Worried

Carinaangel22
on 12/1/17 3:57 pm

I just had orientation and worried if I have done enough to lose weight so I don't get declined. I've tried working out and eating right, diet pills, vegetarian, Starving, cabbage diet and dash diet. Is this enough?

Shannon S.
on 12/1/17 9:27 pm - Waldorf , MD
VSG on 11/07/17

Most insurances don't take your word for it. There has to be medical documentation and/or proof that multiple attempts at failed weightloss efforts occurred. Most insurances make you go through supervised nutrition. I'm not sure what your insurance requirements are, but that is going to make the difference as to whether you get approved.

Age 39 Height 5?5, HW 376, SW 349, CW 325 (updated 12/12/17)

post op month: 1:23lbs, 2:

Erin T.
on 12/2/17 10:22 am
VSG on 01/17/17

Most, but not all. I had no supervised nutrition period. I just had to list out what I'd tried and what time frames. I have been using MFP to track my weight since 2010 so it was easy for me to show a weight graph as well.

VSG: 1/17/17

HW: 283 SW: 229 CW: 130-ish GW: 145

Goal Reached 7/31/17!!!

Pre-op: 53 M1: 22 M2: 12 M3: 12 M4: 8 M5: 10 M6: 11 M7: 5 M8: 6 M9: 2.4

TrendWeight

pammieanne
on 12/4/17 5:49 am - OK
RNY on 05/16/16

My insurance company did not require supervised weight loss... Just had to list all of the things I've tried over the years.

My insurance company went more on your BMI and comorbidities.

I also wasn't required to lose a certain amount of weight prior to surgery, but that might be a surgeon/practice requirement.

The only way the OP will know what is required is to visit with the practice and call the insurance company to find out what their requirements are.

Height 5'5" HW 260 SW 251 CW 137.2 (10/23/17)

RNY 5-16-16 Pre-Op 9lbs, M1-18.5lbs, M2-18.1lbs, M3-14.8lbs, M4-10.4lbs, M5-9.2lbs, M6-7lbs, M7-6.2lbs, M8-8.8lbs,M9-7.8lbs, M10-1 lb, M11-.6lbs, M12-4.4lbs

Tiggy
on 12/1/17 9:56 pm - Rowlett, TX

Sounds like you been trying hard, and doing what you can! Don't worry about it!

Cecily C.
on 12/1/17 10:41 pm - CA
VSG on 02/22/17

Your safest bet is to ask your insurance company what their requirements are. Even plans within the same insurance company can have different requirements! So call and ask what your specific requirements are. Things that can vary by plan/insurance company are how many comorbidities you need to have based on your BMI, whether they want documented weight loss attempts with a medical professional, whether you must complete a 3 or 6 month supervised diet, etc. And that's just in the US...

Ht: 6' HWEver: 338 StartW: 282.8 SurgeryW: 268.9 GW: 170 CW: 163.2

Pre-Op:-17 M1:-17.8 M2:-10.6 M3:-10.4 M4:-8.4 M5:-12 M6:-8.2 M7:-8.2 M8:-11.4 M9:-7.4 M10:-6.6

Goal reached 11/9/17! (37 weeks, 1 day)

jmm1265
on 12/2/17 4:42 am

Try having someone video you getting slapped upside the head with a leg of lamb, then forward link to the insurance company.

If that doesn't work, the doctor can recommend WLS for health reasons.

?

jmm1265
on 12/2/17 6:23 am

I'm just kidding with you. When I was prepping for WLS, I gained 10 lbs. The surgery is there for a reason so don't sweat the insurance company. They may deny at first, but doctors know how to handle them.

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