I've been denied twice for VSG by BCBS. Both times they are saying I didn't have the minimun BMI 40. At my initial consult with my surgeon my BMI was 40.5. BCBS required I follow a 3 month medically supervised diet. In which time, I lost some weigh. Now they're saying I don't qualify!! I'm going to call BCBS & discuss this with them. I've never spoke with rthem before. Anyone have tips, suggests, experiance?? Thanks fo much!

I've been denied twice for VSG by BCBS. Both times they are saying I didn't have the minimun BMI 40. At my initial consult with my surgeon my BMI was 40.5. BCBS required I follow a 3 month medically supervised diet. In which time, I lost some weigh. Now they're saying I don't qualify!! I'm going to call BCBS & discuss this with them. I've never spoke with rthem before. Anyone have tips, suggests, experiance?? Thanks fo much!

Do you have any co-morbidities? This isnt' for your insurance company per se....I think its federal guidelines. You must have a BMI over 40 or over 35 with 2 co-morbidities (high blood pressure, diabetes, etc). I think this is pretty standard for most places - I've seen it every place I've gone. It's just to get the surgery done....not even to qualify for insurance.

I would say your options are either going to be self pay somewhere or gain weight. Sorry.

Bummer... I am scared of the same thing!! Which BCBS do you have, if you don't mind me asking??

Glenna