What if I don't have five years of documented weights?!?!? Help!!

shedevilbecca
on 4/17/13 2:19 am - AZ
RNY on 05/30/13

So my insurance wants 5 years of documented weight. Well here is the thing....... I had no insurance from 2006 until late December of 2009. I am so worried they will deny me because of that. Anyone else go through this? Thanks in advance for any help.

    

            
Neen L.
on 4/17/13 2:25 am - Arlington, VA

Wow, five years documented? That's pretty crazy. Mine only wanted 6 months, so I brought my weigh-in card from Weigh****chers, and a brief weight history that my PCP had.

Did you go to the doctor at all when you had no insurance? If you have records from a primary care doctor that show your weight, that should be sufficient. I have also known people who have sent dated digital photos to show their weight history when textual evidence is not available.

If you aren't already doing so, start tracking your weight and journaling your food now. That way, you will have a clear record for yourself and for any future doctors you go to. Best wishes!

Long-term post-ops with regain struggles, click here to see some steps for getting back on track (without the 5-day pouch fad or liquid diet): http://www.obesityhelp.com/member/bananafish711/blog/2013/04/05/don-t-panic--believe-and-you-will-succeed-/

Always cooking at www.neensnotes.com!

Need a pick-me-up? Read this: http://www.lettersofnote.com/2009/10/it-will-be-sunny-one-day.html

(deactivated member)
on 4/17/13 2:25 am - NY
I was always seeing different doctors because of insurance changes so I didn't have a steady record of weight. Explain this to your GP. Mine just had me write down estimates and she copied those into my recommendation letter.
KendraB1
on 4/17/13 2:29 am - DE
RNY on 11/05/12
On April 17, 2013 at 9:19 AM Pacific Time, shedevilbecca wrote:

So my insurance wants 5 years of documented weight. Well here is the thing....... I had no insurance from 2006 until late December of 2009. I am so worried they will deny me because of that. Anyone else go through this? Thanks in advance for any help.

Did you go to the doctor at any point during that time even though you had no insurance? That should still count if you were weighed.

Laura in Texas
on 4/17/13 2:31 am

You never went to a clinic or weigh****chers or anything?? Some insurance companies are pretty picky about this requirement.

Laura in Texas

53 years old; 5'7" tall; HW: 339 (BMI=53); GW: 140 CW: 170 (BMI=27)

RNY: 09-17-08 Dr. Garth Davis

brachioplasty: 12-18-09 Dr. Wainwright; lbl/bl: 06-28-11 Dr. LoMonaco

"May your choices reflect your hopes and not your fears."

addict05
on 4/17/13 2:55 am - IL

Some people may disagree with this comment, but I made mine up.  You gotta do what you gotta do.

poet_kelly
on 4/17/13 2:58 am - OH

How would you do that?  The OP's insurance company is not just asking her how much she weighed.  They want documentation, like medical records.  You made up fake medical records and submitted those to your insurance company?  That would be fraud, and if the insurance company figured it out, not only would you have to repay them for your surgery, criminal charges could even be filed against you.  I do disagree with breaking the law in order to get your insurance to pay for surgery.

View more of my photos at ObesityHelp.com          Kelly

Please note: I AM NOT A DOCTOR.  If you want medical advice, talk to your doctor.  Whatever I post, there is probably some surgeon or other health care provider somewhere that disagrees with me.  If you want to know what your surgeon thinks, then ask him or her.    Check out my blog.

 

addict05
on 4/17/13 3:45 am - IL

No, of course I didn't make up fake medical records Kelly.  My insurance asked me to write down five years of dieting.  So I made up going to Weigh****chers Never went there, said I tried Nutri system, never tried it, etc.  I had  tried dieting in the last five years, just nothing I could document so I had to make up some dates.  If you feel the need to judge me go right ahead, I am very grateful for my surgery and don't feel like I broke the law.  Mine didn't say I needed medical records and that wasn't what I was suggesting to her so get off the high horse a little bit.

OH2012
on 4/17/13 3:40 am - OH

Did you start seeing a doctor, when you got insurance coverage?  If so, you may still have the recorded weights, or may not be far off.  With some of the bariatric surgeon's requirements, you could be on track for January.

If you didn't see him annually, that would be a hindrance.  I would check all the weights that I could find, even before you lost your insurance.  They are looking at the pattern of weight problems and generally want 5 consecutive years.  However, rather than throwing my hands up in surrender, I would try this.  (Not saying you were throwing your hands up).

Personally, I would not falsify anything.  That jt would not be an option.

Best Wishes

Prov. 3:5,6

            

Karen1961
on 4/17/13 5:45 am - Camp Verde, AZ
RNY on 12/31/12

My insurance wanted give years of weight documented as well.  I had three, but the last two of those years were tough.  Fortunately I had a D&C six years prior that they accepted.  I also documented, in letter form, weight loss attempts and my weight for five years.  They accepted it as I had surgery 12/31/12.  I know insurance companies can be almost criminal to deal with...good luck!

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