bigbeauty78

I'm getting very nervous as the time to submit draws closer. Wednesday I have my last visit which includes the liver class. My bmi is 36 with Co morbid of high blood pressure diagnosised in June this year, gerd, and rem sleep apnea. Did anyone not have to submit pass weight history for BCBS? I'm on the state employees plan and they offer an awesome contract. What was your bmi& comorbids?

I've seen folks suggest a lighter me website. Hope this helps.

Peggy do you know the criteria for Bcbs Florida?

Do you have a surgery date?

I have sleep apnea (rem) but not sure if it falls under my insurance policy definition. They probably are looking for obstructive sleep apnea that requires a cpap.

Nyoker did you have a cpap machine for your sleep apnea? I took my sleep study and I have rem sleep apnea.

So happy for you! I can't wait to be on the losers bench. My coordinator will be submitting soon. October hopefully November surgery.

Did you have surgery yet?

I have a state employee insurance policy , was wondering how long did it take for your approval process? What was your bmi and any co-morbids? What was your out of pocket Max? Thanks!!

I have a state employee insurance policy , was wondering how long did it take for your approval process? What was your bmi and any co-morbids? What was your out of pocket Max? Thanks!!

Wow that was fast congratulations! What is your bmi and do you have co-morbids? Best of luck.

My office submits your first weight only.

Even if you had controllable high blood pressure. Lower with medication? For a co-morbid and bmi of 36?

I live in Florida but choose an office in Dothan Alabama for my surgery. I'm still in the process of my prerequisites of wls. I have high blood pressure and gerd. My BCBS FL will use gerd as a co-morbid. I've called the insurance representative. Good luck!

Keep us posted on your study.

Good luck to you.

Thanks!!

How long of a history and what weight loss attempts did you submit for insurance approval? Did they ask for proof? I have BCBS FL, not required to do a pre-op diet. Only 3 months waiting period, and that's to complete the surgeons program. Thanks for the info.

Sorry wls exclusions.

Call the number on your insurance card and ask them what are your Wilson exclusions. Your employer may have opted out of wls benefits on the contract. Good Luck!

Im doing the happy dance! My ARNP is supporting me 100% and will write a medical necessary letter. My sleep AP test showed rem sleep AP. He didn't issue me a cpap machine. He did imply on his letter I lose weight and sleep on my side. Wondering if this is going to affect my co-morbid with Bmi of 36.

My test showed I have rem sleep AP. I stopped breathing 3 times an hour. No cpap machine needed Dr. said. Suggested in his report losing weight and sleeping on side should help. Do you think I could get away with this diagnosis as a co-morbid? Report also shows I have 11 episodes of bradycardia. Heart beat drops below 60 during sleeping times.

Do you mind me asking why you got denied?

Yes Lisa it's something I've got to complete on my check list for sleeve surgery. A physical therapy evaluation.