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?
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
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.
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.
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.