Question for those Borderline BMI......

[reachbree 140]

1 more nutritional visit then my requirements are all done and my paperwork goes off to Insurance! Can you tell I am excited??

I saw someone's youtube video and she was sadly denied by her insurance because her BMI was not over 40 for 3 straight years. Is this the case with most insurance companies?

I fall into the category of borderline BMI (40.3) and no co-morbidities and my BMI has only been at that level since September. Before that, it was below 40 for about 4 yrs prior, then over 40 before that.

It was below during those 4 yrs because I had managed to loose 25lbs and was able to maintain that lost though I could not loose anymore.

Just wondering if its common for insurance companies to deny the surgery if your BMI hasn't been up for a # of yrs.....

[JamieLogical 8,710]

It completely depends on your policy. My own policy wouldn't pay for WLS unless I had a BMI over 40 for five years. I had previously lost 90 pounds "on my own" back in 2010/2011 and my BMI had just barely crept back up over 40 when I decided to pursue WLS in mid 2014. So it was either self-pay or stay fat for 5 more years.... I felt like they were punishing me for having at least TRIED to lose the weight on my own!

[sunshine1531 30]

Agreed. Every insurance is different. For mine, I had to be over 40 for the past 2 consecutive years. I also did nit have any comorbidities. The drs office did say that if I didn't have that, then they may require me to go and do a sleep study also to see if I had sleep apnea. And if I didn't, then there would have been a good chance it wouldn't have been approved

Sent from my XT1080 using the BariatricPal App