Has anyone been denied for losing too much weight?
Hello, new to OB, been reading posts for a week. I am 40 BMI, and am only pre-diabetic. I am afraid to lose more than the 10 pounds, that is required. I diet for 4-5 days, practicing different behavior skills, than I panic and eat if I see the scale going down. My insurance was approved, but there are two more times in many appointments where they say the insurance will be double-checked. Weight 237, height 5,4. Just wondering if anyone has been denied after insurance approval.
on 6/23/15 10:48 am
It depends entirely on your insurance company's policies, and unfortunately, I had a hell of a time getting that info from mine. Eventually I found out from the office manager at my clinic that my insurance (which is their most common one) bases final approval by your weight in a hospital gown on the morning of surgery, and that they have had people show up for surgery and have to be sent home because they lost too much pre-op. The hospital's scale weighed me 5 lbs less than my own, too, so on the official record, I came 7 lbs away from disqualifying myself with a BMI of 36! (I had diabetes and HTN so I was "allowed" to get down to a BMI of 35 and still qualify.) I hear that most insurances base it on your weight starting the pre-op appointments though, so you'll have to check with your insurance company.