Does Losing weight = Losing Approval?

BikiniBeachy · 05-05-2008, 12:04 AM

Is it possible to 'lose' approval? If you are approved at a 40 BMI and during your waiting list for evals/classes etc, you lose weight to take to you to 30-35- or 36-39 BMI category, can they revoke your approval?

tweety63 · 05-05-2008, 05:41 AM

My ins. was an hmo they did everything to prevent me from being approved. I would proceed with caution. Don't loose to much weight under the 40 bmi you will have a better chance for approval if you stay closr to 40 bmi. Just my opnion. I finally got approved after appealing the decision the hmo group made.
Colleen
PS. Its worth the fight !!!!!

Luu2008 · 05-05-2008, 06:00 AM

I was worried about the same thing just being a 40 BMI. My program required a 5% weight loss before approval, pushing me into the 38 BMI. I was told that this used to be a reason for denial by insurance companies but it was appealed so often that insurance companies no longer deny for this reason and not to worry about it. I'm in NY, I'm sure it depends where you live and who your insurance carrier is. I would ask the coordinator (person who sends your stuff to the insurance company) they would know.

Good luck.

2BtinyinTN · 05-05-2008, 07:46 AM

I have BC which required me to loose 10% which put me below 40BMI and yep...they denied me. So...my docs office said gain some weight. I did and got my BMI back up to 40 and was approved. I think the Ins companies want to make it as hard as possible. It is all a game they play. Play it with them!!

aubrie · 05-05-2008, 11:54 AM

My doctor reported the BMI and wieght to my insurance when I FIRST went to see him. It took 11 months to get approval, and I did lose a little int that time, but what he initially reported is what they considered.