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I have Comorbidities ..... !

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Having comorbidities makes most insurance companies approve at a lower BMI then if you didn't have any. I have never heard of comorbidities changing the amount of time necessary, however with some insurances like UPMC PPO which is what I have a higher BMI gets you out of the 6 month wait time. Hope this answered your question, good luck.

  • Author
Having comorbidities makes most insurance companies approve at a lower BMI then if you didn't have any. I have never heard of comorbidities changing the amount of time necessary' date=' however with some insurances like UPMC PPO which is what I have a higher BMI gets you out of the 6 month wait time. Hope this answered your question, good luck.[/quote']

Hey babe (:

Thanks !!!

Very helpful info .

I don't think I will have to do the 6 month thing like you were saying (:

That didn't work for me. I had a 18 month fight with Aetna before I was approved. I was only required to undergo three months of nutritional counseling, but that timeframe kept getting longer. At, the time I had a bmi of 49 but no comorbities. Aetna finally approved after I hired a healthcare advocate and threatened to sue.

  • Author
That didn't work for me. I had a 18 month fight with Aetna before I was approved. I was only required to undergo three months of nutritional counseling' date=' but that timeframe kept getting longer. At, the time I had a bmi of 49 but no comorbities. Aetna finally approved after I hired a healthcare advocate and threatened to sue.[/quote']

Wow . You went though hell.

Sorry to hear that honey .

Good for you for not giving up :))

I start my class on July first I can't wait I'm gonna ask a thousand questions lol :))

How are you doing these days ?

I am doing much better now. I have lost 74lbs since being sleeved on 2/19/13. Best wishes to you.

That didn't work for me. I had a 18 month fight with Aetna before I was approved. I was only required to undergo three months of nutritional counseling, but that timeframe kept getting longer. At, the time I had a bmi of 49 but no comorbidities. Aetna finally approved after I hired a healthcare advocate and threatened to sue.

I too had a year long fight with Aetna, apparently I had not been fat enough long enough. I was obese my entire life, but always ran a three year cycle of losing, maintaining and gaining back. No 24 month steady period of 24 months. I was fortunate enough to have 23 years of weight records. :) I won on the last appeal. It is worth the fight, never give up. It's the best present I ever gave myself.

  • Author
I am doing much better now. I have lost 74lbs since being sleeved on 2/19/13. Best wishes to you.

Awesome :))

Now that is Positive

& thank you sweetie !!

Starting weight-309

Surgery weight- 292

Starting weight-309

Surgery weight- 292

Goal weight- 165-170

I don't see it yet because I still have a way to go but others notice.

I have sleep apnea and was just diagnosed pre-diabetic. I still have to do my 6 month insurance program. You more than likely will too.

  • 5 months later...

Does anyone know about United healthcare and their protocol for approval? I have not called them yet but I have read their website and it seems as if their process is similar to others..

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