Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Concerns about approval



Recommended Posts

Hi, I am concerned about getting approval through my insurance company. I am 28 with a BMI of 41. The thing is that I have no health problems. The only thing wrong with me besides beign morbidly obese is that June 2009 I fell down one step and broke my ankle in three places. Now I am full of plates and screws and cannot walk for any period of time, never mind trying to jump or walk on uneven ground. I think that a good weight loss might ease up on the ankle and better my quality of life. Nevermind the fact that my father was diagnosed with diabetes right before his 50th birthday and there is a long history of heart disease in the family. As well as my mother suffering from a major stroke at the age of 38. All this taken into consideration, I have choose to start my journey. Is there anyone else going through this? I feel that I am just too healthy for the insurance company....GO FIGURE! I guess only time will tell!

Share this post


Link to post
Share on other sites

If your BMI is 40 or above, most insurances do not require any co-morbidities. You should be approved with no issue at all. If you cal your insurance carrier, they will tell you the bariatric requirements.

I was very nervous that I wouldn't get approved either because my BMI was under 40. I did, however, have many other health conditions. I thought for sure though that they would deny me. I was approved in six days. I had surgery on Aug 17. It's the best thing I ever did.

Call your insurance carrier and find out the requirements. It will ease your mind.

Share this post


Link to post
Share on other sites

I thought I was going to get denied because of my age. I'm 22, and I thought they would think that I should at least "try" to lose weight. (I had recorded weight loss attempts since I wa 12). My BMI was like 52 and I did have some hypertension, but I wasn't on medicine for it. However, I was approved with no issues. I think you will do fine. Just give you insurance a call. :) If your surgeon's office is as wonderful as mine, (I have a wonderful insurance lady that does all the dirty stuff for the insurance) they will help you with your insurance battles.

Share this post


Link to post
Share on other sites

I have just begun the journey. I went on Wednesday to my first consult and took all required paperwork with me. I am 37 with a BMI of 43 NO comorbities at all. I too was worried about being too healthy in some respects but after meeting with the surgeon and everyone else there he and the insurance girl told me that it would be on the contrary, I should have an easier time getting approved because other than being overweight I have no issues. Lots less to do as far as paperwork and clearances. Hopefully they know what they are doing. This doctor has performed over 4500 lap band procedures so I am confident that he and his staff know what they are doing. We shall wait and see I should have an answer by the end of September with any luck it will be sooner.

Share this post


Link to post
Share on other sites

Most insurances cover for BMI's over 40. I started with a BMI of 41 as well and my surgery was covered 100%. Of course it all depends on your plan. Take a peak at your insurance companies website....it will probably give you all the requirments needed in order to qualify! Good luck hun!

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • bellaamey

      https://alluniqueguide.com/java-burn-coffee-reviews/
      · 0 replies
      1. This update has no replies.
    • rlcpd

      Two months out from hiatal hernia repair.  Surgeon said to expect a lot more flatulence...something about the 'air' no longer being able to 'burp' out so comes out the other end.  That is my experience but have no understanding of why that swallowed air cannot be 'burped'. ???
      · 1 reply
      1. BlondePatriotInCDA

        As I understand it since your stomach is smaller and not completely resting against your diaphragm anymore you no longer have the ability to "push" burps out as well. Plus, since its smaller and we don't digest slower the trapped air moves a lot quicker out of the stomach so its no longer available to burp out. Hence the other option for removal.

    • Lizette1122

      Anyone had the TORe procedure? How did it go? How much weight did you loose? 
      · 0 replies
      1. This update has no replies.
    • LadyVeteran1

      Sleeve surgery is on April 14th.  I am counting the days!!  Can't wait!
      · 3 replies
      1. Brookie2shoes

        Me too girl!! Are you in the full liquid diet right now? It’s sooooo hard!

      2. LadyVeteran1

        Not yet. I was told I only have to do 24 hours of a liquid diet. But I have my pre-op tomorrow so I’m going to confirm if I need to do longer.

      3. buildabetteranna

        Your so close now! It's gonna be great :) Wishing you a speedy recovery and looking forward to seeing how it goes!

    • buildabetteranna

      Down 33 lbs and slightly stalled, but I'm gonna reevaluate and push through. I started back to work last week after 2 years of being disabled due to mental health as well as my weight. It's a great job and I'm just so happy to have this opportunity at a second chance at life. Hope everyone is having their best journey ❤️ Together, we got this!
      · 2 replies
      1. DaisyChainOz

        Great work Anna! Keep it up 😁

      2. buildabetteranna

        Thank you ❤️

  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×