Help! Confused...what are my chances??

[kathyotto 0]

Hi all! I am new to this forum, so bear with me! I went for my first appointment. I thought for sure my BMI would be 40, but it was 38.6. I was a little taller than expected. I am 40 years old, you would think I knew my height! I did wear heavy clothes and shoes, but they handed me the gown, so had nothing else on:thumbdown:.

I have Capital Blue insurance and they will only cover if the BMI is 40 and above or 35 with specific medical conditions. I do have high cholesterol, but that is it. I do snore like a race horse, so I am going to get a sleep study done, but because of the neck measurements and the looks of my tonsils the dr. doesn't think that will be the case. I REALLY, REALLY want to have the procedure done. I have been dieting for 28 years and I am nothing but a failure. The pre-op program is $415, do I chance it and attend or just give up?

Can anyone help me? What should I do???:w00t:

[jen36 1]

I also have Capital Bc/Bs and honestly can you call them and find out before you go through all this. I was told it has to be 40 with no other health problems. Mine is 38 but I have high blood pressure so I am good. That is alot of money to put out for them not to approve you. I would call the insurance co. and ask them before you even start. Hope that helps a little. Good Luck!!!!!!:w00t:

[kathyotto 0]

I've called and sent e-mails to capital blue, but can't get a straight answer. They just read what is on the policy. It looks like the only chance I might have is sleep apnea...but have to go for the sleep study. If I don't have sleep apnea, then I'm out of luck.

[kathyotto 0]

Off to see the surgeon tomorrow to set the date. BMI is 39.5, so i hope they approve me. Wish me luck!

[CarolD771 1]

Have the sleep study done. I didn't think I had sleep apnea but I had severe apnea. Also they won't tell you but you might have to put on weight. I know that's insane but you're 5-10 lbs. too light. The deposit might be re-embursed if you don't meet the requirements, but do make sure of that before you pay!!

[PuppyBandit 2]

I understand where you are coming from. I'm just barely over the limit so am having to be very careful during my 6 month pre-op diet to not lose any more than 5 pounds.

I also made my height shorter by kind of slumping for this very reason.