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12-29-2008, 11:59 PM
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#1 (permalink)
| | Whipper Snapper
Join Date: Nov 2008 Location: Seattle, WA
Posts: 11
Weight Statistics Hopefully in April/May of 2009 Surgery Date:
5' 7"
Height:
358 lb Start Weight:
358 lb Current Weight:
155 lb Goal Weight:
203 lb Lb Left to Lose:
2010 Goal Date:
Body Mass Index56.0646023613 BMI Start:
56.0646023613 BMI Current:
24.273780352 BMI Goal:
|  The 5 Years Requirement
So, I'm in the process of seeking RNY. I meet all of the requirements except for one thing... I'm concerned about the requirement to have been obese for five years. I have been obese for 5+ years, but I'm concerned about being able to prove it medically. Whenever I had a cold or what have you in college they never weighed me. I know I was 290 pounds in 2003 but I don't know how to prove it.
Did anyone else have this problem? Were you able to get around it? My doctor's office promised me they'll do everything in their power to get me approved, but my insurance company said they have never approved anyone without proof of the five year history.
Thanks for your advice and help!
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12-30-2008, 06:01 AM
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#2 (permalink)
| | Seasoned Veteran
Join Date: Sep 2008 Location: Mississippi
Posts: 5,183
Weight Statistics 3/18/2008 (dieted all my life) Start Date:
9/30/2008 Surgery Date:
5' 8"
Height:
292 lb Start Weight:
192 lb Current Weight:
189 lb Goal Weight:
100 lb Weight Loss:
3 lb Lb Left to Lose:
34.2465753425 % % Lost:
2 years Goal Date:
Body Mass Index44.3935986159 BMI Start:
29.1903114187 BMI Current:
28.7342128028 BMI Goal:
Weight Loss MethodRoux en Y Gastric Bypass
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I had the same problem but i remember that I had seen another dr at about the 5 year mark and sent for the record of that wt. It was just one pound over what the lowest wt could be but it worked. good luck I sure hope you can find something that will work.
__________________   Love to Share , Health to Spare, and Friends that Care!
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12-30-2008, 08:36 AM
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#3 (permalink)
| | Seasoned Veteran
Join Date: Oct 2007 Location: North West, NJ
Posts: 2,707
Weight Statistics 1/14/2008 Surgery Date:
5' 10"
Height:
330 lb Start Weight:
235 lb Current Weight:
200 lb Goal Weight:
95 lb Weight Loss:
35 lb Lb Left to Lose:
28.7878787879 % % Lost:
Body Mass Index47.3448979592 BMI Start:
33.7153061224 BMI Current:
28.693877551 BMI Goal:
Weight Loss MethodRoux en Y Gastric Bypass
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I think I remember just about a week or so ago someone here saying they had had the same issue and had provided pictures, and that their primary helped them out a lot with a letter (?). More should be on with ideas soon - good luck!
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12-30-2008, 09:10 AM
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#4 (permalink)
| | Seasoned Veteran
Join Date: Oct 2007 Location: N.Y.
Posts: 1,577
Weight Statistics June 25,2007 Start Date:
June 25,2007 Surgery Date:
5' 7"
Height:
322 lb Start Weight:
239 lb Current Weight:
165 lb Goal Weight:
83 lb Weight Loss:
74 lb Lb Left to Lose:
25.7763975155 % % Lost:
07/2008 Goal Date:
Body Mass Index50.4268211183 BMI Start:
37.4286032524 BMI Current:
25.8398306973 BMI Goal:
Weight Loss MethodRoux en Y Gastric Bypass
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Pics. are a good idea!!!!!! WTG Denise. Hi Tami, I had to log my entire life of weight loss attempts. Oh yeah,lol. After I sent it in they said I was missing this span of time and that span of time......I just kept adding "stories"until they were happy. Keep on asking ques. and help will soon arrive. Kathy
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12-30-2008, 09:16 AM
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#5 (permalink)
| | WLS Master Guru
Join Date: Nov 2008 Location: Tennessee
Posts: 990
Weight Statistics Feb.08 Start Date:
Nov. 10th 2008 Surgery Date:
5' 7"
Height:
314 lb Start Weight:
225 lb Current Weight:
160 lb Goal Weight:
89 lb Weight Loss:
65 lb Lb Left to Lose:
28.3439490446 % % Lost:
Body Mass Index49.1739808421 BMI Start:
35.236132769 BMI Current:
25.0568055246 BMI Goal:
Weight Loss MethodRoux en Y Gastric Bypass
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Yes I had the same problem. I was never one to visit the doctor. But my surgeons office told me to gather photos from the missing years that were dated on the back and also write a heart felt letter to send in with what little proof I had to the insurance company telling them why I had sent the photos and why I felt I needed the surgery. It worked and my insurance company had approved my surgery less than 1 week after the documents were submitted. The surgeons office was shocked at how quick I had gotten approval. (By the way, you will not get the photos back)
Hope this helps you. Good Luck!!
__________________
Loving my new life.   | |
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12-30-2008, 10:51 AM
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#6 (permalink)
| | Seasoned Veteran
Join Date: Oct 2007 Location: North West, NJ
Posts: 2,707
Weight Statistics 1/14/2008 Surgery Date:
5' 10"
Height:
330 lb Start Weight:
235 lb Current Weight:
200 lb Goal Weight:
95 lb Weight Loss:
35 lb Lb Left to Lose:
28.7878787879 % % Lost:
Body Mass Index47.3448979592 BMI Start:
33.7153061224 BMI Current:
28.693877551 BMI Goal:
Weight Loss MethodRoux en Y Gastric Bypass
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That's who it was! Sorry Janice - I couldn't remember who had posted that about the pictures.  | |
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12-30-2008, 12:42 PM
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#7 (permalink)
| | WLS Mentor
Join Date: Jan 2008 Location: Northern VA
Posts: 1,496
Weight Statistics 02/07/2008 Start Date:
02/07/2008 Surgery Date:
5' 7"
Height:
310 lb Start Weight:
146 lb Current Weight:
159 lb Goal Weight:
164 lb Weight Loss:
-13 lb Lb Left to Lose:
52.9032258065 % % Lost:
Summer 09' Goal Date:
Body Mass Index48.5475607039 BMI Start:
22.8643350412 BMI Current:
24.9002004901 BMI Goal:
Weight Loss MethodRoux en Y Gastric Bypass
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pics are great idea or if you ever tried weight watchers or anything during that time...maybe they have records?
__________________ Shannon   | |
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12-31-2008, 02:16 AM
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#8 (permalink)
| | Whipper Snapper
Join Date: Nov 2008 Location: Seattle, WA
Posts: 11
Weight Statistics Hopefully in April/May of 2009 Surgery Date:
5' 7"
Height:
358 lb Start Weight:
358 lb Current Weight:
155 lb Goal Weight:
203 lb Lb Left to Lose:
2010 Goal Date:
Body Mass Index56.0646023613 BMI Start:
56.0646023613 BMI Current:
24.273780352 BMI Goal:
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Thanks for the tips; I definitely have a ton of pics- it was college! I remember how much I weighed from weighing myself at home, so hopefully that will help. I can document tons of stories and provide many pictures (hopefully they'll take copies! I'll have to figure that out; I have digital pics from that time period, too, though). I am glad to hear that other people found ways to get past this requirement.
Btw, do any of you know whether the weight five+ years ago has to be a BMI of over 35 or of over 40? The lady from my insurance (Blue Cross Blue Shield, though it's Premera Blue Cross locally) didn't know and I figured I'd just worry about that after I got the old medical records. I am pretty sure I can prove that I was over 35 five or more years back but I am not as certain about 40.
Thanks!!
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Denise
