Blue Cross 6 month diet requirement

StacyT
on 10/26/13 11:23 am

I have everything already done but to finish the 6 month requirement from Blue Cross. I have an appointment with my PCP in November and the final appointment is December 2nd. Then the Bariatric center can submit all my paperwork for an approval or denial. I was under the impression I just had to discuss with my doctor diet nutrition and exercise. And if I didn't loose anything during this period it would be ok...Well I saw my nutritionist from the bariatric center and when I told her I had gained ONE pound when I had went to my last visit at the PCP she about fainted. She said she's seen insurance companies deny people for gaining 1 pound. Is anyone going through this right now and have any advice? Since then I have kicked it into super gear and hope to lose a few pounds at the November visit but I'm sick about the fact I may have to start over...

Dawn ..
on 1/2/14 11:19 am - MI
VSG on 09/23/14

Hi StacyT, I have BCBC/MESSA and I am not sure if they will reject your request for gaining a pound, but my bariatric doctor said that I should absolutely not gain anything during my 6 months pre-op. That may be coming from BCBC...


Consult 12/9/13, Pre-Surgery Appt 9/5/14, Surgery 9/23/14, Height/5'.52", HW/273,  ConsW/268 ConsBMI/49, PreSurW/213 PreSurBMI/39, SurW/193.8 SurBMI/35.4, Drs GW/140-150 My 1st GW/160 2nd GW/145
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rosasmom
on 2/14/14 5:30 am - Romulus, MI

Hi  StacyT, I was wondering if you have a Blue Cross HMO or PPO?

56sunShine14
on 3/14/14 6:44 am

I am not in the medical field but am a lap Bander and I think maybe the reason BC/BS does't want you to gain weight is that they may feel you are not going to do the work necessary to lose weight after WLS.  If you are gaining during the 6 month pre-surg. then you will probably not follow diet and instructions after surgery.  NOT my thoughts but pretty sure it is the reason.

Have either of you had surgery yet?

 

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