Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Recommended Posts

Did you have any comorbid conditions when you were approved by the insurance company? Or were you able to get approved with just your BMI alone?

All of my blood work came back good. They said I am healthy other than my weight, obviously. I've been reading up and most everything said you must have at least one comorbid condition, for most insurances to approve bariatrics surgery. I met with the bariatrics center on Tuesday and now we wait 2-3 weeks for insurance to come back with a answer and I am crazy nervous since I am "healthy".

Sent from my iPhone using the BariatricPal App

Share this post


Link to post
Share on other sites

I was approved with only my mom. My insurance says you must have a comorbidity if your bmi is under 40 but anything over 40 a comorbidity isn't necessary

Sent from my iPhone using the BariatricPal App

*bmi sorry autocorrect

Sent from my iPhone using the BariatricPal App

Share this post


Link to post
Share on other sites

Hon, don't despair, everyone's insureance has their own guidelines. If your Bariatric Center filed the paperwork it is the best way to go because they know exactly what an insureance wants and they know how to word it. Hang tight I know it is easier said than done. Good Luck

Share this post


Link to post
Share on other sites

Most surgeons state that you must have a BMI of 40 or higher or 35 or higher with at least one co-morbidity. My BMI was 34, but I had slight sleep apnea (I didn''t use a c-pap machine), so I was approved.

Sent from my SM-G920V using the BariatricPal App

Share this post


Link to post
Share on other sites

I have BCBS of ILL.....my BMI was 40 back in June 2016 went I 1st met with my surgeon. I got approved on that number alone. I have no co-morbidities, so if my BMI had not been at 40 or above, I would not have gotten approved. Most insurance companies require a BMI of at least 40 w/o co-morbidities, and at least 2 co-morbidities if it's between 35 & 39.

Sent from my SM-G935P using the BariatricPal App

Share this post


Link to post
Share on other sites

My BMI is 35.1 and I'm healthy and my insurance called me to tell me I had been approved! In a few days I got s letter form them too!

Sent from my iPhone using the BariatricPal App

That's fantastic! I'm thrilled for you

Sent from my iPhone using the BariatricPal App

Hon, don't despair, everyone's insureance has their own guidelines. If your Bariatric Center filed the paperwork it is the best way to go because they know exactly what an insureance wants and they know how to word it. Hang tight I know it is easier said than done. Good Luck

You're absolutely right, thank you so much

Sent from my iPhone using the BariatricPal App

Share this post


Link to post
Share on other sites

I have BCBS of ILL.....my BMI was 40 back in June 2016 went I 1st met with my surgeon. I got approved on that number alone. I have no co-morbidities, so if my BMI had not been at 40 or above, I would not have gotten approved. Most insurance companies require a BMI of at least 40 w/o co-morbidities, and at least 2 co-morbidities if it's between 35 & 39.

Sent from my SM-G935P using the BariatricPal App

That is so reassuring. Thank you so much

Sent from my iPhone using the BariatricPal App

Share this post


Link to post
Share on other sites

My bmi was 39 and my comorbidity was acid reflux (gerd) and i was approved my by insurance. My bloodwork all came back healthy, but i had acid reflux often. I didn't even know that was a comorbidity until I spoke with the surgeon

Sent from my SM-G930V using the BariatricPal App

Share this post


Link to post
Share on other sites

I had a high BMI. my comorbidities were type II diabetes and high BP. I gained weight in preop stage but was approved anyway.

Sent from my iPhone using the BariatricPal App

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • Alisa_S

      Gearing up for my consult 01/14! Starting to get a little nervous.
      · 0 replies
      1. This update has no replies.
    • Goyafigs

      I had VSG 11.20.24 with Miguel Burch, MD Cedars-Sinai and I am 1 month post-op. 
      · 0 replies
      1. This update has no replies.
    • DaisyChainOz

      🥳 Jan 1 2025 - Day 1 of Pre Op, surgery on the 16th! 😬😅
      · 0 replies
      1. This update has no replies.
    • Alisa_S

      Just been waiting until time for my consult with my bariatric surgeon. It's scheduled for Jan 9th. Turns out I won't actually be seeing him. Apparently it'll be with his P.A.             Not sure what to expect. I thought this is where the surgeon would discuss the best surgery option for me. For years I had my heart set on the sleeve, but I've read so many people have issues with reflux - even if they've never had it before - that they've had to be revised to the bypass. I already deal with GERD & take 40 mg of Omeprazole daily, so I started studying about bypass and honestly, it seems like it might be the better choice for me. How can we discuss surgery options if the surgeon is not there?
      What happened at your first consult? Trying to get an idea of what to expect, or maybe I should say, what NOT to expect.
      · 0 replies
      1. This update has no replies.
    • rinabobina

      I would like to know what questions you wish you had asked prior to your duodenal switch surgery?
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×