Amy1981 0 Posted July 7, 2009 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
kwright 0 Posted July 7, 2009 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
RestlessMonkey 7 Posted July 8, 2009 It depends on the requirements of your insurance. Good luck! Share this post Link to post Share on other sites
PGAMike 0 Posted July 11, 2009 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