Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Calling all low BMI sleevers



Recommended Posts

I have to appeal to my insurance company because they only cover the sleeve for patients with a BMI over 50 (I'm 44). In my appeal letter, I want to mention other insurance companies that allow lower BMI patients to have the sleeve.

So, if your BMI was 35 to 49 and your insurance covered the sleeve (with or without co-morbitities), please respond with your pre-surgical BMI and the name if your insurance company.

Thanks so very much!

Share this post


Link to post
Share on other sites

I have UHC and I am between 39 - 40 depends on who's scale PCP had 39 bmi on her letter, surgeon had 40 (with pre- diabetes)

Share this post


Link to post
Share on other sites

I was right at 40 I have Kaiser.

Share this post


Link to post
Share on other sites

I have Kaiser, mine was 43 and I had 2 cormorbidities. However, I lost 55lbs pre-op and my BMI went down to 37, but they still did my surgery and here are their requirements:

To be referred for bariatric surgery, candidates must be

at least 18 years old and must have a:

BODY MASS INDEX (BMI) >35 WITH SPECIAL

CIRCUMSTANCES

As recommended by the appropriate specialist to

the Regional Bariatric Medical Director or

designee and approved by the Director or designee

BODY MASS INDEX (BMI) 40 - 49.9

With one comorbid condition from Category 1 -

OR -

Any two comorbid conditions from Category 2 -

BODY MASS INDEX (BMI) 50 OR GREATER

No comorbid conditions required.

Hope this helps you!!

Kelly :)

Share this post


Link to post
Share on other sites

I have BCBS of Texas and my BMI is 41.

Share this post


Link to post
Share on other sites

I have Gilsbar and mine was right at 40.

Share this post


Link to post
Share on other sites

I was at 41 when I first started in January, but my insurance (Cigna) requires a 6 month diet and excersise regimin before approving my surgery. Now I am at about 37, and was concered because my insurance requires to be at least a 40. My doc said not to worry because the insurance will take my BMI at the start of the program, not after the 6 months. I'm scheduled for late July to get my surgery done.

Share this post


Link to post
Share on other sites

BMI of 40; Aetna PPO (not an ***).

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • Stone Art By SKL

      Decorative Wall Cladding & Panels | Stone Art By SKL
      Elevate your space with Stone Art By SKL's decorative wall claddings & panels. Explore premium designs for timeless elegance.
      · 0 replies
      1. This update has no replies.
    • Clueless_girl

      Losing my hair in clumps and still dealing with "stomach" issues from gallbladder removal surgery. On the positive side I'm doing better about meeting protein and water goals and taking my vitamins, so yay? 🤷‍♀️
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      I've hit a stall 9 months out. I'm not worried, though. My fitness levels continue to improve and I have nearly accomplished my pre-surgery goal of learning to scuba dive! One dive left to complete to get my PADI card 🐠
      I was able to go for a 10K/6mile hike in the mountains two days ago just for the fun of it. In the before days, I might have attempted this, but it would have taken me 7 or 8 hours to complete and I would have been exhausted and in pain for the next two days. Taking my time with breaks for snacks and water, I was finished with my wee jaunt in only 4 hours 😎 and really got to enjoy photographing some insects, fungi, and turtles.
      · 0 replies
      1. This update has no replies.
    • Mr.Kantos

      Just signed up. Feeling optimistic.
      · 0 replies
      1. This update has no replies.
    • Frugal

      Welcome to Frugal Testing, where we are committed to revolutionizing the software testing landscape with our efficient and affordable solutions. As a pioneering company in this field, we understand the challenges faced by startups, small to medium-sized businesses and any organization working without budget constraints. Our mission is to deliver top-notch testing services that ensure the highest quality of software, all while keeping your costs in check.
      Frugal Testing offers a comprehensive suite of testing services tailored to meet diverse needs. Specializing in different types of testing including functional testing, automation testing, metaverse testing and D365 testing, we cover all bases to guarantee thorough software quality assurance. Our approach is not just about identifying bugs; it's about ensuring a seamless and superior user experience.
      Innovation is at the heart of what we do. By integrating the latest tools and technologies, many of which are cutting-edge open source solutions, we stay ahead in delivering efficient and effective testing services. This approach allows us to provide exceptional quality testing without the high costs typically associated with advanced testing methodologies.
      Understanding each client's unique needs is fundamental to our service delivery. At Frugal Testing, the focus is on creating customized testing strategies that align with specific business goals and budget requirements. This client-centric approach ensures that every testing solution is not only effective but also fully aligned with the client's objectives.
      Our team is our greatest asset. Composed of skilled professionals who are experts in the latest testing techniques and technologies, they bring dedication, expertise and a commitment to excellence in every project. This expertise ensures that our client’s software not only meets but often exceeds the highest standards of quality and performance.
      Frugal Testing is more than just a service provider; we are a partner in your success. With a blend of quality, innovation and cost-effectiveness, we are here to help you navigate the complexities of software testing, ensuring your product stands out in today's competitive market. 
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×