cyndilou29

I know many of you had to go through many appeals to get this done. I have been told by my insurance that my employer excluded it from coverage. My question is this: what happens if I lose some weight in the interim? My highest was 241, currently 231 but what happens if I lose, say 20-30 lbs and my BMI is no longer over 40? Do I not qualify if I win the appeal now? I am not well and cannot stay at this weight (pre-diabetic, high cholesterol, GERD, sleep apnea, multiple sclerosis) but I don't want to eliminate myself from this surgery altogether. I am at at BMI of 40.2 right now. Why is this so hard? When will people understand this is a health issue and not a "character" issue?

Thanks Goddess. I figured the same. I can always lose weight, I just can't keep it off. I have lost over 500 lbs in my life (not all at once!) I just go up and down, up and down. So frustrating. I think I'm going to just maintain for now until I find out for certain if this is going to happen. Thanks for the feedback.

When you guys went through it, was it your initial weight that they looked at or the weight just prior to surgery. I am literally at a BMI of 40 right now. 1 more pound loss and I don't qualify.

I'd like to know myself. I know we can't do collagen implants and such. Wonder if this would even be okay. Didn't bring it up to my neurologist but I will now!

We just switched to Highmark January 1. Do you know if it is the employer who makes the final decision on what gets covered if you are on a self funded plan? ie does the appeal go to them ultimately?