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BCBS-Il

OldskoolHeart

By OldskoolHeart, in Insurance & Financing

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OldskoolHeart    6

OldskoolHeart
Posted

I just came back from the Doctor she said my BMI is at 39.7. Do I have to exactly be at 40 in order to get the surgery? Im not sure I have 2 comorbidities so I wont qualify. She said she could just put me at 40 if need be but if my paperwork sats 39.7 insurance will reject it, correct

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NewAshes    232

NewAshes
Posted

Yep

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Lov3ly773    13

Lov3ly773
Posted

I just came back from the Doctor she said my BMI is at 39.7. Do I have to exactly be at 40 in order to get the surgery? Im not sure I have 2 comorbidities so I wont qualify. She said she could just put me at 40 if need be but if my paperwork sats 39.7 insurance will reject it, correct

I don't think you need to be 40... I read about people with a BMI of 35-40 with no cormorbidities getting weight lost surgery. Do your research, because you at the 40 mark!!! I have BCBSIL ***, but my BMI is 45.

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cgar0126    0

cgar0126
Posted

I have not been to seminar yet. I called my insurance and they said that my policy doesn't cover bariatric surgery at all. I have bcbs- Illinois. .i am saddened by this. Does anyone else know if there is differences in the coverage that makes a difference. My bmi is 51.

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NellieBean    70

NellieBean
Posted

I have BCBSIL as well and yes, it depends what policy your employer has chosen on whether or not it is allowed. My former employer did not allow it, luckily my current one does.

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Lov3ly773    13

Lov3ly773
Posted

I have not been to seminar yet. I called my insurance and they said that my policy doesn't cover bariatric surgery at all. I have bcbs- Illinois. .i am saddened by this. Does anyone else know if there is differences in the coverage that makes a difference. My bmi is 51.

It depends on your employer. I also have BCBSIL ***, I work at University of Chicago Medical Center... so naturally any health related surgery would be covered. Contact your benefits department and find out. The employer may not have the bariatric ride attached to their policy for their employees.

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OldskoolHeart    6

OldskoolHeart
Posted

I'm all good to go, go see the surgeon tomorrow. I have completed pretty much everything else except for the dietician which I will schedule tomorrow. Beyond excited and nervous!!

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