ascott0322

I have independence and they cover it. I'd call them to check your specific policy because my companies PPO doesnt but the HMO does.

thank you for this! even though im slioghtly under 40BMI im hoping the family history and possible sleep apnea will get me the approval. I still have two more nutrition classes to do this month so we'll see soon. Thanks again

Hoping you all can help as I've tried calling the insurance company, my primary care and bariatric surgeon's office and haven't really gotten a clear answer. Just some background.... I started my 3 month supervised diet on 10/31/2016. I weighed in at 255/6 (39.5 BMI). The nurses aid told me to not worry too much about the BMI (try not to gain too much or lose too much). They scheduled a sleep study to test for sleep apnea but I havent received the results back yet. I visited my primary care and she wrote a letter of approval and stated that I have a BMI of 39.21 (for some reason my height in her office is higher than the bariatric surgeon ). Im currently in Month 2 of the 3 months required nutritionist visits. I'll have to weigh in two more times in December then meet with surgeon at the end of December/beginning of January. So enough babbling... my question is about insurance approval and BMI. I have a feeling that - although I snore like a hibernating bear after an orgy- i may not have sleep apnea. Why do I believe this to be the case? Well I heard that if I stopped breathing in my sleep that they would stop the sleep study and put on the CPAP machine. Although I woke myself up a few times either by snoring or just being crazy uncomfortable, I was never switched to a machine. My assumption is that I'm just a snorer. If I do not have sleep apnea hence having no co morbidity, when do I need to hit the 40 BMI? Will they look at my starting weight and 39.5 BMI? If I gain, wont my insurance company deny me because I didnt lose on the supervised diet? Should i fluctuate my weight but make sure that I am 40 BMI at the time of my last weigh in? It sucks that I have to go through all of this over 2 lbs. Had I known about ankle weights, I would've definitely threw them on with a weighted vest and a big ole Dolly Parton wig just so my initial weigh in would be recorded as 40. Im just confused because I remembered by surgeon saying "do not go over your current weight"... sooo im puzzled. Lady, I need to be about 2 lbs heavier to get the surgery Any help you all can give is greatly appreciated. Thank you all i advance! SN: if I have sleep apnea... this whole book that I wrote is probably going to be a waste of time LOL

Oh I completely understand... you handled it very well. Sent from my SM-G930T using the BariatricPal App

Coming from someone that has always yo-yod with weight, I definitely feel you. As soon as I gain weight, one of my ugly a$$ family members or friends want to point out the obvious. I'm the clapback queen and have no problem with pointing out the flaws of anyone that thinks it's OK to mention the big girl. People can be rude... and you handled it very well. When you drop the pounds, they'll talk about that. There's no changing rude folks Sent from my SM-G930T using the BariatricPal App

Thank you! You have renewed my hope!!! (thats so sad that you have to hope to have a chronic condition in order to use insurance that you pay for every two weeks) Its weird that for years my parents and I thought I had it but now that I tested, im on the fence. I have all of the signs (fatigue in the daytime, waking up multiple times a night, heavy snoring etc). Thanks again for your reply.