Maggie225 0 Posted January 12, 2009 Hello my name is Maggie and I am addicted to food....:thumbdown: I am new on this site and have not yet made the "appointment" to see my physician. I am 5'7" and weigh 224#, my BMI is over 35 and I have PCOD which makes me a high risk for diabetes (which also runs in my family) I guess I am just afraid that my Dr. or insurance company will deny me so I'm fearfull of going. (Stupid right?) I should just woman up and go. Share this post Link to post Share on other sites
Maggifer 0 Posted January 12, 2009 Welcome!!! (from one Maggie to another) :thumbdown: I have my surgery in 2 days, and I can't wait. I too have PCOD, but i'm quite a bit larger than you. I'm currently right at 300lbs. It's been a long 4 month journey for me, but it's so worth it. Best of luck! Share this post Link to post Share on other sites
susan1961 0 Posted January 12, 2009 Unfortunately chances are very good that your insurance will deny you.... at BMI 35-40 they generally want to see 2 co-morbidities, and I'm not sure if they count PCOS. But it's worth a try. At least start documenting the weight and the efforts so that if they deny you now you'll at least be leaving a record of to establish an ongoing problem for a re-try down the road. I was a low BMI patient with no significant comorbidities and paid cash..... a lot of money but well worth it!! Best of luck on your journey! Share this post Link to post Share on other sites
Maggie225 0 Posted January 12, 2009 Yes thats what I am afraid of...Denial..... but I do have documentation for the last 6 years from my Dr. for visits all relating to weight management, he has put me on every known prescription weight loss drug out there and none of them worked very long. Do you think that would help with my insurance? Share this post Link to post Share on other sites
debbie_7155 0 Posted January 12, 2009 hi maggie & welcome, if it was me, i'd go straight to them & ask..what do you have to lose?..at least you will get to know one way or another..Im sure there will be someone out there willing to help? Share this post Link to post Share on other sites
justmel1957 1 Posted January 12, 2009 Depends on your insurance company. Find out their criteria and go from there. I am 5' 7" also with a starting weight of 222. Just about like you. I have FEDERAL employee BCBS and was approved in very little time. My only comorbidity was severe reflux causing multiple aspirations pneumonias yearly. Share this post Link to post Share on other sites
Maggie225 0 Posted January 12, 2009 Thank you Mely, it makes me feel much better knowing someone close to my size was aproved. I have UHC and I'm hoping they wont give me a hard time....lol Share this post Link to post Share on other sites