How likely am I to be considered for VSG?

[Ready4aNewLife 1]

I am a 19 year old female, 5'4 and 293 lbs. My BMI is 50 exactly. I was diagnosed with moderate sleep apnea yesterday. I have called both of my insurance companies, BCBS and Medicaid, and they both cover VSG. I was wondering how likely am I to be approved for VSG by them?

[Caitlyn_Cat 7]

Probably pretty good. Your BMI is high and you have a major co-morbidity. Best of luck on getting approved!

[Day Dreamer 23]

I am a 19 year old female, 5'4 and 293 lbs. My BMI is 50 exactly. I was diagnosed with moderate sleep apnea yesterday. I have called both of my insurance companies, BCBS and Medicaid, and they both cover VSG. I was wondering how likely am I to be approved for VSG by them?

Sounds like you fit the bill! Good luck!!

[Valentina 2,642]

Welcome to the Clan, me wee one!

[Beadingnurse 116]

I think you are VERY likely to be approved! Congratulations!

[yikeit 1]

I was told that medicaid didnt cover it?maybe that has changed.

[Valentina 2,642]

Medicaide managed medical plans do here in NY.

Valentina :grouphug:

I was told that medicaid didnt cover it?maybe that has changed.

[Oregondaisy 2,021]

You have a high enough BMI and if your insurance covers it, I don't see any reason why they would not cover you.

[AutumnLily 77]

Only way to find out for sure is to apply.

[Raine 170]

I think you are a shoe in.

[ginajeans 4]

I don't think you have a thing to worry about. You meet the two major criteria. Good luck to you!!

[anonynurse 13]

Medicaid coverage is a state-by-state thing. I do know for most who wish Medicaid to cover the surgery, IF it is a covered benefit, the waiting list is huge. Not many physicians in my area (DFW) take medicaid OR medicare due to difficulty getting paid. If your BCBS is primary you have a better shot.

[wishes 125]

You have a good case, but the only thing you can do is apply to really see where you stand.