Jump to content
×
Are you looking for the BariatricPal Store? Go now!

BMI of 35, wondering about comorbidities...



Recommended Posts

I have recently started looking into getting lap-band®® surgery. As stated in the title I have a BMI of 35, I’m not sure if what other problems I have would be considered a comorbidity. From what I can tell my insurance will cover the surgery with a BMI of 35 with one comorbidity. I am currently taking medication for Hypothyroidism, Low good cholesterol and depression….would any of these be considered a comorbidity?

Thanks for any information you can give me!

I also posted this in the insurance forum, but thought that maybe it didn’t belong there.

Share this post


Link to post
Share on other sites

The hypothyroidism might just be enough. I had a BMI of 35 with depression and osteoarthritis as my comorbidites and was approved on the first submission. My insurance required 2 comorbidities and the surgeon later gave me a diagnosis of mild sleep apnea - which I'm not totally convinced about. None the less, I was approved. Good Luck.

Share this post


Link to post
Share on other sites

I hope that it is enough, I go to a surgeon’s seminar next month. Thanks for your reply, what insurance do you have?

Share this post


Link to post
Share on other sites

I was at 35. I gained some weight before I requested the surgery - I was at 37 and got approved. I have diabetes 2 and hypo thyroid. It has been 4 weeks since the surgery and I am at 33 BMI. I lost 28lbs in 4 weeks since the surgery - isn't that awesome?

You can always appeal if they deny you.

Share this post


Link to post
Share on other sites

That is awesome! You are doing so great!

I also have a family history of diabetes, my father had juvenile diabetes (not sure what type that is) and died from complications of his diabetes…something to do with his heart. I didn’t really know my father too well, so I’m not sure of the exact details of his death. Diabetes has always been a concern for me since it runs in every generation on my father’s side. I’ve been lucky so far and I don’t want to press my luck anymore.

Thanks

Share this post


Link to post
Share on other sites

High cholesterol, depression and hypothyroid all can be co-morbidities as well as high blood pressure, stress incontenence and some other things...each insurance co has their own requirements...just call your insurance company and ask or find the book that spells out your coverage and you will find it...I was amazed at my consult though at how much the Dr.s staff knows about getting things approved...they are pretty good at it. I bet all will be well if you consult with a surgeon.

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • buildabetteranna

      I FINALLY HAVE MY DATE!!!!

      · 0 replies
      1. This update has no replies.
    • Alisa_S

      Gearing up for my consult 01/14! Starting to get a little nervous.
      · 0 replies
      1. This update has no replies.
    • Goyafigs

      I had VSG 11.20.24 with Miguel Burch, MD Cedars-Sinai and I am 1 month post-op. 
      · 0 replies
      1. This update has no replies.
    • DaisyChainOz

      🥳 Jan 1 2025 - Day 1 of Pre Op, surgery on the 16th! 😬😅
      · 0 replies
      1. This update has no replies.
    • Alisa_S

      Just been waiting until time for my consult with my bariatric surgeon. It's scheduled for Jan 9th. Turns out I won't actually be seeing him. Apparently it'll be with his P.A.             Not sure what to expect. I thought this is where the surgeon would discuss the best surgery option for me. For years I had my heart set on the sleeve, but I've read so many people have issues with reflux - even if they've never had it before - that they've had to be revised to the bypass. I already deal with GERD & take 40 mg of Omeprazole daily, so I started studying about bypass and honestly, it seems like it might be the better choice for me. How can we discuss surgery options if the surgeon is not there?
      What happened at your first consult? Trying to get an idea of what to expect, or maybe I should say, what NOT to expect.
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×