BMI 40 but 2 year weight history BMI 35-40

[Dmog74 2]

My BMI is currently 40 and has hovered around the 39.5 mark the last year. The previous 5 years, however, my BMI has been closer to 35-36. I have no comorbidities, but am being tested for sleep apnea in a few weeks. I have Highmark BS and they require a 2 year history of "severe obesity". Anyone else encountered this or have experience with how strict they are about the 2 year history?

[Laceyvsg 27]

My insurance BCBS *** blue option NY required a 5 year history of being morbidly obese and I didn't have that. I just sent in my weights from my D visits from the last 5 years and I was approved!

[chickadee73 57]

This is one of the reasons I am going to Mexico. I have weight cycled so much my five-year history isn't there to get the surgery paid by United Healthcare. I'm already 40 and the arthritis gets worse every year. I don't think it's fair to make us suffer five years waiting to lose weight when we've battled it our entire lives, but insurance is what it is.

[Nesa 51]

My BMI is currently 40 and has hovered around the 39.5 mark the last year. The previous 5 years' date=' however, my BMI has been closer to 35-36. I have no comorbidities, but am being tested for sleep apnea in a few weeks. I have Highmark BS and they require a 2 year history of "severe obesity". Anyone else encountered this or have experience with how strict they are about the 2 year history?[/quote']

Did you get approved?

[Hevans 3]

My insurance company was pretty strict about the BMI of over 40, however I have been under 40 at previous times in the last 10 years and I just submitted all my records for at least 5 years (not consecutive) that showed a BMI of over 40 ( I think it was 2004, 2006, 2007,2012,2013) which was enough to approve the surgery.

[Rena's got this 274]

I am a yo yo dieter, and unfortunately my past 3 years history show that my BMI was between 36.6 and 41. Those times I went to the doctor and was weighed in were mainly after dieting, and didn't show me at my highest. My co=morbidities aren't bad enough for the 35 BMI, so I was denied by insurance. I'm in the process of appealing to BCBS of Alabama, but if that doesn't work, I'm heading to Mexico.

[Dmog74 2]

I ended up being tested and I have sleep apnea requiring CPAP. My insurance also changed. I have a BMI of 41 now, but also have the one comorbidity of sleep apnea if my BMI drops below 40. I see the weight management nurse practicioner tomorrow for my first visit to start my 6 month supervised program. Wish me luck!!!

[Dmog74 2]

I ended up being tested and I have sleep apnea requiring CPAP. My insurance also changed. I have a BMI of 41 now, but also have the one comorbidity of sleep apnea if my BMI drops below 40. I see the weight management nurse practicioner tomorrow for my first visit to start my 6 month supervised program. Wish me luck!!!