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My insurance says:

All of the following conditions must be met to qualify:

  • You're at least 18 years old or you must provide documentation of completion of bone growth.
  • You were unsuccessful with non-surgical medical treatments for obesity. Your medical records must show your failed attempts.
    • Diet programs, such as Weight Watchers®* and Jenny Craig*, are acceptable methods of dietary management, as long as there are monthly clinical visits with your doctor and medical documentation of your participation and your progress throughout the course of the dietary program. *These programs are not covered by TRICARE.
    • Physician-supervised programs made-up of only weight-loss medication management, do not meet this requirement.
  • You have proof of one of the following:
    • A body-mass index greater than or equal to 40 kilograms per meter squared (kg/m2); or
    • A body-mass index of 35-39.9 kg/m2 with one clinically significant comorbidity, including but not limited to, cardiovascular disease, type 2 diabetes mellitus, obstructive sleep apnea, Pickwickian syndrome, hypertension, coronary artery disease, obesity-related cardiomyopathy, or pulmonary hypertension.

I am 5'7 and 219 which makes me about 34 BMI. I don't want to get declined. I have 4 comorbidities but not sure if that matters if I am no 35 BMI at my first appointment on May 12th. Any suggestions?

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My BMI was about 50 or 51, no problem at all. They had a weight limit of 450 but I was under that. My insurance was Aetna.

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