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Low Bmi, Insurance Denied :(

janda927

By janda927, in Tell Your Weight Loss Surgery Story

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janda927    9

janda927
Posted

Hi all my name is Jenna and my surgeon has scheduled me for the VSG on 10/24 only to get denied by my insurance. Dr is going to do verbal appeal tomorrow. Fingers crossed! I appreciate no negative comments. Just because my BMI isnt 40 or more doesn't mean I do not deserve a chance to be healthier.

KristinaAshley and keda reacted to this

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BrokeMyHalo    107

BrokeMyHalo
Posted

This sounds awful, but I would gain a little weight (aka wear some weights in your pants when getting weighed in) lol.

I don't have the problem of not meeting the BMI requirements but my insurance doesn't cover AT ALL.

I hope your doctors appeal works! Good luck!!

KristinaAshley, AngelEyesInNJ, keda and 1 other reacted to this

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LouiseC    1,031

LouiseC
Posted

This sounds awful' date=' but I would gain a little weight (aka wear some weights in your pants when getting weighed in) lol.

I don't have the problem of not meeting the BMI requirements but my insurance doesn't cover AT ALL.

I hope your doctors appeal works! Good luck!![/quote']

Lying to an insurance company is a crime and is never a smart thing to do. The consequences if you are caught defrauding an insurance company can impact negatively on your life for a very long time.

LizInTexas reacted to this

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BrokeMyHalo    107

BrokeMyHalo
Posted

Lying to an insurance company is a crime and is never a smart thing to do. The consequences if you are caught defrauding an insurance company can impact negatively on your life for a very long time.

I was being sarcastic

KristinaAshley reacted to this

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thehappycat    91

thehappycat
Posted

So sorry to hear that. But hang in there. Hopefully, your doc can get it sorted out.

janda927 reacted to this

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Territravel    217

Territravel
Posted

My BMI was 39, with no major health issues. After talking to my insurance company, I knew they would never pay for the surgery. I decided to make it happen. I borrowed from my jobs 401 plan, as a medical hardship, went to Mexico and had it done. Where there's a will there's a way!

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suegirl    109

suegirl
Posted

My BMI was 35.5 before my surgery. I had to self pay because of it because of no co-morbitities.... No regrets...

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Tammy310    43

Tammy310
Posted

My BMI was 36 when I started off but I have 6 out of the top 10 comorbidities so my insurance approved the first time through. (thank God) If the doc talks to the insurance company and can prove that you are unable to lose on your own, he may be able to convince them.

What is meant to be will be. No worries. & Good Luck! :)

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deekaspor    89

deekaspor
Posted

A trip to Mexico will solve that problem! I too had a lower BMI, so off the Mexico I went and LOVE my sleeve. I had to self pay, but it is the BEST 4500 I have ever spent.

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Angelmom    30

Angelmom
Posted

It's inevitable that you'll gain weight...so it's not really lying. Time is what you have...keep "working at it" and gaining and resubmit, if you have to.

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janda927    9

janda927
Posted

Thanks everyone :). I think what gets me most annoyed is if you have a BMI greater than 30 your considered obese. Yet not covered by insurance. Annoying!!!!! I know how to lose weight, I've done it all my life. I just can't keep it off.

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keda    56

keda
Posted

Keep your head up I'm struggling with the same problem 246 @ 5'7 BMI under 40 I was told to gain weight 15 lbs but if that's what I have to do to get o my life Goal weight 160 I will. Can we try other companies? And request all of our test we took? I'll check and keep u posted. Don't look down look up. Something will happen for us.

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Go To Topic Listing Tell Your Weight Loss Surgery Story

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    • Alisa_S

      Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 0 replies
      1. This update has no replies.
    • Alisa_S

      Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

      CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
      1. This update has no replies.
    • KimBaxleyWilson

      KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
      · 0 replies
      1. This update has no replies.
    • bellaamey

      bellaamey

      https://alluniqueguide.com/java-burn-coffee-reviews/
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      1. This update has no replies.

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