Mommie4

I checked they do have the option to check but there is nothing about it yet. Good luck with yours. I know that I will have 2-3 more appointments if Im approved, before suegery. I was hoping I was all done with appointments but I guess not..lol

Thank you, I did not know that! But you can bet that I will be checking it..lol

My surgeon submitted my paperwork to insurance on the 25th. I am waiting and praying that I get approved! I hope I her something Monday! Im not sure if the insurance calls me or if they tell my surgeon and they call and tell me...either way, I cannot wait!!

ONE DAY??? I just called my insurance and they got my forms on the 25th and it still under review...lol cross your fingers please! she said to call back next week about mid way through. ugh...I WANT TO KNOW NOW!! lol

I am switching surgeons. I go meet new surgeon next week. I am not starting my deductible over and my surgeon now can not do my surgery till Jan if Im approved. I just wanna be done with all this already!!

OH YAY!!!!! congrats!! when is your surgery??

ya, mine is a BMI over 35. I was wondering if anyone had any issues with their BMI being under the required number. I have two of the five years where my BMI was under due to being on diets and losing a little weight. I called the insurance and they said as long as the surgeon notes on there that I was doing a diet plan then it may not go against me. I don't know, guess we will see!!

how exciting, doing it together!!!! Good luck to you both!!!

I know right! You would think it would be easy but so far this has been a pain in the butt!! lol I am going to do my best to switch!!

Oh, and I have UNITED HEATH CARE. they said since my bmi was under 35 for two years of the 5yr weight history they are wanting, that as long as my surgeon notes on there that I was doing weight loss plans and had lost some weight at that time, that it wont go against me, I can still get approved as long as they know why it was under 35.

Ya all my stuff is done. They are sending it in to the insurance, I figured it was too late since I had all my appointments done and the surgeon was sending in my paperwork. I will check online, Thanks!!

That sounds frustrating! Good luck. I am switching surgeons too. Mine cant do my surgery till Jan and that's gonna start a whole new year for my deductible and right now my deductible is all paid up. He does other kind of surgeries so he is extremely busy I guess. But I want my surgery this year!

That is crazy, my surgeon said that I will have like 3 more appointments before surgery and its with people I have already seen!! Makes you wonder. good luck, I know how you feel, jumping through hoops like circus dog!!

I am going to look into it. Im new to all this so Im not sure how to find out what surgeons are in my network, I guess I just call the insurance. But ya I am going to find someone who can do it before the end of the year, my deductible is already met and I am not waiting till January!

Sorry just saw this...I live in Staunton,il.. And I called my surgeons office and I have to wait till January because he is just that busy! I just hope I get apooved! Waiting isn't that big a deal since Im on the edge...may or may not get approved.

I am calling his office today! I didn't even think about the deductible till you mentioned it!!!!! I did everything my insurance wants me to do. He did say there was like 2-3 more appointments like meet again with the nut I guess and something else, I don't remember. But I am def calling!!!

I can not possibly be the only one with a 5yr weight history who has gone through this....please let me know how your outcome was!!!

I don't understand why my surgeon said If I get approved then I have surgery in Jan?? Looks like most of you all get your surgery like a month or two after approval, weird.

Hey all! I am updating my status on here. I went to see my surgeon today and the 5yr weight history is probably going to get me denied. I am 5'6 and 252lbs currently but the insurance wants to see that I was over weight BMi over 35 for the last 5yrs. well my bmi was 33.9 for about 2 of those years. Surgeon said he has seen it go both ways, get denied by some and approved by some. So basically is sit and wait now. He said it could take about a month..ugh...I don't wanna wait a month and Im hoping I don't have to. I have UHC and I hope they get on it and over look my weight history!! lol

Ya its a pain in the butt! I would have rather had the 6mo diet. I thought my BMI was over 35 for that long but like 2 yrs it was under. I just hope they give it to me!! I guess I can appeal it if not, but im tired of this already..lol

YAY!!! congrats! If I get approved I can not have surgery till January!! But right now my 5yr weight history is probably going to keep me from having it, 2 of the yrs my BMI was under 35 so Im just praying now that the insurance over looks it or at least just goes ahead and approves me!

I have UHC and I saw my surgeon today, all my appointments are done and today I gave my surgeon my 5yr weight history from my doc that needs to go to UHC. he said what they are looking for is a BMI of 35+ for the last five years and 2 of my 5 yrs my BMI was 33.9. I am wondering if any one else had to have a 5yr history and if you had a year or two that was off? Did you still get approved? My surgeon said he has seen it go both ways, some will deny and some will over look it and approve you. I would love to hear your stories and hopefully hear some good outcomes! lol He also said that I may not hear back from them for a month!! I was hoping I hear in like a week or two..all I have been doing is appointments and waiting..im so tired of the hoops already!!

Well, Dr. Eagon was very nice and I had to give him my 5yr weight history for the insurance and he said that what they want to see is a BMI of 35+ for last five years and 2 of my 5yrs my BMI was only 33.9. He said he has seen insurance companies deny you over just one year being under...Im worried and I don't have the best of luck so the odds are against me already. Im already down about it beause I have a feeling the insurance will deny me and Ill have to wait another year or so. We can appeal it and I will but I don't know how this is gonna turn out. He said that I may not hear back for about a month. And IF I get approved we will do surgery in January, I was hoping for a sooner date but now all I want is approval, I will deal with a January surgery! lol

Oh cool!! I have Dr. Eagon. I saw him today and we are a little worried like I though about the 5yr weight history. My BMI has to be 35 or over for the last 5yrs and two of the years it was 33.9!! Basically all I can do is pray. Dr. eagon said hes seen some insurances completely look over that stuff and he has seen some deny you if even one year wasn't 35 or higher. But he did say it might take a month before I hear anything. And if Im approved we wont be doing surgery till January!!!! UGH oh well, right now im just hoping I get approved!!

So now the waiting game for you! good luck, crossing my fingers for you!! You must be excited!!