Just starting the process abd i have a question..

[JessicaAnn 564]

So my consultation apt is coming up on Monday. I have also already scheduled all of my other necessary apts and testing over the next week and a half to get it done fast.

I guess what my question is, is that I have no medical issues. BP, sugar, heart, lungs.. Everything is fine. However, I'm 5'3 and 278lbs which puts my bmi around 48. So can they approve my surgery based solely on my bmi? Or does there have to be another issue.

Thanks in advance!

[mommyradd 115]

Most plans cover high BMI's without comorbities. You have a high BMI, you just need to familiarize yourself with your insurance plan, as to what it's requirements are. Also, it's great that you have all your appointments scheduled. Sometimes paperwork cannot be submitted for approval because we haven't finished all the requirements. Good luck.

[JessicaAnn 564]

Thank you. I did call my insurance company. They said no spacific requirements, they do it on case by case as long as the doctor says its medically necessary. I just didn't know if by "doctor standards" it was necessary if the o ly thing wrong is my actual weight.

[BeatrizS1974<3 sleeve 94]

IF you can get a letter from your PCP stating that he/she feels its medically necessary its extra brownie points in your corner. The More Dr's you get on your side the better.

[mommyradd 115]

I have CIGNA, and they said the same thing to me. As it turns out, even though they state that they have no specific guidelines,they use the standards recommended by the Lung Heart and Blood Institute. The LHBI says greater than 40 without comorbities.They also talk about supervised diet, etc.. You can google them, and there are many BMI tools online to help you determine your BMI. Hope this helps.