InIt2LoseIt 0 Posted March 24, 2016 I have Aetna, a BMI of 41 and am pre-diabetic. April will be my last weigh in under supervised plan and then everything gets submitted for approval. I am so nervous. I need this approved so bad. By pre-diabetic - I don't meet the A1C blood work tests to show full true diabetes. I have taken metaphormin meds and an under primary care physician's care for pre-diabetes, depression, anxiety. Thoughts and feedback appreciated. Share this post Link to post Share on other sites
OutsideMatchInside 10,166 Posted March 24, 2016 (edited) do you need a comordbidity with your BMI over 40? Edited March 24, 2016 by OutsideMatchInside Share this post Link to post Share on other sites
Sajijoma 1,324 Posted March 24, 2016 Most insurance doesn't require a co morbidity if you are over 40bmi. I didn't have any. No sleep apnea, no diabetes, no high blood pressure, nothing. All I had was the super high BMI and they approved me right away. Share this post Link to post Share on other sites
petunia13081 0 Posted March 27, 2016 Most insurance doesn't require a co morbidity if you are over 40bmi. I didn't have any. No sleep apnea, no diabetes, no high blood pressure, nothing. All I had was the super high BMI and they approved me right away.Hi..what kind of insurance do you have? Sent from my SAMSUNG-SM-N900A using the BariatricPal App Share this post Link to post Share on other sites
Pinkgirl1234 761 Posted March 27, 2016 Yes it is...I have PCOS and insulin resistance ...bordering ...pre diabetes is a comorbidity. Share this post Link to post Share on other sites
Pinkgirl1234 761 Posted March 27, 2016 After my surgery I was able to discontinue metformin. Share this post Link to post Share on other sites
petunia13081 0 Posted March 27, 2016 Did you have to get a psych evaluation? ? Sent from my SAMSUNG-SM-N900A using the BariatricPal App Share this post Link to post Share on other sites
Pinkgirl1234 761 Posted March 27, 2016 I portrayed myself as stable and positive but under it all I was on a verge of a nervous breakdown....my weight was taking a toll.... My psych was very good...she had WLS. Share this post Link to post Share on other sites
petunia13081 0 Posted March 27, 2016 I just had my first visit with the nutritionist and the surgeon, do the doctor office communicate well and help to get things done. Did it take long for your approval? Sent from my SAMSUNG-SM-N900A using the BariatricPal App Then I have been stressing about having to pay the 20 percent and the deductible at the same time, it's so stressful. Sent from my SAMSUNG-SM-N900A using the BariatricPal App Share this post Link to post Share on other sites
Pinkgirl1234 761 Posted March 27, 2016 Not really...about 3 weeks...Some people get approval much sooner though. Share this post Link to post Share on other sites
Sajijoma 1,324 Posted March 28, 2016 Most insurance doesn't require a co morbidity if you are over 40bmi. I didn't have any. No sleep apnea, no diabetes, no high blood pressure, nothing. All I had was the super high BMI and they approved me right away.Hi..what kind of insurance do you have? Sent from my SAMSUNG-SM-N900A using the BariatricPal App I have Aetna and from the time it was submitted to approval was about 3 days in total. Just keep calling them to check on the status. It seems to hurry it along. Share this post Link to post Share on other sites