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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!!

keda, MrsKitKat, KristinaAshley and 1 other reacted to this

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LouiseC    1,029

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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    • BeanitoDiego

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      Oh yeah, something I wanted to rant about, a billing dispute that cropped up 3 months ago.
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    • BeanitoDiego

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    • ChunkCat

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    • BeanitoDiego

      BeanitoDiego

      Still purging all of the larger clothing. This morning, a shirt that I ADORED wearing ended up on top. Hard to let it go, but it was also hard to let go of those habits that also no longer serve my highest good. Onward and upward!
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