Intro and ? Regarding "Medically Supervised Weight Loss" Requirement

sunnymicki
on 7/22/09 1:38 pm
Hi All,
My name is Mary.  I am currently trying to start the process for weight loss surgery (most likely the Realize band), and I am so glad I found these boards.  I have considered weight loss surgery for over a year now, but just recently decided to pursue it seriously.  I started focusing more on weight loss earlier in the year, and at my high weight, was about 125 lbs from my goal.  I've lost 16 lbs of that this year.

I am in a bit of limbo, as my current insurance doesn't cover any weight loss surgery, but I will be able to pick up Medical Mutual (SuperMed Plus) as of Jan. 1.  I found out that Med Mutual does require a 6 month supervised weight loss program before approving surgery, so I would like to start that now.  I want to do Summa's medical weight loss program - it sounds like it might really be helpful and that is where I want to have the eventual surgery.

My question is what happens if I do the supervised program and lose enough weight by January to no longer meet the criteria for surgery?  Will the insurance approve me based on my starting weight?  I don't have any of the medical conditions that would qualify me, just the weight at this point.  And I don't have that many more pounds to go before my BMI is less than 40.

Any thoughts or experience with this would be helpful!  Thanks in advance!
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