weight loss before surgery

on 8/21/14 4:10 am
RNY on 11/19/14

I am at a 40.2 BMI with no obesity issues.  My insurance requires at least a BMI of 40 to have the surgery or a BMI OF 35 with weight-related problems.  My question is if I lost weight before my surgery and end up with a BMI of less than 40 could this affect my being considered for the sugery?

Gwen M.
on 8/21/14 5:20 am
VSG on 03/13/14

It would depend on your insurance company.  You should ask them. 

VSG with Dr. Salameh - 3/13/2014
Diagnosed with Binge Eating Disorder and started Vyvanse - 7/22/2016
Reconstructive Surgeries with Dr. Michaels - 6/5/2017 (LBL & brachioplasty), 8/14/2017 (UBL & mastopexy), 11/6/2017 (medial leg lift)

Age 42 Height 5'4" HW 319 (1/3/2014) SW 293 (3/13/2014) CW 149 (7/16/2017)
Next Goal 145 - normal BMI | Total Weight Lost 170

TrendWeight | Food Blog (sort of functional) | Journal (down for maintenance)

on 8/21/14 6:48 am
RNY on 11/19/14


on 8/21/14 6:45 am

As indicated it probably depends on your insurance.  

And it could be that if you have shown a long term weight history of a BMI over 40 and that you just went below that in preparation for surgery, it might not be an issue.

But that is a question best answered by the insurance company because ultimately, they decide.  I doubt the surgeon's office would have a huge issue as long as insurance will cover it.



HW: 440.5  RNY 2/18 (Feb - 27, Mar -21, Apr -11, May -15.5, Jun - 12, Jul -14.5, Aug -9, Sept -11, Oct 6.2)

on 8/21/14 6:47 am
RNY on 11/19/14

:) Thank you.  I am sure I am over thinking it

on 8/21/14 9:55 am

You may want to ask the billing folks at your surgeons office. Mine were very helpful in clarifying insurance questions I had...after the customer service reps at the insurance company were clueless. 

on 8/21/14 10:29 am
RNY on 08/21/12

Some go by weight at initial consultation, but I've heard of a few that deny those that lose preop. Definitely something to get clarified.

Most surgeons have staff that are very good with helping on these issues.

6'3" tall, male. Maintaining a loss of 280 pounds.

Highest weight was 475. Consult weight 04/12 was 411. RNY on 08/21/12 at 359 lbs. Current weight 195.

M1 -24; M2 -21; M3 -19; M4 -21; M5 -13; M6 -21; M7 -10; M8 -16; M9 -10; M10 -8; M11 -6; M12 -5.

on 8/22/14 1:14 am
RNY on 11/19/14

Thanks everyone!  I have decided to buy a scale and monitor it closely so I stay right around where I am right now.  :)  I appreciate everyone taking the time to respond to me, though.