BMI between 35 and 40-coverage?

ntthomas · June 20, 2020

HI! I would love to know if anybody has had success getting insurance coverage for WLS when your BMI is under 40 and you do NOT have high blood pressure, sleep apnea or high cholesterol. Do any other comorbidities work to get coverage?

TIA!

Bari_KS · June 20, 2020

HI! I would love to know if anybody has had success getting insurance coverage for WLS when your BMI is under 40 and you do NOT have high blood pressure, sleep apnea or high cholesterol. Do any other comorbidities work to get coverage?
TIA!

https://asmbs.org/patients/who-is-a-candidate-for-bariatric-surgery
Type 2 diabetes, hypertension, sleep apnea, non-alcoholic fatty liver disease, osteoarthritis, lipid abnormalities, gastrointestinal disorders, or heart disease.

BSNJ · June 20, 2020

I am from NJ and no bariatric doc would take me because my BMI is 35. The only thing they would offer is a balloon in my stomach. After six months it is removed. Insurance does not cover that procedure. I researched out of pocket sites and found Blossom Bariatrics in Las Vegas. I have insurance, but would not qualify for 100% coverage. I am paying 9k out of pocket. I am scheduled for the sleeve in mid August. My concern now is flying with covid cases rising.