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Low Bmi, Insurance Denied :(

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.

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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$

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.

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

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

Mine here in Texas was 12,500

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

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

bmi.png

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???

Sent from my iPhone using VST

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....
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.

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???

Sent from my iPhone using VST

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...

  • 2 weeks later...
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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?

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!

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