If you know the answer please reply

Keyakia
on 5/21/09 2:38 am - Hawthorne, CA
I have anthem blue cross, I am getting my surgery done throught SouthBay surgeons. I have to loose 37 pounds before june 2nd. I have already lost 23 pounds but here is my question. Has anyone every had to lose a certain amount of weight and was denied because they didn't lose it all or close enough?
rinaalston
on 5/21/09 4:06 am - LANCASTER, CA
I have heard this before.....alot of it has to do with the size of your liver...I lost alot of weight doing a complete detox system before my surgery so try that it may also help with a few extra lbs. and are you on the liquid diet yet? they will help too.
Keyakia
on 5/21/09 4:33 am - Hawthorne, CA
Thanks for the response! What is detox system and I haven't went on the liquid diet yet but I might have to do that for the next two weeks.
FernTate
on 5/21/09 4:22 am
Once surgery is approved, it is in the surgeon's hands if he wants to do it or not.  He's the one to ask, as Anthem Blue Cross is out of the loop (my guess).  I had RNY with Anthem, and didn't have to lose a single pound.  In fact, I gained a little.  Surgeon didn't care - Anthem wouldn't have known either way I figure, once they approved it.
ddwscw
on 5/21/09 5:16 am - Modesto, CA
I had to lose 10% (30 lbs for me) before they would schedule a date. On surgery date, I had gained back 5 lbs., the nurse called the doctor before they would let me into the pre-op room and he OKed it. BUT, the nurse told me that I just barely made it because the limit was 6 lb regain. I had no idea that there might be a problem. I have Kaiser ins., but I ALMOST was turned back. To get to the initial weight loss, I was liquid only for the last 3 days and did a colon cleanse the last 3 days. Just barely made it. Good luck.

Includes 25 lbs. pre-op loss.



By Jazelle

By Jazelle
kellietag
on 5/21/09 10:13 am - Santee, CA
Insurance (Pacificare) didn't require me to lose anything. My doctor also didn't require to lose anything, he had me go on a low carb high protein 1000 calorie diet 2 weeks prior to surgery. He said it was to shrink the liver to make for fewer complications.
Inysesmom531
on 5/21/09 1:43 pm, edited 5/21/09 1:43 pm - CA
I have Anthem Blue Cross as well and I was not required to lose a pound.  In fact,  like the other person I gained about 5 lbs before surgery.  I had my surgery at Tri-City Regional Medical Center by Dr. Fobi.  The process went pretty quickly and I am very happy with the results.


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