Insurance And Bmi

[Butterfly66 63]

Just starting my journey and wondering how many of you got approved for surgery just based solely on BMI without any other comorbidity issues? Thanks!

[BBdoodle 483]

^{My BMI was 37, I needed a comorbidity.}

[Butterfly66 63]

My BMI is 42 so I meet the requirements established by my insurance (Altius Federal), but wondered if anyone had been approved solely on meeting the BMI requirements without any comorbidity issues. Thanks for sharing. Christi

[DLCoggin 1,788]

As I understand it, the general rule of thumb is a BMI of 40 or greater OR a BMI of 35 with two or more comorbidities. Based on that, many people are approved without comorbidities.

[Butterfly66 63]

Thank you so much. I am hopeful that after my 3 months being followed by a Dr. for nutrition guidance that I will be able to be approved!

[NicoleL1016 12]

My BMI is 51 with no comorbilites but I'm waiting for my insurance now. They submitted my claim yesterday.

[Melsauve 76]

It depends on your insurance. I got mine based on my BMI but they also said I had an easy insurance to deal with. All I had to do was meet once with a psychiatrist and a nutritionist. After that it was just basic clearance from my family dr then pre-testing at the hospital. It was almost too easy to get the surgery.

[Butterfly66 63]

Melsauve, what insurance do you have?

[nomorefat 74]

Get the "cpt code" off the internet for your particular surgery. Call you insurance company and ask them what the requirements are for that cpt code. Your doctors office should be very versed on how to get you approved. When I got approved they had all kinds of co morbids that I am not so sure I agreed with, but I dont care, I got approved.

[Melsauve 76]

Melsauve' date=' what insurance do you have?[/quote']

I have the empire plan.

[Melsauve 76]

it's called the empire plan blue cross blue shield. One small perk for working for the state of NY otherwise not so great lol.

[Butterfly66 63]

Thanks. I will check with my surgeons office and my primary care physician.

[lovealways 287]

Just curious... my BMI is 46 with one co-morb. I am doing my 6 month diet. If i were to somehow reach a 40.0 would I be disqualified? Would it look bad if I did lose some weight?

[americas_suiteheart 53]

Just curious... my BMI is 46 with one co-morb. I am doing my 6 month diet. If i were to somehow reach a 40.0 would I be disqualified? Would it look bad if I did lose some weight?

You are submitted and approved by your initial weigh in .. no worries !!!

[lovealways 287]

You are submitted and approved by your initial weigh in .. no worries !!!

Ok great!! Ty