dietician wants me to eat and drinking my water. I am right on track. Here is the question. Once I am approved by my insurance and have the surgery date. Do I still have to be concerned about the BMI staying at 40 or above or is this not a concern any longer because I am approved? I don’t have any other health issues and maybe I could have waited as I am sure I will continue to gain weight but I want to stop myself from becoming a diabetic as it runs in my family. I want to stop myself from developing weight related health issues if possible. Please don’t tell me to ask the dr. I will try again but the dr said if you fall below the 40 then you are no longer eligible in the program. That is the hospitals Bariatric program. So I need to clarify this with the doctor I already am aware of this. They said this at the very beginning so I need to clarify if that is all the way till the day of surgery?! I don’t know how the insurance part works? The doctor doesn’t want me thinking about falling below 40 if I do then I do to them. To me though I am spending money and would like to have an idea at least. Can this question be answered and if not that is ok. It can’t hurt to ask. Thanks so much!!
 
Once your requirements are met, all the paperwork has been submitted and your insurance has approved the upcoming surgery the insurance company never looks at your weight/BMI again.

Your bariatric program may have different rules and I cannot speak to that.

Its obscene that they want you to lose weight at a BMI of 41 AND to stay at a BMI of above 40. I'd be sure to ask .. Which is it?!? Both cannot be done.

Good luck!!
 
BMI is a guid line, but when combined with other health issues as yours, they should approve it, you may want to get in touch with the insurance company, and see if that is the case, I have seen in my reading that a few doctors have not taken in the other health issues, and reported the accurately to the insurance company, this may be your case. But chat with the insurance company and try to get all the information. Best of luck
 
JennK85 said:
Hello! I am in the approval process and planning to get bypass surgery. I am hoping to be approved by December from the dietician. I have been approved by the surgeon and psychiatrist already. I do have a question that might not be answerable. I started the program at 41.1 BMI. I know that is on the lower side. But I am always tired and very short. My weight has gone up and down and I just have never been able to keep it off. I am not diagnosed but my blood work is equal to that of a prediabetic. That is not helpful in allowing me to go below 40 BMI. I am losing slowly which is perfectly fine. I am eating how the dietician wants me to eat and drinking my water. I am right on track. Here is the question. Once I am approved by my insurance and have the surgery date. Do I still have to be concerned about the BMI staying at 40 or above or is this not a concern any longer because I am approved? I don’t have any other health issues and maybe I could have waited as I am sure I will continue to gain weight but I want to stop myself from becoming a diabetic as it runs in my family. I want to stop myself from developing weight related health issues if possible. Please don’t tell me to ask the dr. I will try again but the dr said if you fall below the 40 then you are no longer eligible in the program. That is the hospitals Bariatric program. So I need to clarify this with the doctor I already am aware of this. They said this at the very beginning so I need to clarify if that is all the way till the day of surgery?! I don’t know how the insurance part works? The doctor doesn’t want me thinking about falling below 40 if I do then I do to them. To me though I am spending money and would like to have an idea at least. Can this question be answered and if not that is ok. It can’t hurt to ask. Thanks so much!!
Click to expand...
I was 4 Ibs short and they proceeded regardless
 
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