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Barely qualifies through insurAnce

Hi everyone... I am looking to hear from people who were approved "on the cusp"?? My BMI is 37.5 and I have reflux and asthma. I'm about 70-80lbs. Over weight and going through my 6 month pre-approval requirements. I'm purposely not losing any weight because I feel I could be denied if I lose even 1 lb. anyone in this boat as well??

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Hello I can only tell you what my insurance said. I was on the "cusp" as well at 41 bmi and I was also afraid of going below 40 bmi because I didn't think I had any co- morbidities, I also didn't really try to loose weight. Then I was diagnosed with sleep apnea and I knew I would get approval as long as my BMI stayed above 30. Research your insurances policy on lap band surgery so you can know for sure what their co-morbidities are and if you will qualify. The more you can stick to your diet monitoring plan the easier the post op diet will be for you.

  • 2 weeks later...

My bmi was right at 35, I have high blood pressure, severe arthritis, pcos, insulin resistant... The list goes on lol I'm only 28... But I was really worried about not getting approved becuz I was in the low end of the bmi... But everything went smooth and from my consult in march to my surgery that was may 30th was smooth sailing... Do you have any comorbitys?which insurance do you have? I'd def check with your insurance.... I have horizon nj direct, there pretty good

  • Author

I have asthma, reflux, insomnia and possibly sleep apnea I'm waiting for that test... I have magnacare and I'm in NY / where are you in jersey? We're prob not too far from each other

I'm in central jersey... By the "jersey shore" lol I'll keep my fingers crossed for you!

Good luck@@!

  • Author

Thank you!! Good luck to you guys As well

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