insurance No Co-Morbidities and BCBS IL PPO

[bettyboo 18]

Anyone have experience with a BMI of 35 and no co-morbidities? I have BCBS PPO. I am doing a sleep study next week and having hba1c blood test. I have a family history of sleep apnea, diabetes, hpb, thyroid issues, but for now, i don't think i have any of these. I have plantar fasciitis, major depression (on meds) and urinary incontinence. Do those help?

[Ashlee K 46]

I have the same insurance as u and no co morbids My doc wouldn't even let me in the weight loss program until my bmi was 40. But good luck

[lynndtt 21]

I have this exact same insurance, only my husband works for boeing. I called the number on my insurance card and asked where I could view the insurance policy for bariactric surgery online so that I could see the exact requirements. If you have a bmi under 40 but at least 35 you need 2 comorbidities, the ones they accept are: high blood pressure, disilipedemia ( high cholesterol), diabetes, osteoarthritis, sleep apnea or coronary heart disease. I have a bmi of 35 and have had high BP for 15 years and had a sleep study recently where they diagnosed me with moderate sleep apnea. They require you to see a nutritionist and get a psych evaluation and if you have your surgery done at a blue distinction center of excellence will pay at 100%. This is all they require and your surgeon's office should set up all these appointments for you. I don't know what a hba1c blood test is. Now this is for my husbands employers insurance. Other bsbs policies may be different.

[NewAshes 232]

A1C is diabetes test

[PainInTheGlass 50]

I have the exact same insurance...and with a BMI of 35 you need at least 2 co-morbidities. I was worried that I wouldn't qualify because the docs office never told me I was diabetic (in those exact words)...but they were treating high blood sugar with meds. I was also on blood pressure meds and at one time I had elevated cholesterol (treated by meds but then I was taken off of them due to side effects). So I wasn't sure if I would qualify or not. Turns out my primary care submitted all three to insurance and I was approved with the first submission to insurance.

When I went back to see my pcp at 4 days post-op I was taken off of the diabetes meds!! and I expect to be taken off blood pressure meds in the very near future. I'm guessing that my cholesterol will also be back in line the next time I test. And the best part....I've lost 18 lbs and I feel GREAT!

[thinathart 197]

They counted my disc degeneration disease is a co-morbid. Do you have any back issues? If so, BCBSIL (under my policy) puts that into the osteoarthritis category. Good luck!