I'm a week away from meeting/counsultation with the surgeon and submitting my paperwork for approval - after I had successfully transfered all my paperwork from my previous HCP to UHC PPO. My Nurse Manager who is handling my case stated that for my plan I need to provide a five year weight history - ok no problem right? Now she tells me:

I need to make sure that my weigh ins are not a BMI below 40, which would be a weight below 280. And that UHC could use this as a reason to deny surgery stating you have not been severely obese for 5 years.

REALLY! I'm very discouraged right now I can't even put this into words!

Does anyone on here have UHC PPO Choice Plus who was approved with BMI weighin less than 40 for the 5 year history? Anything encouraging right now will be great to hear.

I have UHC Choice Plus. My case manager just got all my stuff sent to UHC yesterday so I am still waiting to hear whether I am approved or not. I have not had a BMI over 40 for five years and I actually just barely made the weight at my last weigh in (UHC required me to do a 6 month Dr. supervised diet) and I also don't have any comorbidities so I am very nervous about what they are going to say. This really doesn't anwer your question, but I guess I'm trying to say I hope they overlook the BMI and just look at the weight gain over the years. Good luck to you!

I have UHC Choice Plus. My case manager just got all my stuff sent to UHC yesterday so I am still waiting to hear whether I am approved or not. I have not had a BMI over 40 for five years and I actually just barely made the weight at my last weigh in (UHC required me to do a 6 month Dr. supervised diet) and I also don't have any comorbidities so I am very nervous about what they are going to say. This really doesn't anwer your question, but I guess I'm trying to say I hope they overlook the BMI and just look at the weight gain over the years. Good luck to you!

Yes, I don't have any comorbidites either but I chose the sleeve partly because I do have very bad lower back problems and kneeanches & pains since I was 19 yrsoge and I take NSAIDS often like Naproxen, Bayer Asprin, etc. And for the Roux En Y you can not take those becasue it can cause problems. So, i'm hoping that even though I have not consistantly been at a BMI of 40 that each year even though I have tried to live a healthy lifestyle I have failed and my BMI has increased each years due to unsuccessful weight loss attempts.

Good luck to you and please let me know what your outcome is and I will let you knwo once my paperwork is submitted in March.

Have you taken your height measurement. If you are shorter than you thought your BMI goes up.

Have you taken your height measurement. If you are shorter than you thought your BMI goes up.

That's a great Idea but unfortunately I have had my height checked a couple of times and I'm 5'10. Normally, I love being tall but in the case not so much! :->