AvMed Insurance

[Casiblue71560 0]

Bad news and good news. Today I was denied. BMI is 38.6 and avmed said that at that number I didn't qualify. I'm only on one bp med and to qualify I had to be on three or Have severe sleep apnea and diabetes. Having high cholesterol wasn't on the list or borderline diabetes. Dr was told that if my BMI was 40 I would be approved automatically. Was told that I actually may have to gain weight to qualify.I figured a few pounds ,about 20 ,considering ive dropped a few doing the pre op diet this week. I'm 5-8 and if I was shorter, at my current weight would qualify. So figured that I would see if I was still 5-8 since I'm older , had back surgery and haven't checked my height since forever. Low and behold I've shrunk about an inch and a half which qualifies me. Have appt at dr mon morning .keep your fingers crossed.

[danied28 0]

Good morning,

to see the website with AvMed requirements I just google AvMed Weight loss surgery requirements and one of the first options that comes up is their requirements.

[danied28 0]

Good morning Casiblue71560,

I am sorry to hear that you were denied. I am glad to here you still have a chance and hope that your doctors appointment goes well. Good Luck and get that approval. I will be sending all of my paperwork to my surgical coordinator today and all I will be pending is my nutritionist vist which is today and then the coordinator can submit everything to AvMed. Keeping fingers cross for the both of us.

[Casiblue71560 0]

Hi,

Looked up the av med website and you're right. I am a nurse and had a co worker check my height. Sure enough I've shrunk. Spoke to the drs office and they told me it would change things. Wasn't sure if I should continue on the pre op diet or not . Decided not to. Defiantly not wanting to lose weight until after Monday.

[danied28 0]

Wonderful. Now can they resubmit your paperwork and hopefully approve it this time? I have a question also. Would you consider Quick Weight Loss on the same lines as Weight Watchers and Curves?

[Casiblue71560 0]

Hi,

Went to my Dr. This past Monday to get reweighed. Actually had to gain a few pounds and wore my heavy shoes. Found out yesterday that I'm approved !!!!

Surgery set for next Monday April 8th . Didn't expect it that fast but luckily I had discussed the probability of the surgery dates when I started this journey 6 mos ago with my job so it was approved.one week of the high Protein stuff then Clear Liquids next weekend. Signed consent and pre op tests scheduled for Thurs. gonna be a busy week.

[NewAshes 232]

For once I'm actually glad my BMI is 47 so I have wiggle room to loose.

[danied28 0]

Omg, I am so happy for you. My paperwork was submitted to insurance on Tuesday or Wednesday I am waiting for prayfully an approval.

[danied28 0]

Hi' date='

Went to my Dr. This past Monday to get reweighed. Actually had to gain a few pounds and wore my heavy shoes. Found out yesterday that I'm approved !!!!

Surgery set for next Monday April 8th . Didn't expect it that fast but luckily I had discussed the probability of the surgery dates when I started this journey 6 mos ago with my job so it was approved.one week of the high Protein stuff then Clear Liquids next weekend. Signed consent and pre op tests scheduled for Thurs. gonna be a busy week.[/quote']

Wanted to check to see how you are doing. I hope all is well.

[Casiblue71560 0]

I was sleeved on the 8th. First couple of days weren't fun but now feeling good. Having issue with low blood pressure since I stopped my bp meds. Will no longer be taking them. Currently on full liquids but given the ok to advance diet in a few days. 19 ponds gone since preop saw dr this am. Cleared to go back to work on monday

[danied28 0]

I was sleeved on the 8th. First couple of days weren't fun but now feeling good. Having issue with low blood pressure since I stopped my bp meds. Will no longer be taking them. Currently on full liquids but given the ok to advance diet in a few days. 19 ponds gone since preop saw dr this am. Cleared to go back to work on monday

So happy everything went well and you are doing good. My surgery date is next Wednesday the 24th.