BCBS/Tx is the BEST!

[misslady 130]

Wow everybody.....so I was just told by my surgeon's office that I would have to gain 25 MORE POUNDS before they will even send off the forms to try and get me approved by insurance. Never in my life have I ever been told I needed to gain weight. EVER! Apparently because I can't check any of the little boxes off on the criteria for what they feel you should have to be worthy of this surgery. HMMMM now I am in a very interesting situation. What in the world is that going to do to me mentally. Also, I am assuming that I still may not get approved even after gaining the 25lbs and having the 40 and over BMI. WOW.....a lot to think about.........

Sorry that you are having to go thru this frustration. But I would say again make your insurance company the final answer. If Blue Cross tells you that they do not accept lower BMI patients then that would be the end of the line. The coverage I have with BC/BS TX will accept lower BMI candidates but you do have to have co-morbidites. Not sure what your health history is like. But things like hypertension, diabetes, sleep apnea etc. They told me exactly what co-morbidities would qualify a lower BMI patient. Now if your SURGEON just has a specific BMI patient that they will only work with I would suggest changing surgeons if your insurance says you can have the surgery with a lower BMI. Hang in there. And their decision does not change that you a worthy!! You deserve to try and get the help you need. Good luck.

[lovietobeme 45]

If you have any family history of diabetes, high blood pressure the insurance company will look at that too! I am low bmi!