daylany 38 Posted January 31, 2018 Anyone trying to get approve with a 35 bmi and 1 comorbidity???!!!! Share this post Link to post Share on other sites
low bmi sleeve 22 Posted January 31, 2018 yes me i am exactly same stats bmi 35 and high blood pressure i just had to appeal my insurance decision because my surgeon sent for approval with out a letter of necessity so that was sent in today so hoping for approval soon if not i will be going to mexico to get it done. 1 daylany reacted to this Share this post Link to post Share on other sites
daylany 38 Posted January 31, 2018 yes me i am exactly same stats bmi 35 and high blood pressure i just had to appeal my insurance decision because my surgeon sent for approval with out a letter of necessity so that was sent in today so hoping for approval soon if not i will be going to Mexico to get it done. We go thru a lot of stress. I have several joint pain and i have a history of tachycardia with hospitalization. Im schedule for march 12. Im praying for that aproval [emoji24] Share this post Link to post Share on other sites
Clementine Sky 708 Posted January 31, 2018 My BMI was under 35 but rapidly creeping up towards it when I consulted with bariatric surgeons in LA. They were all pessimistic that I'd be covered even if my BMI reached 35, and even though I had high blood pressure at the time as well as PCOS and Addison's disease (which requires you to take steroids that make you pack on weight). I had Blue Shield of CA then (2015). They still would have performed the surgery on me, but I would have been responsible for the cost, which ranged from $29,000 to $35,000 at their offices. An insurance coordinator said that even if I was approved for coverage, my portion of the expenses would be around $5,000. I just went to Mexico instead. $4200 in total, which included two nights at the Marriott. I had no hoops to jump through prior to surgery. I picked the exact week I wanted the surgery, to fit with my schedule. I had a really positive experience and no complications. I exceeded my goal and have been maintaining at my "dream" weight for more than a year now. My BMI is 19.5. I think my surgery was just as successful as it would have been if I'd gotten it done by a local surgeon. So don't lose hope if your insurance denies you! 1 AK37 reacted to this Share this post Link to post Share on other sites
KristyAB 48 Posted January 31, 2018 I ended up paying 12k for my surgery. I was exactly at 35 BMI. Wish now I had gone to Mexico. .....but I was too scared from the horror stories. Glad it worked out for you!I'm 7 mo post op and only 25 lbs to go till goal weight!!Sent from my SM-G900V using BariatricPal mobile app Share this post Link to post Share on other sites
GassyGurl 428 Posted January 31, 2018 I was 35 bmi, with 2 comorbidities, but I ended up paying cash in FL. My insurance required a 2 year history of 35, and while I had 5 of the last 6 years , (2012,2013,2014,2015 and 2017), I wouldn't be covered because I was slightly below in 2016. Sent from my XT1254 using BariatricPal mobile app Share this post Link to post Share on other sites
daylany 38 Posted January 31, 2018 I was referred with a BMI of 37 one comorbidity and a history of thachycardiq Share this post Link to post Share on other sites
low bmi sleeve 22 Posted January 31, 2018 11 hours ago, Clementine Sky said: My BMI was under 35 but rapidly creeping up towards it when I consulted with bariatric surgeons in LA. They were all pessimistic that I'd be covered even if my BMI reached 35, and even though I had high blood pressure at the time as well as PCOS and Addison's disease (which requires you to take steroids that make you pack on weight). I had Blue Shield of CA then (2015). They still would have performed the surgery on me, but I would have been responsible for the cost, which ranged from $29,000 to $35,000 at their offices. An insurance coordinator said that even if I was approved for coverage, my portion of the expenses would be around $5,000. I just went to Mexico instead. $4200 in total, which included two nights at the Marriott. I had no hoops to jump through prior to surgery. I picked the exact week I wanted the surgery, to fit with my schedule. I had a really positive experience and no complications. I exceeded my goal and have been maintaining at my "dream" weight for more than a year now. My BMI is 19.5. I think my surgery was just as successful as it would have been if I'd gotten it done by a local surgeon. So don't lose hope if your insurance denies you! what dr did you use in mexico Share this post Link to post Share on other sites
Clementine Sky 708 Posted January 31, 2018 1 hour ago, low bmi sleeve said: what dr did you use in Mexico Dr. Fernando Garcia in Tijuana. 1 daylany reacted to this Share this post Link to post Share on other sites