Skip to content
View in the app

A better way to browse. Learn more.

BariatricPal

A full-screen app on your home screen with push notifications, badges and more.

To install this app on iOS and iPadOS
  1. Tap the Share icon in Safari
  2. Scroll the menu and tap Add to Home Screen.
  3. Tap Add in the top-right corner.
To install this app on Android
  1. Tap the 3-dot menu (⋮) in the top-right corner of the browser.
  2. Tap Add to Home screen or Install app.
  3. Confirm by tapping Install.
  • Appearance

Join BariatricPal free

  • Ask your own questions
  • Reply and follow topics
  • Message other members
  • No cost, no spam

BMI 35 and insurance approved? ?

I would like to know if anyone here has the same situation. I have 35.2 bmi, diabetes, hbp and gallstones. ...so I need to remove my gallblader too...Can anyone share experiences or advise please??!

  • Replies 56
  • Views 10.6k
  • Created
  • Last Reply

Top Posters In This Topic

Most Popular Posts

  • Started with a 35 BMI, was told to lose no weight before surgery on 5/17 - down 56 pounds and 4 dress sizes.

  • Btw I have many illnesses because of obesity. I'm 4'11" and weighed 200. I'm 62. Wanted the last 20 or so years to be healthier and happier.

Featured Replies

I have a bmi of 37 with hbp and high cholesterol and got approved. I'm with anthem blue cross.

  • Author
I have a bmi of 37 with hbp and high cholesterol and got approved. I'm with anthem blue cross.

Oh I have high chol too...I have Neighborhoodheath/Masshealth....

How are you???? And thanks for answer me :)

Hi, I'm waiting for a surgery date because I was approved for RNY and it was supposed to be the sleeve so it had to be resubmitted to change the code. My dr's office doesn't set dates until everything is back approved. I'm hoping for an August date and my coordinator seems to think that wont be a problem. It was a first submission approval so hopefully you will get approved too. Where are you from?

  • Author
Hi' date=' I'm waiting for a surgery date because I was approved for RNY and it was supposed to be the sleeve so it had to be resubmitted to change the code. My dr's office doesn't set dates until everything is back approved. I'm hoping for an August date and my coordinator seems to think that wont be a problem. It was a first submission approval so hopefully you will get approved too. Where are you from?[/quote']

Any good news? ?

  • 2 weeks later...

Me! Bmi 35.6 hypertension and asthma. Bcbs *** blue option (NYS medicaid)

  • Author
Me! Bmi 35.6 hypertension and asthma. Bcbs *** blue option (NYS medicaid)

Yayyyyy!!

Ready, I thought I'd give you an update! I'm sleeved!!!! Yay!! 5 days post op today and doing pretty well. Looking forward to full liquids next week. Heard anything from your insurance yet? Don't give up...

I was a 35 BMI when I was approved for my lap band in '07 due to comorbidities. I am a 35 BMI this time and will be approved by my ins. due to comorbidities. I met my company's insurance criteria when I stepped on the scale at the surgeon's office between my weight and blood pressure. They require at BMI of 35 to 39.9 at least one comorbidity. They also require a 6 month medically supervised diet. The coordinator at Optum, who manages bariatric services for UHC, told me when your claim is reviewed for approval they use your starting weight. She also assured me if I lost weight and dropped below a BMI of 35 during the six month diet, I would not be disqualified from having surgery. I also have a prolapsed band, and am undergoing more tests currently to see if my claim can be submitted to ins. for approval early. I know I will be approved by my ins. co. it is just a matter of when it will occur.

My insurance wouldn't even discus it. Not covered for any reason. I put it on a credit card. Don't know if ill live long enough to pay it off but now with the sleeve there's a better chance that I will!

Btw I have many illnesses because of obesity. I'm 4'11" and weighed 200. I'm 62. Wanted the last 20 or so years to be healthier and happier.

  • Author
Ready' date=' I thought I'd give you an update! I'm sleeved!!!! Yay!! 5 days post op today and doing pretty well. Looking forward to full liquids next week. Heard anything from your insurance yet? Don't give up...[/quote']

So happy for you!!!! I had a gallblader surgery 3 days ago...now in 2 weeks I will have my last appointment with the surgeon, and maybe for sure I will get my date! !!

  • Author
Me! Bmi 35.6 hypertension and asthma. Bcbs *** blue option (NYS medicaid)

Good news???

My BMI was 36.3 with high blood pressure and sleep apnea. I was approved by BCBS of TX. :-)

  • Author
My BMI was 36.3 with high blood pressure and sleep apnea. I was approved by BCBS of TX. :-)

Ohhh yes! Another approval! I'm very happy for you, I want to finish my journey! !!

  • Author

Any with good news????

Join the conversation

You can post as a guest; create a free account to track replies, follow topics, and be part of the largest weight loss surgery community.

Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.

Guest
Reply to this topic...

Account

Navigation

Search

Search

Configure browser push notifications

Chrome (Android)
  1. Tap the lock icon next to the address bar.
  2. Tap Permissions → Notifications.
  3. Adjust your preference.
Chrome (Desktop)
  1. Click the padlock icon in the address bar.
  2. Select Site settings.
  3. Find Notifications and adjust your preference.