tamoune 2 Posted September 8, 2013 I have humana coverage, and I spoke with them and my policy do have WLS coverage. I am 5'4 222lbs, hypothyroid, severe knee pain and heel pain, adrenal fatigue. I have tried every diet under the sun. doctor even had me on diet pills and I didn't lose any weight. don't have major health problems. hope my insurance will qualify me. Please let me know if your any of you guys insurance approved you without major health problems. I do have family history of high blood pressure, diabetic. thanks for replies. Share this post Link to post Share on other sites
DeniseM 238 Posted September 8, 2013 Do you know what your BMI is? Most insurances will approve anyone with a BMI over 40, and will approve with a BMI of 35-40 with at least one co-morbidity. Share this post Link to post Share on other sites
SuNMooNStaRS816 423 Posted September 8, 2013 My BMI is 38.1 With a BMI of 38.1 they will more than likely require you to be diagnosed with at least one comorbidity. Diabetes, high blood pressure, high cholesterol, or sleep apnea. If your BMI was 40 or above they do not require the comorbidities. Share this post Link to post Share on other sites
unbesleevable1 420 Posted September 8, 2013 or you can gain 11 lbs.... Share this post Link to post Share on other sites
tamoune 2 Posted September 8, 2013 @tamoune wow! you have good insurance. I am confused because my insurance company wants 6mths diet and 2years history of overweight. do I have to show my medical record for the past 2 years that I was overweight? and will that mean I will not have to do 6mths diet. just confused. Share this post Link to post Share on other sites
SuperFab 689 Posted September 18, 2013 Wow,I have Humana Gold (a Medicare advantage plan) and didn't have all that. No 6 month diet or 2 year diet history. Share this post Link to post Share on other sites
Angi281 77 Posted December 9, 2013 I have Humana H.M.O and my BMI was 59 by the time I went for approval. I didn't have any trouble getting approved Share this post Link to post Share on other sites