For those of you who were required to lose weight before surgery...
In my case it was both insurance and provider. My center required 6 months of classes and several consults. I needed to loose at least 5 lbs. during the 6 month period. Insurance requirement was the same and an additional requirement that if I gained even 1 lb. during any of the 6 months that the claim could be rejected and I'd have to start all over. I wasn't going to let that happen. I lost almost 50 lbs. during the 6 months. I was determined to do whatever was needed to jump through all the hoops to get approved as I viewed this as my "last chance" effort.
Surgery Date June 3, 2016
HW: 329 W at first consult 290. SW 238, LW 128, CW 139
With my doctor he requires some pre-surery weight loss from all patients. At least that is what he said in the initial seminar. For me it was 14lbs. but mine is not covered by my insurance.
Both for me. My insurance required a 5% loss and if I gained even a pound of it back they threatened to not pay. My surgeon wanted me on a 3-week pre-op diet to shrink my liver. I was able to lose the 5% and then another 10 pounds or so before surgery, but it was scary. I think there are a couple of reasons for the insurance requirement - my insurance advocate said that they have determined that successful patients have certain habits and that is one - they can follow a diet. It helps determine the person's ability to follow the post-op program.
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With a BMI in the 60's, the surgeon said losing pre-WLS weight would help lower my surgery risks but he did not say it was a requirement. I got the vibe my chance for surgery could be turned down, however. I lost 80 pounds during the required six-month waiting period insurance period. Then, another 130 pounds within twelve months after WLS. Lowering surgery risks is a good thing whether a requirement or not.