losing too much weight before surgery

I was schedule for sleeve surgery on Monday Sept 17th. i started my journey in January. I was not required to go on a supervised diet. My BMI was at 40. Since then I was diganosed with gastroparesis and I've not been able to eat for several months. On liquid diet since June.(nausea vomiting severe pain in stomach) I have lost enough weight to bring my BMI to 33. I have been talking to the clinic all this time going to the classes they knew everything. Told me they would go by my original weight of 40 BMI not to worry. See doctor Aug 21. He said the surgery should help my GP (which I had already reseached) But now they tell him I need to gain back to 35 BMI to have surgery! Surgery was already schedule at this time they went ahead and told me what time to be at hospital, and to go talk to ins lady. She said insurance change rules have to go by weight before surgery not original weight!!! So go home and gain weight!!! Go to regular doctor on Monday the 10th get weighed in and get documented on their records fax to them (they are two and half hours from me) and if I'm at least 35 BMI it will be a go. I'm diabetic so its very hard to gain with only liquid protein shakes and not add so much sugar to cause my diabetes to go out if control again! But I did it. Go to Doc today to weigh in. Oh forgot to get fax number call in to get and was told to be sure to get doctor to write how I gain the weight everything I eat, that i was no longer vomiting, that I was eating food, and my GP was in remission and that I was in good health!!!! What the heck!!! She said go get weighed thats it. I told her I didnt have an appointment because she didnt tell me all of this before. Well we have to show the insurance that you are all better now!!! How does the insurance even know how sick I've been? She called and told them!!! Now they want all of this stuff before i can have surgery and i have to be reapproved! It took them two months to approve me the first time and I have all kind of health problems! Now i have to be in her words "good health" and a BMI of at least 35 to have the surgery!!!! So they cancelled my surgery because they dont believe that I can do it. They said wait 6 months to a year and try again!!! I'm so MAD, and I"m so depressed. Has anyone else gone thur this BS before??? They said I could go self pay but I dont think I could borrow the money. Just last week the ins was paying for it!!! Why should I have too!  They said they might be able to get it approve for medical surgery instead of weight loss for my GP. But if I get turn down they believe my insurance would never approve me for weight loss again!! I dont know what to do any suggestions? Any one??? Please??? Anything?????

Losing my mind in KY
Tonya

What a goat rope! Why can't these stupid docs get their ducks in a row and work together? I hope some folks more in tuned to the ways of insurance and medical crap chime in and offer you some help. Burns me up!

--g

Geese louise.  I have never heard of going by the pre-surgery weight instead of the original weight but I know insurance will do whatever they can to be sure they don't have to pay.  I don't know anything about GP but what are the chances of you "recovering to good health" and gaining the weight?  Maybe you should look at it as a medical intervention.  I'm at a loss.  But here's a hug  .  Keep us informed.

 There is an Insurance, Cash Pay and Financing forum.  I have never been on it and don't know how active it is, but you may want to go see if there's anyone there that can help.

I know there are people on the OH Forums who DO have a lot of experience with insurance companies. 

It sounds like someone is really jerking you around - both at the Dr's office AND insurance company.  

Hang in there... and stand up for yourself.  Fight back - that's the ONLY way you will win!

So sorry you are going through this, hang in there !
Mandy

My suggestion is to find another program. This place clearly is not good at working with insurance. Personally I think with your GP that getting the surgery should be a snap! But not with a place like this which doesn't have their act together. Who knows what other thing they'd mess up.

Some places are really good playing the insurance game and some are not. You need to find one that can play the game for you!

Thanks for all of the responses. Hate to start over at this point, also if they told insurance I'm under BMI now what good would it do. I'm trying everything I can do to gain weight. But I'm limited in what I can "drink" without getting really really sick! There is no remission for gastroparesis, there is no cure. Every time I talk to them now they tell me another requirement I have to do to get reapproved! I'm at lost as to what to do. I NEVER thought in my life I would be told to GAIN weight!!!
Tonya

So sorry you are going through this. I don't have advice, but just wanted to give you a hug - (((hugs))).

Thanks for the hugs I really need them!!! geting realy depressed right now!

AWE....(((HUGS))).