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

Recommended Posts

So I have a BMI of like 37 and I have not really been to the doctor's at all except to give birth to my kids. I am going to go have a physical to see if I have any co-mor and I am getting tested for sleep Apnea ( my first appt is next week) Do you think if I find out I have Sleep Apnea or high blood pressure I could get approved by my insurance. My insurance does cover the Lapband and many people in my office have had it. They cover 35-40 with 1 co-mor or 40+ with none. Do I need a history of it or can I just get newly diagnosed?

Share this post


Link to post
Share on other sites

So I have a BMI of like 37 and I have not really been to the doctor's at all except to give birth to my kids. I am going to go have a physical to see if I have any co-mor and I am getting tested for sleep Apnea ( my first appt is next week) Do you think if I find out I have sleep Apnea or high blood pressure I could get approved by my insurance. My insurance does cover the Lapband and many people in my office have had it. They cover 35-40 with 1 co-mor or 40+ with none. Do I need a history of it or can I just get newly diagnosed?

I also have a BMI of 37 and the only co-morbidity that I had was a slightly elevated blood pressure that was controlled with Water pills (hydrochlorothyazide). They did blood work on me and it showed that I was pre-diabetic and also had low amounts of the good cholesterol. When I initially went to see my personal physician (1st visit with her since it was new insurance) I also complained about knee pain. This information was sent to the insurance for approval for a referral to the surgeon and it was approved.

Once I saw the surgeon, I met with their nutritionist (same office visit) and was told to get a pre-op physical with and ekg, bloodwork, chest x-ray, mammogram and a psych eval.

Once everything was complete and the surgeons office had copies of the paperwork, a referral was sent to the insurance for approval for the lap band surgery. It only took 2 days for the approval and my surgery is scheduled for next month.

So all I can say is see your doctor and give it a try.

:)

Share this post


Link to post
Share on other sites

It depends on the requirements of your insurance. Good luck!

Share this post


Link to post
Share on other sites

Mine took quite some time. I am with Blue Cross, Blue Shield. I think from my initial consultation, to surgery date (7/7/09) was 3 months. My BMI was 40, with no other complications. Good Luck!!!

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

    • buildabetteranna

      I FINALLY HAVE MY DATE!!!!

      · 0 replies
      1. This update has no replies.
    • 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.
  • 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

    ×