Oh no! Do I still qualify?

My insurance company requires a BMI of 40 or higher in order to qualify for WLS. Before my 6 months of supervised diet with my pcp, my BMI was 42.1. Ok fine. I had my last visit yesterday. I have lost 26 lbs, and now my BMI is only 38.5!  Did I just shoot myself in the foot?  I'm going to call my surgeons office on Monday, but it will drive me crazy not knowing over the weekend!  Has anyone else had this same kind of experience?  Does the insurance company go by the first one or the current one?

As far as I know it's at onset.... you should be fine don't panic wait till you talk to the dr.... it will all work OUT DON'T WORRY !!! :-) 

♡Kelly

I sure hope you're right!

I'm fairly sure they use the number when you first walked in the door as the qualifying BMI.  It wouldn't make sense to expect you to prove you can lose weight to qualify and then disqualify you for losing the weight.  I think you'll be fine. 

Carol

Yeah, no kidding, right?  It would be stupid to gain weight just to qualify!  Thanks, Carol!

they go by weight at first day of 6m pre-op stuff. you should be just fine!

Thanks!  I'm feeling better. 

I experienced the same thing, so I know what you are going through. It varies by insurance companies. While it makes no sense that we should be penalized for doing what we are supposed to do, some insurances have the attitude that "they can do it on their own", so why cover the procedure? Do you have any co-morbids? That plays into the equation as well. Definitely contact your Surgeon. Mine was very supportive. My VSG is scheduled for 06/24. Good luck and let us know when you get your approval and date.

Thanks.  Since you have a surgery date, I assume that your insurance went by your original BMI. Good luck on your Big Day. I hope it goes smoothly!  Let us know how you are doing too!

Should be the first. Just curious because I'm in Alaska also, Which dr is doing your sleeve?