How obese did I need to be 5 years ago?

[Who'sThere 331]

When providing my 5 yr. weight history, just how obese do I need to be? My 04 weight was 193 on the page the doctor's office copied for me (BMI 34.2). I'm sure I was heavier later than year. This was in March after I had been sick. In March of 05 I was up to 258 (BMI 45.7). Do you think that I should ask the doctor to look for a page in my chart that shows a higher weight just to be sure, or do you think I should be okay? If anyone has had a similar situation, I would be really glad to hear.

BTW, my BMI is 50 now, and I have UHC John Deere Select.

[jem8384 0]

Girl im in the same boat! i would say you are ok but you know with the insurance company.

[Moxi 0]

I have a similar issue. I'm at a 40BMI now but have not been there for 5 years. I have been over 35 for 5 years, but don't have any major co-morbidities. I hope they approve it.

Never in a million years did I think I would be worried about being "fat enough".

[adagray 1]

Definitely submit the heaviest weight from every year. So, if you were heavier later in the year, I'd get that documentation from your doctor and use that as your weight for that year. I actually just got my complete files from all my previous docs so I could pull out the heaviest weights myself. And, my bariatric surgeon's office also said they wanted just the heaviest weight from each year to send for the insurance approval.

[Who'sThere 331]

Well, I went ahead and asked my PCP's office to fax over a heavier weight. As of Thursday (the request was Monday) the lady who submits to insurance at my surgeon's office had not received the documentation of higher weight. However, my paperwork was submitted AND approved on Friday (talk about fast). So, I don't really know what was submitted, and now I guess it doesn't matter. I'm scheduled for surgery on July 7, and I couldn't be more excited!!:tongue_smilie:

[NewSexyMe 1]

Well, I went ahead and asked my PCP's office to fax over a heavier weight. As of Thursday (the request was Monday) the lady who submits to insurance at my surgeon's office had not received the documentation of higher weight. However, my paperwork was submitted AND approved on Friday (talk about fast). So, I don't really know what was submitted, and now I guess it doesn't matter. I'm scheduled for surgery on July 7, and I couldn't be more excited!!:tongue:

That is Awsome for you!!!

Wishing you the best!!

Who is ur insurance provider if I may ask???

[NewSexyMe 1]

I have a similar issue. I'm at a 40BMI now but have not been there for 5 years. I have been over 35 for 5 years, but don't have any major co-morbidities. I hope they approve it.

Never in a million years did I think I would be worried about being "fat enough".

OMG!! RIGHT??? Geesh.... I am in ur same boat!

[amlus 0]

Yep---I am in the same boat as you guys. 41 BMI for last couple of months, but up and down for the last couple of years. Keep us updated on what works and what doesn't. My insurance is Blue Cross Blue Shield, Alliance Select HSA.

[jem8384 0]

Congrads sooo happy for you!!! the Patient coordinator told me at my doctors office that the ins company will take your BMI at what you are now. Im at 41 BMI but the last 5 years are to show that you have been over weight. I guess they dont want to see people gain a crap load of weight in a year to get this surgery. I mean I can definetly prove i have been over weight the last 5 years just not at a BMI of 41 for the last 5 years. Keep in mind that my INS is United health care choice plus.

Edited June 22, 2009 by jem8384

[mandyclemm 0]

I have Uhc also and I go for my dietary evaluation tomorrow after that my doctor will submitt to my insurance for approval I have dropped below 40bmi but never lower than 37bmi and I have hbp , bad knees,and bad back do you think I will be denied ?

[jem8384 0]

I hope not! I believe they will submit your weight from the first time coming in. I will keep my fingers crosses or you! let us know.

[bgjon5 17]

I also have UHC (cdhplus) and have been worried about the 5 years verifiable overweightness not that I havent been..im massive! well been 300 plus for 5 years or more..BUT have not seen my regular doctor in several years, but have seen my Neuro sugeron for the past 4 with weights will this count towards my 5 years?