Insurance require 50 BMI I have 49.9

[Shea 13]

Well, in two weeks I'll be finished with my 6 months supervised diet. I had a BMI of 49.9 but my insurance requires 50 to be approved for VSG. I'm so nervous they wont approve me. The surgeons office doesnt think it will be a problem for me to be approved since I'm so close. I have Humana PPO. Has anyone gotten approved and not had the exact BMI required?

[A New Day 5]

Can you gain just a tad to make it 50?

[Shea 13]

Of course I could and would love too but I was told the insurance company goes by the weight you were when you first started you diets so I think it may be too late to meet that requirement but I dont know for sure.

[doggz109 41]

If its so close why not just have your surgeon put 50 even? Insurance is very strict....if they say you need 50 and you have 49.9999998.....you will be denied.

[Shea 13]

Well with my bariatric surgeons office, they have a print out they give the insurance company that shows my weight, bmi, and other factors that prints out on this special scale. Dont ask what it is but I had to stand on this scale barefoot and it printed out all this information the scale got from the bottom of my feet. I guess for proof of what my real weight and bmi is.

[happy1957 138]

I met the current Aetna requirement of 40 on my insurance, but it had to be steady for 24 months so I was denied. I had of course dieted during that time and fell below. I need to maintain the 40 until next year, but will appeal.