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

Recommended Posts

I have been tossing this idea around for 6 months or so. I had checked with my insurance and they did cover bariatric surgery so I went to a seminar tonight. I found out that with my insurance that they require you to have a BMI of at least 35(mine is 37) for the past 5 years. I have not checked with my previous dr. yet but I have been playing with numbers on a BMI calculator and I am doubting I have had a BMI of 35 for 5 years. I have been excited that I might have finally found the one thing that would actually work for me and now I think I may not get approved. Anyone ever had this experience and got approved? I go to my primary doctor tomorrow to get results on blood work and they will probably be putting me on cholesterol and trycliceride medicine. I am already on blood pressure meds and I want to be healthy again!!! :(

Share this post


Link to post
Share on other sites

When I went to my clinic's seminar I got the booklet to fill out with past diets and weights and all I didn't at the time put down a primary care because when I went to her for help she ,being 5'8 and probably 115 lbs., suggested that I go to a nutritionist I had been going to one and she sugested I speak to my primary ugh! Any way I went to the 1-800-get-thin I know alot of people speak things on here about them and maybe in some cases that is how it is or was for them , but like I said I filled in the booklet and just guestimated what my past weights were and seeing as I never really went to a dr unless I was with child or deathly ill there was no record of weight for years past . So they went with what I had . Maybe speaking to your primary they could help you with this there maybe comorbidities(sp) I had moderate-severe sleep apnea and some weird bacteria in my stomache they found with the endoscopy and I was also borderline diabetic which scares me as last year my father told me that his father (whom he did not know) had died from this and my mothers side (heavier relatives) all have had this . I have always been a junk food junkie and now see this as a tool to feed my self my fiancee and kids right . I did three nutrionist visits and paper work was submitted and within a week I was approved and now 6 days in . I'm still sore but am happy I did this . Please don't give up . Keep your head up . If your determined good things will happen .

I have been tossing this idea around for 6 months or so. I had checked with my insurance and they did cover bariatric surgery so I went to a seminar tonight. I found out that with my insurance that they require you to have a BMI of at least 35(mine is 37) for the past 5 years. I have not checked with my previous dr. yet but I have been playing with numbers on a BMI calculator and I am doubting I have had a BMI of 35 for 5 years. I have been excited that I might have finally found the one thing that would actually work for me and now I think I may not get approved. Anyone ever had this experience and got approved? I go to my primary doctor tomorrow to get results on blood work and they will probably be putting me on cholesterol and trycliceride medicine. I am already on blood pressure meds and I want to be healthy again!!! :(

Share this post


Link to post
Share on other sites

Usually if you have other "problems" like high blood pressure, high cholesterol, sleep apnea, etc. your insurance will cover you even if you don't meet the BMI minimum. Don't give up!! I jumped through hoops for 6 months in order to get my insurance to cover my surgery (banded on 4/26/11). It will be worth it!! :)

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

    • Bashbee91

      Hey guys new to the process looking forward to this new life. 
      · 0 replies
      1. This update has no replies.
    • Bugg

      Hi everyone! I’m brand new here. I just went through all my pre-op requirements per my insurance company and now everything has been submitted and I’m just waiting for final approval and my surgery date. I’ve been doing research, watching YouTube videos, TikTok’s, ect.. trying to prepare my mind and what to expect so I’ll be ready for the surgery. I was so sure and so set and so ready and excited. However, now that I’ve done everything & it’s almost here, I am sooooooo scared! I know why I want it bc I’ve tried everything and I just don’t feel like I can lose weight by myself. I’m tired of being overweight my entire life. I’m miserable, but I keep psyching myself out afraid of GERD bc I know how that can be and I don’t want to have to get a bypass after already gaining the courage to even get VSG. I’m scared of complications like I’mgoing to regret doing it and be depressed that I didn’t just be more disciplined and try again to lose the weight on my own even sitting here typing this knowing in my mind i just can’t and don’t possess the discipline. I’m also afraid I won’t be able to handle the restrictions of the sleeve. What do I eat? I don’t know how to eat healthy really and don’t enjoy healthy food. I don’t know how to do this! I feel so defeated!Someone tell me they felt anything similar to this or am I not ready? I thought I was. I am so tired of being sick and tired and so tired of myself and so tired of being stuck and stuck in this body and somebody different on the outside from what I feel inside. I just want to ball up and cry.
      · 0 replies
      1. This update has no replies.
    • buildabetteranna

      over 20 lbs down since4 the pre surgery diet and surgery on the 14th
      · 1 reply
      1. Selina333

        Yay!! Congrats. I know how good that feels. 🤩

    • Jenopolis

      Had a sleeve in 2017, lost over 100 pounds. Had a DS surgery this year (2025) for more sustainable weight loss. 🤞
      · 0 replies
      1. This update has no replies.
    • buildabetteranna

      The 14th was my day. I am home and recovery is going pretty smooth. They even let me walk out of the hospital. Picture of me in recovery curtesy of my boyfriend lol. 

      · 3 replies
      1. DaisyChainOz

        Glad it went well!! Wishing you a speedy recovery and wonderful success!! 🤗

      2. buildabetteranna

        Thank you ❤️

      3. Selina333

        Neat you have a pic of this day! I was sooo happy to get my surgery. It was well worth it! And I'm not even near my goal. I had surgery Dec. 2!

  • 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

    ×