Would I qualify?

[waitingonmymiracle 0]

Sorry this is so long. It's my first time posting. I'm a 32 year old 5'3" female. I have struggled with my weight since 2000 when I was involved in a car accident that shattered my backbone and I suffered a very bad head injury. About a year after the accident, I was gaining weight, and was diagnosed with scoliosis and arthritis. I lived with that for a while, but managed to keep my weight between 150-160. In 2007, I stayed gaining more weight, and stayed sick all of the time. Over the course of 6 months, I have gained about 20 extra pounds. Iwas diagnosed with PCOS.I had a complete hysterectomy in early 2008, in which they had to remove everything. I packed on 70 more lbs since then. My health has been declining since. I am on several different meds each day for various things. My doctor just called today and double the dosage of most of them after getting my bloodwork back. I'm also taking metformin, glimepiride, and atorvastatin for sugars and lipids. Some of the problems written in my chart are hypoglycemia and hyperglycemia (haven't been diagnosed with diabetes yet, but dr. refers to it as "my diabetes" when we talk, A1c levels were high and have been for a while), very high cholesterol, hypothyroid, metabolic syndrome, arthritis, fibromyalgia, high liver enzymes, GERD, cervicalgia, Vitamin D deficiency, mixed hyperlipidemia, neuralgia, and severe insomnia. I had gallbladder disease, but had my gallbladder removed because of gallbladder attacks and it was full of stones. I think i may even have sleep apnea also, but haven't had a a study done yet. I have a family history of heart disease, stroke, heartattack, and diabetes. As of right now, my BMI is 37.7, and I have fepblue (as a dependant) for insurance. I have tried several programs to lose weight and was even put on adipex for about 5 months, then another alternative and it didn't work. Would that count as supervised weight programs? Anyways, based on all of that, does it sound like I might qualify? I don't want to get my hopes up if not. I am already set up to attend a seminar on Feb 4, as referred by my pcp. I'm just worried that they won't Approve me because of my bmi being 37.7.

[Djmohr 6,965]

It is very likely that you qualify given your comorbitities however you need to check your insurance for their requirements.

Most insurance companies require a 40 BMI without comorbitities and a 35 BMI with comorbitities.

Given you have several comorbitities it is very likely that you will qualify but only your insurance company can confirm that for you.

They can also confirm the requirement for a supervised diet. My insurance company would not have accepted your example. If they don't, don't get discouraged. That time is so important to get yourself prepared for the changes that will come and the time goes by quickly.

My wait ended up being right around 9 months and I had a 6 month supervised diet required.

Also, they may have other requirements. For example I was only allowed to have this procedure through a Bariatric center of excellence. Your insurance company will help you through the requirements.

Best of luck to you!