will i be approved??

[Kami172000 16]

hello my name is Kami and im from california, im 23 years old i am a mother of a 4 year old boy. i have a dr appt tomorrow 4/1/11 to talk about getting started with the lap band!! i am 5'5(ish) and 265lbs. i am really hoping i am approved, i am borderline diabetic(if not there already), my hip gives out all day every day, i cant walk when this happens, my ankles are swollen by the end of the day from all the walking i do at work. I feel very tired all day long and i seem to be always cold, which i have been told has something to do with poor circulation which is because im over weight. I have tried EVERYTHING under the sun to loose weight and all i can seem to do it lookse Water weight of like 3lbs and i cant seem to go any further no matter how hard i push. i went to the gym 4 days a week did tons of cardio and little bit of weights and ate healthy, that didnt work. diet pills, tried them all, that didnt work. no carb... ya didnt work either!!

i am really hoping i am approved and get the ball moving so i can have a better life for me and my son!! i called my insurance (IEHP) and they said they WILL pay for it!! i was so excited and shocked they will pay!!

for everyone who has been through this already does it sound like im good for it??

thanks

[TKW 501]

If your insurance said they'd cover it I say your in! Good Luck to you!

[Kami172000 16]

thank you!! im just hoping my dr will be on the bandwagon also!!

[MarcyLoo 12]

So you BMI would be in the 40's, making it likely. From what I understand many insurance companies require a comorbidity (specifically uncontrolled diabetes, uncontrolled high BP, or diagnosed sleep apnea) for a BMI of 30-40, but many also require if even with a BMI >40. Some may also require a 3-6-or 12 month medically supervised diet. The only way to know if to have the surgeon submit paperwork and see what insurance comesback with.

I was denied with a BMI of 54 and sleep apnea...appealed it and was approved.

[Kami172000 16]

wow so being over weight isnt enough for them?? thats ridiculous!! i have done so much research that said its better if you have all those problems but being over 100lbs is the key. hmmm that kind of scares me!! im so nervous for my apt tomorrow, if i dont get this surgery i will be over weight for the rest of my life!! and in a few years i want to have another baby and i dont want to add more baby weight on top of my weight now! i gained 100lbs being preg alot had to do with gust diabetes