Low Bmi, Insurance Denied :(

[keda 56]

My BMI was 39' date=' 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![/quote']

Is it 10,0000$ to get the procedure done?

[keda 56]

A trip to Mexico will solve that problem! I too had a lower BMI' date=' 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.[/quote']

I might have o self pay Las Vegas is where I live 10,000.00$

[Earwood 136]

Is it 10,0000$ to get the procedure done?

I also had a BMI under 40 AND insurance that does not cover WLS period. I also opted for a trip across the border. My surgery cost $4500.00 which I paid most of out of my Medical Flex 125 account through my employer so that is tax free and interest free to me I just pay back through payroll deductions over the course of the year. Unfortunately, the IRS guidelines are changing next year lowering the max contribution amount to $2,500.00.

[keda 56]

I also had a BMI under 40 AND insurance that does not cover WLS period. I also opted for a trip across the border. My surgery cost 4500.00 which I paid most of out of my Medical Flex 125 account through my employer so that is tax free and interest free to me I just pay back through payroll deductions over the course of the year. Unfortunately' date=' the IRS guidelines are changing next year lowering the max contribution amount to 2,500.00.[/quote']

Yes that sounds good I will have to pay the 10,000$ ill gain the 15lbs sadly

[chiki 11]

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

hi suegirl, one question?? when u had surgery and how many LBS you lost... i had surgery in May2012 with the same bmi and it been hard to me to lose weight.. 20lbs so far but i am stock with the seme 20 pounds for 6 weeks... how is your process???

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[suegirl 109]

Is it 10,0000$ to get the procedure done?

Mine here in Texas was 12,500

[KristinaAshley 5]

Here in Idaho self pay is almost $16,000....

[NDN_RN 527]

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.

Many ins companies will ask for a two year weight history from your pcp for a bmi of 40. For bmi lass than 40 to 35 you may need one or two comorbidities as well

[suegirl 109]

hi suegirl, one question?? when u had surgery and how many LBS you lost... i had surgery in May2012 with the same bmi and it been hard to me to lose weight.. 20lbs so far but i am stock with the seme 20 pounds for 6 weeks... how is your process???

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I am now 10 days out and I just hit the 20lb mark... Of course right now I cannot tolerate any Protein drinks... so I am still on liquid and egg drop Soup which has a little Protein in it...No nausea and today was the first day without pain of any kind....

[keda 56]

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.

Did you get approved yet? I'm still praying for u. And me.

[suegirl 109]

hi suegirl, one question?? when u had surgery and how many LBS you lost... i had surgery in May2012 with the same bmi and it been hard to me to lose weight.. 20lbs so far but i am stock with the seme 20 pounds for 6 weeks... how is your process???

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My surgery was just over two weeks ago... between the pre-op diet and the surgery itself, I am down 23 lbs... I have not exercised one bit because I cannot seem to drink any Protein, therefore no energy... it all runs right through me.. They released me to pureed yesterday so that I can start taking in Protein via food... I will be swimming and yoga starting next week though...

[janda927 9]

Did you get approved yet? I'm still praying for u. And me.

Hey keda,

My doc resubmitted paperwork today should know by Friday. I'll keep you posted. How about you?

[keda 56]

Did you get approved yet? I'm still praying for u. And me.

Hey beautiful how far off In weight are you can you Gain the weight. I had to gain ten pounds sounds silly but to me I'm 75lbs overweight and always unhappy so to gain 10 more was harder than I thought but was well worth it. I pray something will change for you. I'm 252 at 5'7.. I pray you get good news and also call the insurance company and see actually why they denied you. Remember everything happens for a reason my friend. I hope you ok!