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Bmi 35 Its possible insurance approved?



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Hi people@

I would like to know if anyonee in the forum has insurance approval to sleeve with 35 of BMI, and diabetes or any other comorbidities????

Thanks!

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For Massachusetts I think it's normally BMI 40 w/o comorbidities & 30 if you do have them.

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I'm in IL, most plans here are BMI 35 with comorbidity and 40 w/o comorbidity. But every plan is different. If you call your insurance, they can tell you exactly what the qualifications are and the requirements for approval.

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My BMi is 36 and submitted all my info to insurance a few days ago. They gave me a surgrey date already but still waiting on insurance. I meet all requirments

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It's possible but depends on your insurance plan. Mine required one or more co-morbidities, documentation of previous participation in a conservative weight loss plan (like Weight Watchers), documentation of participation in a surgery prep program (my surgery center), and documentation of a pre-op psych eval. Other plans require six months of either nutritional counseling or doctor supervised weight loss visits. Possible - but check your plan coverage to know what you are facing.

Welcome aboard the sleever's road to a thinner you!!

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My BMi is 36 and submitted all my info to insurance a few days ago. They gave me a surgrey date already but still waiting on insurance. I meet all requirments

Good luckkkkk!

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It's possible but depends on your insurance plan. Mine required one or more co-morbidities' date=' documentation of previous participation in a conservative weight loss plan (like Weight Watchers), documentation of participation in a surgery prep program (my surgery center), and documentation of a pre-op psych eval. Other plans require six months of either nutritional counseling or doctor supervised weight loss visits. Possible - but check your plan coverage to know what you are facing.

Welcome aboard the sleever's road to a thinner you!![/quote']

Thank you! My insurance plan doesn't required a 6 months supervised diet...but Im a lil concern because I always try diets by myself, or gym, zymba at home...how I can document that? Any experience or advise???

Thank you, I really appreciate your comments and help! :)

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Thank you! My insurance plan doesn't required a 6 months supervised diet...but Im a lil concern because I always try diets by myself' date=' or gym, zymba at home...how I can document that? Any experience or advise???

Thank you, I really appreciate your comments and help! :)[/quote']

When I got my band in 2010 they just gave me a questionnaire that had several different diets and you put the year(s) you did them along with how much you lost and regained. This is what they send to insurance.

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Do you know if they are going to want proof of a weight loss program? You may need to check with them (or have your surgeons office check).

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I did a fitness boot camp and that did not count towards supervised diet . They said it had to be from a dr or nutritionist... Thought that was silly since we were weighed every 3 weeks and did measurements

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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 0 replies
      1. This update has no replies.
    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

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    • KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
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