I have BCBS of Florida, The sleeve is covered if you have had a 50 BMI for at least 5 years. I have not I am only at a 40. Has anyone had this trouble but fought against to have the sleeve and won? I am covered for gastric bypass but I choose not to have my intestines moved around.

Any of you out there have had this problem?

That;s the highest BMI prerequisite I've ever heard! Do they give any allowances for comorbidities such as sleep apnea, back/knee problems, etc?

Never heard of that before. Since I didnt have any health problems I did have to have a BMI higher than 50. I would definitely fight it.

I have BCBS state of Florida pop and they covered my band in 2010 and just 3/30 my revision to sleeve and I was never a BMI of 50.

Not that I know of on the co-mobilities...........I do have several. I am going to fight this. I have my first appt Monday with the PA and then will be seeing the dietician as some point, Not sure how all this works just yet.

I just can't believe that is what they said a BMI for at least 5 years, that is crazy. If they can cover the gastic bypass with out having that, they most certainly cover a sleeve. Reason being they wont is because there is not enough research on it, hasn't been around as long as the gastric bypass..........The sleeve is less invasive and quicker recovery time, less dumping ect ect.........This is what is best for me, I WILL get this, I'll fight tooth and nail to become approved!

Good luck Terriann. Keep us posted. You're inmy prayers.

I have atnea and they covered almost all my expensise so far...... except for copays....I know they will no cover plastic surgery but i am 8 weeks out and very pleased with the results... good luck

I have aetna and they covered half my bmi was 40 the problem was even though they paid half out of pocket still cast me 13, 000 I could of gone to Mexico twice

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