Beginning Stages

[Samantha89 2]

Hey everyone! My name is Katie and I'm just beginning this Gastric Sleeve adventure. I went to a required seminar and was given some questions to ask my insurance company. They were: what is the required bmi, how many nutrition visits are required and how many physicians visits. So the insurance company said that these limits didn't exist I just needed a pre authorization for surgery. I contacted the surgeons office to see if this sounded right and they said that the surgeon will tell me the required length or time and bmi. Does anyone have an idea if this sounds right? All the reading I've done I expected to hear 35 to 40 bmi, and 90 days or six months of nutrition and physician appointments. Does this mean my insurance might not have these limits or the surgeons office will tell me the requirements??

Hi Katie! We are in the same boat. I called my insurance and they said there is no requirements just pre-authorization. I'll be seeing my surgeon monday. I have BCBS of IL. It just seems too easy right?!?! I'm going to wait to see what the surgeon says. I will let you know. I wish you luck on your journey

[HealthierMe2017 22]

Unfortunately, I was wrong . I am borderline BMI requirements and have to have an additional comorbidity to qualify. I'm currently waiting for my sleep study results which will make or break this journey for me..

[BubblesOhSoSleeved 129]

Hey everyone! My name is Katie and I'm just beginning this Gastric Sleeve adventure. I went to a required seminar and was given some questions to ask my insurance company. They were: what is the required bmi, how many nutrition visits are required and how many physicians visits. So the insurance company said that these limits didn't exist I just needed a pre authorization for surgery. I contacted the surgeons office to see if this sounded right and they said that the surgeon will tell me the required length or time and bmi. Does anyone have an idea if this sounds right? All the reading I've done I expected to hear 35 to 40 bmi, and 90 days or six months of nutrition and physician appointments. Does this mean my insurance might not have these limits or the surgeons office will tell me the requirements??

Hi Katie! We are in the same boat. I called my insurance and they said there is no requirements just pre-authorization. I'll be seeing my surgeon monday. I have BCBS of IL. It just seems too easy right?!?! I'm going to wait to see what the surgeon says. I will let you know. I wish you luck on your journey

I have bcbs il...you have to complete growth which means you are 18 or older...see a dietician..have a psych evaluations and a letter from.yojr surgeon staring all of these have been met...that's with a BMI of 40 and above. If you have a 35-39 bmi you will have to complete the above mentioned and either have one or more morbities which a few are hypertension, diabetes, sleep apnea and I forget the others

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