420gal 1 Posted July 2, 2011 I have to appeal to my insurance company because they only cover the sleeve for patients with a BMI over 50 (I'm 44). In my appeal letter, I want to mention other insurance companies that allow lower BMI patients to have the sleeve. So, if your BMI was 35 to 49 and your insurance covered the sleeve (with or without co-morbitities), please respond with your pre-surgical BMI and the name if your insurance company. Thanks so very much! Share this post Link to post Share on other sites
losetobemeagain 9 Posted July 2, 2011 I have UHC and I am between 39 - 40 depends on who's scale PCP had 39 bmi on her letter, surgeon had 40 (with pre- diabetes) Share this post Link to post Share on other sites
Was a humpty dumpty 35 Posted July 2, 2011 I was right at 40 I have Kaiser. Share this post Link to post Share on other sites
kellyw74 258 Posted July 2, 2011 I have Kaiser, mine was 43 and I had 2 cormorbidities. However, I lost 55lbs pre-op and my BMI went down to 37, but they still did my surgery and here are their requirements: To be referred for bariatric surgery, candidates must be at least 18 years old and must have a: BODY MASS INDEX (BMI) >35 WITH SPECIAL CIRCUMSTANCES As recommended by the appropriate specialist to the Regional Bariatric Medical Director or designee and approved by the Director or designee BODY MASS INDEX (BMI) 40 - 49.9 With one comorbid condition from Category 1 - OR - Any two comorbid conditions from Category 2 - BODY MASS INDEX (BMI) 50 OR GREATER No comorbid conditions required. Hope this helps you!! Kelly Share this post Link to post Share on other sites
shordee0751 0 Posted July 2, 2011 I have cigna and bmi was 46 Share this post Link to post Share on other sites
Texasmom65 23 Posted July 3, 2011 I have BCBS of Texas and my BMI is 41. Share this post Link to post Share on other sites
Heather~ Sweetdreams 10 Posted July 3, 2011 I have BCBS of Texas and my BMI was 45.9, they require either a BMI of 35 or greater with 2 health related issues due to obesity, or a BMI greater than 40. Share this post Link to post Share on other sites
MegInNOLA 531 Posted July 3, 2011 I have Gilsbar and mine was right at 40. Share this post Link to post Share on other sites
Fel 0 Posted July 4, 2011 I was at 41 when I first started in January, but my insurance (Cigna) requires a 6 month diet and excersise regimin before approving my surgery. Now I am at about 37, and was concered because my insurance requires to be at least a 40. My doc said not to worry because the insurance will take my BMI at the start of the program, not after the 6 months. I'm scheduled for late July to get my surgery done. Share this post Link to post Share on other sites
Hanir 1 Posted July 4, 2011 BMI of 40; Aetna PPO (not an ***). Share this post Link to post Share on other sites