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BMI under 40 with several co-morbidities, Please help!

Hi,

I met with my surgeon on 10/4 and so far have gone thru at least 5-6 tests - still have ecko cardiogram and a two part nuclear stress test and psyche eval.

HOWEVER, I found out that I have sleep apnea (18 apneas per hour, i heard it's more mild to moderate) and I have Type II Diabetes and Acid Reflux - BMI is 38 or 39....I have Aetna - what do you all think....? are these good chances of being approved?:w00t:

- I start my 3 months worth of nutrition classes on 11/3 and my psyche appt will be next month.:thumbup:

I'd love to hear back from all of you that were approved due to comorbidities and/or those waiting to hear back.....I'm scared that I still won't get approved:huh2:

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Hi,

I met with my surgeon on 10/4 and so far have gone thru at least 5-6 tests - still have ecko cardiogram and a two part nuclear stress test and psyche eval.

HOWEVER, I found out that I have sleep apnea (18 apneas per hour, i heard it's more mild to moderate) and I have Type II Diabetes and Acid Reflux - BMI is 38 or 39....I have Aetna - what do you all think....? are these good chances of being approved?:w00t:

- I start my 3 months worth of nutrition classes on 11/3 and my psyche appt will be next month.:thumbup:

I'd love to hear back from all of you that were approved due to comorbidities and/or those waiting to hear back.....I'm scared that I still won't get approved:huh2:

If Aetna says BMI 35-39 with co-morbidities, you should have no problem.

I have BCBS California Access HMO, mine was BMI 35-39 with 2 co-morbidities. I had no problems at all, once I got permission to see my surgeon. Which I had to appeal to do because I hadn't done a 6 month program. I submitted Weight Watchers records and won the appeal.

From that point on, my medical conditions were no issue.

I don't know about your particular insurance, but it is VERY common for most insurance companies to cover this surgery with your bmi, if you have at least 2 co-morbidities. FYI, joint pain is another one you could add to the list, if you have pain in say, your ankles, hips or knees. Much cheaper for insurance to pay for a band than new knees!

  • Author

Thank you!

I sure hope so

and congrats to you with your amazing weight loss!!!! :w00t:

  • Author
I don't know about your particular insurance, but it is VERY common for most insurance companies to cover this surgery with your bmi, if you have at least 2 co-morbidities. FYI, joint pain is another one you could add to the list, if you have pain in say, your ankles, hips or knees. Much cheaper for insurance to pay for a band than new knees!

I do actually have some joint pain - I've had it thru the years but it REALLY started this year when I gained the most RECENT 20 pounds.

Thank you

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