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< WEIGHT> Someone Pls Help Me

:blushing:My insurance says I have to be 100 pds over weight but I dont understand where would they start on the scale? I'm 5'2 221 with a BMI of 40.4. Health standard guide state I shoulb be between 104 to 134 so my question is where does my insurance start at 104 or 134?!? Someone pls help me????

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carl3024

LAP-BAND Patients

:blushing:My insurance says I have to be 100 pds over weight but I dont understand where would they start on the scale? I'm 5'2 221 with a BMI of 40.4. Health standard guide state I shoulb be between 104 to 134 so my question is where does my insurance start at 104 or 134?!? Someone pls help me????

MommyTawnie

LAP-BAND Patients

My insurance says 100lbs over weight or a bmi of 40 or higher with no comorbidities. Or 35 or higher with comorbidities. If you are unsure what they are asking for call the insurance company and talk to a representative. They can explain it better to you, and don't be afraid to ask what they need from you. Through my insurance "Aetna" they require a bmi of 40 or higher with no comorbidities or 35 or higher with comorbidities. If you fall in the catagory then contact the surgeon you plan to use if you are approved and get a consult if they feel insurance would approve you then they will start you on your next step. For my I have 3 months of a charted diet/exercise program I have to complete with my doctor. I have to meet with the dietician and have a pysh eval done. I have met with my doctor to get started with the charting. I have had the pysh eval done. Now I am waiting on the dietician to call me to set up an appoinment. After I meet with her and I finish the next 3 months being charted. We will submit to insurance and hope to be approved with the first letter. Call your insurance 1st and find out what exactly they expect or need from you to get you started.. It never hurts to get a consult to see what they can do to help you find out more info. Best of Luck to you..

carl3024

LAP-BAND Patients

Thanks this really helped!

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