BMI 35 and insurance approved? ?

[MsK1972 112]

I'm here I'm 34.7 bmi with borderline diabetes' date=' high cholesterol and mild sleep apnea with reflux. I'm having surgery tommorow ! Nervous and I don't realty feel supported since I don't have a lot of weight to lose.[/quote']

Mine is 34.5 now and I am having mine 10/23..no worries dear, you have to do what's right for YOU..you will get support here on this forum so don't worry. I pray you a speedy recovery..and success...

[woo woo 872]

x

Edited October 11, 2013 by woo_woo

[SuNMooNStaRS816 423]

I was approved without any difficulties . Surgery was 10/1/13. I am one week post op. Lost 12.2 the first week and 17.6 since pre op diet. BMI was 36 something and is now 32.

[woo woo 872]

Wow impressive! Congrats on your losses so far!

[ReadyNewM3 112]

Hi! My surgery was on 9/18...and I lost 17 pounds...I'm in a stall for a week and I hope this finished soon! I feel that I'm loosing inches so its good! I'm happy with my decision...good luck to all

[ReadyNewM3 112]

Oh and my sugars levels are ok, no metformin!

[kvlasy 195]

Started with a 35 BMI, was told to lose no weight before surgery on 5/17 - down 56 pounds and 4 dress sizes.

[lswelk 22]

My insurance wouldn't even discus it. Not covered for any reason. I put it on a credit card. Don't know if ill live long enough to pay it off but now with the sleeve there's a better chance that I will!

I will do that too if I get to 6 months supervision and am declined. Also am 62, with co-morbidities. Had lost about 18 lbs by third month pre-op, landing me at 230. (am 5'5)

Doctor said don't get below 220 or my BMI would be too low for Insurance co. So, am finding this slow down frustrating, and it seems like my last 6 month appt in mid Dec will never get here. Then it will take 4 weeks for approval process and THEN I will get an appt for surgery taking into Jannuary or later.

It's hard to keep my fingers crossed for 6 months. .

IN GR AND TIRED OF WAITING

[ribearty 544]

I will do that too if I get to 6 months supervision and am declined. Also am 62, with co-morbidities. Had lost about 18 lbs by third month pre-op, landing me at 230. (am 5'5)

Doctor said don't get below 220 or my BMI would be too low for Insurance co. So, am finding this slow down frustrating, and it seems like my last 6 month appt in mid Dec will never get here. Then it will take 4 weeks for approval process and THEN I will get an appt for surgery taking into Jannuary or later.

It's hard to keep my fingers crossed for 6 months. .

IN GR AND TIRED OF WAITING

My insurance company (UHC) goes by the initial weight when you first meet with the doctor. They do not penalize you if you lose weight. Your insurance may be different. Even if you have the same insurance as another person, a lot of the criteria is determined by the contract your employer negotiated for their benefit coverage. I know another person with UHC in Missouri, different employer, we both had a 6 month diet, but she had to visit a physical therapist and I did not.

Based on your height and weight, I doubt the insurance company will disqualify you. At 5'5" you could drop to 210 and have a BMI of 35. Some insurance companies require one or two comorbidities below a BMI of 40.

[lswelk 22]

My insurance company (UHC) goes by the initial weight when you first meet with the doctor. They do not penalize you if you lose weight. Your insurance may be different. Even if you have the same insurance as another person' date=' a lot of the criteria is determined by the contract your employer negotiated for their benefit coverage. I know another person with UHC in Missouri, different employer, we both had a 6 month diet, but she had to visit a physical therapist and I did not.

Based on your height and weight, I doubt the insurance company will disqualify you. At 5'5" you could drop to 210 and have a BMI of 35. Some insurance companies require one or two comorbidities below a BMI of 40.[/quote']

Thanks so much for this reply and the new information. I know I could get to 210 on my own. Meeting with my physician in a couple days. I'll check it out with her and maybe check back with my bariatric surgery group. GHP. THANKS AGAIN.

[lswelk 22]

My insurance company (UHC) goes by the initial weight when you first meet with the doctor. They do not penalize you if you lose weight. Your insurance may be different. Even if you have the same insurance as another person' date=' a lot of the criteria is determined by the contract your employer negotiated for their benefit coverage. I know another person with UHC in Missouri, different employer, we both had a 6 month diet, but she had to visit a physical therapist and I did not.

Based on your height and weight, I doubt the insurance company will disqualify you. At 5'5" you could drop to 210 and have a BMI of 35. Some insurance companies require one or two comorbidities below a BMI of 40.[/quote']

[woo woo 872]

Actually I believe 211 would be the lowest you could go to stay at bmi 35 and above for approval.

Edited October 13, 2013 by woo_woo

[Italiancurves 117]

I was approved at 37 BMI and am now @ 35 BMI. (20 days pre op)

I'm self pay but my doc approves if u have 30 BMI or higher.

I don't really have any co- morbidities (slightly high cholesterol which will come down with the weightloss).

So excited about becoming sleeved!

Good luck to everyone!

[lswelk 22]

I was approved at 37 BMI and am now @ 35 BMI. (20 days pre op)

I'm self pay but my doc approves if u have 30 BMI or higher.

I don't really have any co- morbidities (slightly high cholesterol which will come down with the weightloss).

So excited about becoming sleeved!

Good luck to everyone!

Good. You are getting this done BEFORE you get the co-morbidities.

[lswelk 22]

Actually I believe 211 would be the lowest you could go to stay at bmi 35 and above for approval.

Thanks for this note. I believe you are correct. Sorry for the delay in getting back to you.