Insurance approval questions...

[charlies.angel 17]

Hello all... I am new to the group. I'm almost 3 months into my pre-op, with a sleep study scheduled for next week. I have been stressing over my insurance approval. My BMI is 37, and my surgeon says I'll need my sleep study to show sleep apnea to qualify. He seemed confident about that. Although high blood pressure and diabetes run rampant in my family, I don't have either of these. I do have a history of yo-yo weight loss, depression & asthma, and previous high blood pressure. Has anyone had difficulty getting approved with a lower than 40 BMI? Or just the opposite, gotten approved no problem?

I have Anthem BC/BS.

[olamae 16]

It sounds like to me they won't approve it unless you have one cormibid? What insurance do you have? I know with my Aetna you have to have one with a bmi of 40 and under or you do not qualify.

[charlies.angel 17]

I have anthem BC/BS in NY. I believe that's what my surgeon is saying. Both he and my pulmonologist believe that I have sleep apnea and that it's what will get me approved. I was just wondering if there's anyone who was in the same boat.

[olamae 16]

I have anthem BC/BS in NY. I believe that's what my surgeon is saying. Both he and my pulmonologist believe that I have sleep apnea and that it's what will get me approved. I was just wondering if there's anyone who was in the same boat.

Yeah sounds like that is your case. I have a bmi of 41 with no cormibids so over 6 months I have only lost 6 pounds. I say if you dont have sleep apnea then get your BMI to 40 and start over!

[dream.maker 37]

I shortened my height (just a little) no one checked.I do have acid reflux, pain in my joints etc. But no documentation

Sent from my KFTBWI using the BariatricPal App

[charlies.angel 17]

I am already 4'10" [emoji23][emoji23][emoji23]