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Starting BMI under 40?

Anyone else here? I have a BMI of 37 and will be going to a seminar on Saturday. I am hoping to get insurance to cover surgery because of my other health conditions (prediabetes, high cholesterol, asthma, PCOS, etc.).

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My BMI is 37 also and I am having the surgery....As far as insurance goes I do not know because I am self pay but I know that if your BMI is under 40 but not under 35 and you have at least one comorbidy then your insurance shouldnt be a problem...

Mine was 36/37ish but I had no trouble getting banded because I live in Australia and you dont have to "prove" anything to insurance companies over here, they just cover it regardless.

  • 3 years later...

I started the process at 35... I think the only reason my insurance approved it was because I have sleep apnea ...Now I've had to lose weight to qualify for surgery, and my bmi is 32... and I'm getting the surgery 3/31/10! good luck to you.:cursing:

I had surgery on November 01, 2009. My BMI was 37. I was approved almost instantly from my insurance....just needed a referral letter from my pcp along with my weight history. As of today, I'm down about 41 pounds....and feeling AWESOME! Good luck to you :unsure:

I think each insurance company has its own criteria. You may want to look it up on your ins company's web site. Mine is Aetna. They'll do 40 BMI no problem, but between 35 and 40 you need one of the comorbitities on their list. They are uncontrolled hi bP; diabetes; and sleep apnea. I was 37 BMI with sleep apnea. They each have their own set of steps to take to qualify. For mine I had to have three months of seeing a nutritionist and supervised exercize (class or personal trainer.) Once I completed that and the surgeon sent in all the paperwork they approved me immediately. Good luck!

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