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

BCBS appeal was approval - BMI 35 SLEEVE



Recommended Posts

I won my appeal from blue cross blue shield. Two weeks ago, I was rejected by my insurance company for the gastric sleeve because they declared my bmi 35 was too low..for the surgery it has to be 40. I'm very thankful to my wonderful bariatic insurance coordinator who fought on my behalf because I have high blood pressure. I am so happy I will be a sleevey soon. They are calling me tomorrow to schedule my surgery...yesssss I feel like a new beginning. I use to be very athletic but I injured my knee over time in which I have developed arthritis and if I don't lose 60 to 80 lbs I will need a knee replacement by 55. So now I can save my knee, and save myself...yes.

myezzence

Share this post


Link to post
Share on other sites

This is very intersting to me. I have just been denied by BCBS of MI because of my BMI. It's 41. They said no because they said it was too low. What did you have to do for the appeal? I too have a diagnosis of high blood pressure. I will have to call my coordinator tomorrow. BCBS is my secondary. My primary said yes but it is 80/20 but my out of pocket is $1500.

Share this post


Link to post
Share on other sites

Congrats....that is wonderful news.

Share this post


Link to post
Share on other sites

Congrats on your appeal! I also won an appeal with Anthem Blue Cross here in California. I'm doing a band to sleeve revision, and they originally denied me becausse my BMI was too low without co-morbidities, but seeing as I lost my band when I delivered my son (totally out of my control) they overturned the decision and approved me. My BMI is 37, so I'm so thankful to have the opportunity to go back to my "bariatric" way of life :)

Share this post


Link to post
Share on other sites

Congratulations!

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

    • cryoder22

      Day 1 of pre-op liquid diet (3 weeks) and I'm having a hard time already. I feel hungry and just want to eat. I got the protein and supplements recommend by my program and having a hard time getting 1 down. My doctor / nutritionist has me on the following:
      1 protein shake (bariatric advantage chocolate) with 8 oz of fat free milk 1 snack = 1 unjury protein shake (root beer) 1 protein shake (bariatric advantage orange cream) 1 snack = 1 unjury protein bar 1 protein shake (bariatric advantace orange cream or chocolate) 1 snack = 1 unjury protein soup (chicken) 3 servings of sugar free jello and popsicles throughout the day. 64 oz of water (I have flavor packets). Hot tea and coffee with splenda has been approved as well. Does anyone recommend anything for the next 3 weeks?
      · 1 reply
      1. NickelChip

        All I can tell you is that for me, it got easier after the first week. The hunger pains got less intense and I kind of got used to it and gave up torturing myself by thinking about food. But if you can, get anything tempting out of the house and avoid being around people who are eating. I sent my kids to my parents' house for two weeks so I wouldn't have to prepare meals I couldn't eat. After surgery, the hunger was totally gone.

    • buildabetteranna

      I have my final approval from my insurance, only thing holding up things is one last x-ray needed, which I have scheduled for the fourth of next month, which is my birthday.

      · 0 replies
      1. This update has no replies.
    • BetterLeah

      Woohoo! I have 7 more days till surgery, So far I am already down a total of 20lbs since I started this journey. 
      · 1 reply
      1. NeonRaven8919

        Well done! I'm 9 days away from surgery! Keep us updated!

    • Ladiva04

      Hello,
      I had my surgery on the 25th of June of this year. Starting off at 117 kilos.😒
      · 1 reply
      1. NeonRaven8919

        Congrats on the surgery!

    • Sandra Austin Tx

      I’m 6 days post op as of today. I had the gastric bypass 
      · 0 replies
      1. This update has no replies.
  • 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

    ×