KeeSh32 99 Posted August 23, 2012 Did anybody have any issues with getting approved the first time? Share this post Link to post Share on other sites
2muchfun 8,927 Posted August 23, 2012 Many do. So many variables can disqualify your application. But, if your plan does provide coverage of WLS you should qualify unless your BMI is under 35 with no co-morbids. tmf Share this post Link to post Share on other sites
KeeSh32 99 Posted August 23, 2012 My BMI is no where under 35....I didn't know if it made a difference or not cause I don't have any pre-existing conditions like high BP, diabetes, etc.... Share this post Link to post Share on other sites
jeani81 93 Posted August 24, 2012 Every insurance company is different. Some make you go on 3,6 or 12 month diets. My insurance allowed me the surgery based on my bmi Share this post Link to post Share on other sites
Beautiful-B 22 Posted September 6, 2012 It varies from company to company. I would recommend you get a copy of your insurance policy and see if bariatic surgery is covered and if it is find out the guidelines for getting it approved. If it covered I would work with my primary doctor to get a referral to a bariatic surgeron. That's the steps I took to get my approval. Share this post Link to post Share on other sites
Successful4me 51 Posted November 27, 2012 My BMI is no where under 35....I didn't know if it made a difference or not cause I don't have any pre-existing conditions like high BP' date=' diabetes, etc....[/quote'] Mine was 34 & I got approved with a powerful appeal letter. Share this post Link to post Share on other sites
smellslikecoffee 43 Posted December 9, 2012 I had to do tons of pre op tests like sleep studies, upper GI and even my gallbladder out. After that my insurgence said they wanted 6 month supervised diet. THEN after that my insurance denied me. My BMI was a 52 and then still denied. Luckily I have a great bariatric center and they appealed it and FINALLY I got approved as medically necessary and 3 days later got banded. It's different for everybody but definitely look into what your insurance covers . Good luck Share this post Link to post Share on other sites
Beautiful-B 22 Posted February 8, 2013 My procedure was approved in 7 days. I have Tricare Prime. GOOD LUCK. Share this post Link to post Share on other sites
willowcat 93 Posted February 9, 2013 Kaiser Permanente--sleep study, psych eval, morbidly obese (BMI in 40s), two comorbidities (pre-diabetic, sleep apnea), PCP referral--took about four months for approval and had to pay 50% of the cost of surgery myself. Good luck! Share this post Link to post Share on other sites
firefaerie266 53 Posted February 9, 2013 My procedure was approved in 7 days. I have Tricare Prime. GOOD LUCK. This makes me so happy to hear! I have Tricare Standard and was hoping that I could get approved before my husband deploys! Share this post Link to post Share on other sites
