BMI 35 and insurance approved? ?

[ReadyNewM3 112]

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??!

[Ahealthyme2013 39]

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

[ReadyNewM3 112]

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

[Ahealthyme2013 39]

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?

[ReadyNewM3 112]

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? ?

[Laceyvsg 27]

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

[ReadyNewM3 112]

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

Yayyyyy!!

[Ahealthyme2013 39]

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...

[ribearty 544]

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.

[sheilarae 84]

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!

[sheilarae 84]

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.

[ReadyNewM3 112]

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! !!

[ReadyNewM3 112]

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

Good news???

[Chantel 67]

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

[ReadyNewM3 112]

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! !!