For those of you who were required to lose weight before surgery...

cicis_journey
on 4/17/17 11:48 am

Was it by your insurance company or your surgeons office? My insurance requires a 6 month medically supervised diet but it doesn't say anything about a 5% or 10% required weight loss. Thank you!

Hereforsupport
on 4/17/17 12:38 pm
RNY on 04/05/17

Same here. They just required me to see my Sr. once a month. Good luck .

pr31
on 4/17/17 12:54 pm

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

slightlyrocky
on 4/17/17 1:08 pm - Titusville, FL
RNY on 05/02/17

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.

cc583
on 4/17/17 3:54 pm - Middletown, CT
VSG on 09/28/16

My doctor required weight loss but he didn't put a certain percentage of weight to lose. He wanted to see compliance with the pre-op diet. I don't recall what the insurance company's stance was on it.

5'5" HW: 484, SW: 455,CW: 325

Surgeon, Darren Tishler

CJ On Orcas
on 4/17/17 4:07 pm
RNY on 09/09/16

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.

selhard
on 4/18/17 4:39 am - MN
RNY on 11/26/12

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.

NasaJen
on 4/18/17 4:54 am, edited 4/17/17 9:55 pm
RNY on 12/09/16

My insurance wanted a 3 month supervised diet, but there was no specific amount of weightloss set.

LapBand: 3.2.10

RNY: 12.9.16

Highest: 451

Morning of RNY: 283

Current: 195

Gin820
on 4/18/17 6:33 am

My insurance requires a 6 month supervised diet. I was told I have to lose weight but was told it was not a certain amount. I just can't weigh more than my starting weight. My first weigh in is in 3 weeks and though I have been following the plan, I haven't lost anything, which scares me.

supershopper
on 4/18/17 9:11 am

surgeon for me but it was an insurance requirement. There was not a 'required' amount to lose for me but I lost 52 pounds before surgery.

HW 305 SW 278 Surgery weight 225 GW 160 LW: 118.8

RNY 12/15/2015,

GB removal 09/2016,

Twisted bowel/hernia repair 08/2017

M1 Dec 2015-13.0, M2-7.0, M3-14.5, M4-9.4, M5-7.1, M6 9.8, M7-7.6 ,M8- 7.6, M-9 5.5, M10-6.4, M11- 2.2, M12 Dec 2016- 5.8

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