First consult today, went well but I am a bit confused. I know that requirement it to have a BMI of 40 or greater with no comorbidities but how in the world can you prove medical necessity if no comorbidities exist? Also, I have no current PCP as mine previous provider is no longer in practice. This is going to be the most difficult part for me of the process. Any thoughts?

Those are the guidelines. Actually, if I'm not mistaking, the FDA approval for use of the lapband device states that a patient should have a BMI of 35 or above with at least 1 comorbity or 40 and above with no comorbidities. The reason is that with a BMI of 40 or above, your risk of developing those diseases increases significantly. I'm on my phone instead of my computer or I would look up the FDA recommendations for lapband and post the link. You might search this site to see if you come up with something because I THINK I have seen something like that posted here before.

Countrysweet is correct, the standard is a BMI of 35 with two or more comorbidities or a BMI of 40 with no comorbidities.

If I were you, I'd talk to your surgeon's office. They may have a specific doctor they use for situations like yours.

Yes I was approved by Medicare and BC with a bmi of 38.9 with 2 comorbidities.. diabetes type 2 and high blood pressure.. Like Missy says contact your bariatric center and see if they can recommend a PCP for you...