I am a 19 year old female, 5'4 and 293 lbs. My BMI is 50 exactly. I was diagnosed with moderate sleep apnea yesterday. I have called both of my insurance companies, BCBS and Medicaid, and they both cover VSG. I was wondering how likely am I to be approved for VSG by them?

Probably pretty good. Your BMI is high and you have a major co-morbidity. Best of luck on getting approved!

I am a 19 year old female, 5'4 and 293 lbs. My BMI is 50 exactly. I was diagnosed with moderate sleep apnea yesterday. I have called both of my insurance companies, BCBS and Medicaid, and they both cover VSG. I was wondering how likely am I to be approved for VSG by them?

Sounds like you fit the bill! Good luck!!

Welcome to the Clan, me wee one!

I think you are VERY likely to be approved! Congratulations!

I was told that medicaid didnt cover it?maybe that has changed.

Medicaide managed medical plans do here in NY.

Valentina :grouphug:

I was told that medicaid didnt cover it?maybe that has changed.

You have a high enough BMI and if your insurance covers it, I don't see any reason why they would not cover you.

Only way to find out for sure is to apply.

I think you are a shoe in.

I don't think you have a thing to worry about. You meet the two major criteria. Good luck to you!!

Medicaid coverage is a state-by-state thing. I do know for most who wish Medicaid to cover the surgery, IF it is a covered benefit, the waiting list is huge. Not many physicians in my area (DFW) take medicaid OR medicare due to difficulty getting paid. If your BCBS is primary you have a better shot.

You have a good case, but the only thing you can do is apply to really see where you stand.