![]() I even have the script I worked off on when talking to the panel during the secondary appeal. That being said, if anyone has trouble with getting coverage in the future and finds this post searching for answers, please don't hesitate to PM me and I can tell you about the entire process I went through. I went to go to it today, and Anthem changed their policy! They now have a section just for bilateral mastectomies for ftm patients! I'm super excited, because I can't help but feel like the misery I went through appealing the denial of coverage contributed to this. I want to follow up because I've been putting off writing up a full description of how I got surgery for 7 months now. They ended up approving my top surgery early, but it took almost 4 months from that first consult to getting approval. I had letters from mental health professionals, doctors, etc., and a therapist actually sat in on the call with me, which helped me a lot. I ended up going all the way to a secondary appeal with Anthem, where I got on the phone with an independent board of doctors and pleaded my case- I met every qualification except 12 months of hormones. If you become pregnant, please let us know as soon as possible because we’ll work closely with you and your OB-GYN to make sure you don’t become vitamin or mineral deficient during the pregnancy.A year ago, I submitted this post asking if anyone had successfully appealed Anthem's policy that you had to meet the WPATH criteria for genital surgeries to get top surgery. In addition, you will have a lower risk of weight-related pregnancy and delivery complications, and the baby, if born at a healthy weight, will have a lower risk of later health problems as well. This includes having a body mass index (BMI) of 40 or greater, or a BMI of 35 or greater plus at least one obesity-related medical condition such as. You need to meet certain requirements first. However, after you’ve gotten past your first two years, have lost the bulk of your excess weight and are successfully maintaining, pregnancy is much safer for both you and the baby, as you will be lighter, more active and healthier all around. A standard health plan might cover some types of weight loss surgery if your doctor believes this procedure is medically necessary for your health. ![]() The reasoning behind this is that periods of rapid weight loss are not the ideal situation for nourishing a growing fetus. However, we recommend that our female patients avoid pregnancy for ideally at least 18 months to two years after Weight Loss Surgery – specifically with Gastric Bypass and Gastric Sleeve. ![]() In fact, women who have suffered from infertility in the past will often regain their fertility as they lose weight. Pregnancy after Weight Loss Surgery is very possible. When can I have a baby after Weight Loss Surgery? You will find that the sooner you “surrender” to these recommendations, the easier it will be to adopt and maintain this healthy lifestyle after surgery, and you will be more successful long-term in keeping off excess weight. ![]() Begin to put in place the recommended healthy lifestyle behaviors that go hand-in-hand with weight loss success, such as weaning carbonated/caffeinated beverages, building in healthy protein sources to each meal, increasing physical activity as able, and cutting out simple and starchy carbohydrates. Listen to the stories of other weight loss surgery patients, which you can also find online or in print, but be aware of the individual differences in surgical experience and compliance. Check out other reputable online resources like and Attend our informational seminar, and/or one of our support group sessions. Read all materials available from the Georgetown Bariatric & Metabolic Center, or downloadable from our website. ![]()
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