Hello,

I was so encouraged and excited by the fact our insurance BCBS/tennessee was so open & easy to work with WLS patients. I had all m y 'clearance' work done, paper work sent in, and 5 years past BMI being over 40 THEN BAM! The year I had a band, I'd lost over 40 pounds, during THAT year my BMI dropped to be under 40.

The insurance requires that I ahve 5 consecutive years of a BMI over 40!

I am heart broken, yet, have peace, the Lord will work this out. I do have high choloestral and have had since 06' BUT no one has ever put me on medicatin for it, they all wanted me to 'try weight loss' first.

Please pray with me & for me as I am SO VERY DICSOURAGED right now.

What insurance do you have? (If you don't mind sharing, or you can PM if you don't want it public.)

I was under 40 BMI when my insurance was submitted. My first request was denied, but not because of BMI. My appeal was approved, but long story short I'd changed providers by then. Still under 40 when we submitted to the 2nd company, and I was approved first time around. My father was approved for his WLS revision with a BMI around 30! (He'd been through some serious misery with food intolerance and gastroparesis, and was ridiculously thin).

Can you share your insurance company's requirements? I can't promise that I'll be able to help, but I can try to give you some suggestions.

super upset here. I'm a revision patient. got my approval denied. going through appeal now. BMI is 39.8 and they're denying it based on a BMI below 40 and that it hasn't been 2 years since surgery. (15 months isn't enough I guess). super upset!