cslinger 0 Posted August 7, 2011 Hello! I have SSM Exclusive Choice insurance and I was wondering if anybody has ever dealt with them. I am still considering the surgery. I truly believe if I dont have it I will continue to gain until i 500 lbs, like my dad. Im curious about how to go about approaching the insurance with the issue. Thank You! Share this post Link to post Share on other sites
Dream4tc 192 Posted November 7, 2011 I have exclusive choice and my approval was a piece of cake. They will pay for the surgery 100% if you have a BMI over 40 or if your BMI is 35-39 with 2 comorbidities, I believe. I am not sure if it goes lower than 35 with approval or not. My BMI is over 40 so it was an immediate yes. They also require you to do a 3 month medically supervised diet. HMR which is extremely expensive but it works, or Weight watchers and be seen by your physician regularly with medically managed documentation. I submitted my paperwork on a Thursday, 5 days later I was approved! They are extremely fast with approval. Share this post Link to post Share on other sites