Question about 6 month diet!

amurillo04
on 3/30/16 7:04 am

hello all, I'm half way through my 6 month diet my fourth appointment is at the end of April.  I have gone down from 231 to 224 but I am worried about keeping it off for my next appointment.  If at my fourth appointment I am let's say 225 or 226 will it effect my insurance.  Can they deny me for being heavier then the month before or is it as long as I'm under my initial weight of 231 and don't have a net gain I'm good.  All this stuff is so confusing and anxiety provoking.  I need this !

Sparklekitty, Science-Loving Derby Hag
on 3/30/16 8:53 am
RNY on 08/05/19

This varies between insurance policies; call customer service and ask.

Some insurance companies look at total weight loss, weight after completing the pre-op diet, or some just want to see that you did it. Depends on the plan.

Sparklekitty / Julie / Nerdy Little Secret (#42)
Roller derby - cycling - triathlon
VSG 2013, RNY conversion 2019 due to GERD. Trendweight here!

Kathy S.
on 3/30/16 8:57 am - InTheBurbs, XX
RNY on 08/29/04 with

As Julie says all insurances are different. If you have an HR person you can go to have them clarify the requirements for you. If not, call the number on the back of the card and see if they can be of some help understanding the criteria.  Have them send you a follow up email so if you are like me, you can go back and reference LOL I forget sometimes   Take it one day at a time, this is for you and the rest of your "healthy" life! 

YOU GO THIS!

HW:330 - GW:150 - MW:118-125

RW:190 - CW:130

Sharon SW-267
GW-165 CW-167 S.

on 3/30/16 10:24 am - PA
RNY on 12/22/14

I would not call your insurance co - only as a last event. 

Rather, there is an insurance specialist in your doctor's office - call and ask to speak to him/her - they would be my first resource (and best friend).  Remember, your surgeon submits your package for ins approval, not you. 

Good Luck

Sharon

Sparklekitty, Science-Loving Derby Hag
on 3/30/16 11:25 am
RNY on 08/05/19

Yes, the surgeon submits the package. But the surgeon (nor his/her insurance specialist) doesn't make the final decision on your specific case and your specific policy.

Sparklekitty / Julie / Nerdy Little Secret (#42)
Roller derby - cycling - triathlon
VSG 2013, RNY conversion 2019 due to GERD. Trendweight here!

amurillo04
on 3/30/16 12:25 pm

Thank you I just emailed my coordinator, whenever I try to contact my insurance company literally no one knows anything about bariatric surgery! All they tell me is stuff I already know and they are just clueless.  It's very frustrating. 

KansasPrincess
on 3/30/16 2:50 pm - Gardner, KS
VSG on 10/15/15

my cousin is getting ready for RNY and her insurance company has to see a steady loss and any kind of gain she has to start all over

amurillo04
on 3/31/16 5:03 am

Thank you for your response, I emailed my insurance coordinator and she said that wouldn't effect me, I guess all insurances are different.  I will still try not to gain.

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