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.

Join BariatricPal free

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

Does Cancer count as Comorbid condition for.insurance approval ?

  • Replies 15
  • Views 1.7k
  • Created
  • Last Reply

Featured Replies

Hello u might not qualify... its not one of the co-morbidities conditions..but u need to call you're insurance carrier and find out!!!!!!

I don't know what kind of cancer you have or had...but either way, go talk to a Bariatric Surgeon and they can advise you on what will and what won't count as a comorbidity and if you will be a good candidate for WLS. We're here to offer all the support you need but most of us are not doctors and can't really offer medical judgments. I feel like you will be offered uplifting advice from a surgeon but you need to go talk to them. Wishing you luck.

This is a list of possible co-morbities. I got it from a duodenal switch website . This info is what insurance companies go by as establishes by the National Instiutes of Health

To follow is a list of comorbidities (additional conditions or diseases) related to obesity which may help you in qualifying for weight loss surgery. Of the 44, you will likely have one or two you van reach for. I wish you good luck and good health

  • Family history of heart disease
  • Family history of stroke
  • Family history of diabetes
  • Family history of heart attacks
  • Hyperinsulinemia
  • Diabetes
  • High blood pressure
  • Coronary-artery disease
  • Hypertension
  • Migraines or headaches directly related to obesity or cranial hypertension
  • Congestive heart failure
  • Neoplasia
  • Dyslipidemia
  • Anemia
  • Gallbladder disease
  • Osteoarthritis
  • Degenerative arthritis
  • Degenerative disc
  • Degenerative joint disease
  • Recommended joint replacement from specialist
  • Accelerated degenerative joint disease
  • Asthma
  • Repeated pneumonia
  • Repeated pleurisy
  • Repeated bronchitis
  • Lung restriction
  • Gastroesophageal reflex (GERD)
  • Excess facial & body hair (Hirsutism)
  • Rashes
  • Chronic skin infections
  • Excess sweating
  • Frequent yeast infections
  • Urinary stress incontinence
  • Menstrual irregularity
  • Hormonal abnormalities
  • Polycystic ovaries
  • Infertility
  • Carcinoma (breast, colon, uterine cancer)
  • sleep apnea
  • Pseudotumor cerebri
  • Depression
  • Psychological/sexual dysfunction
  • Social discrimination
  • Premature death
  • Author

I'm going to a seminar tomorrow. My bmi is like 36.... I'm a breast cancer survivor. I have anxiety depression issues, arthritis and asthma issues. Just curious if it was used as one, I know this isn't set in stone and you're not doctors. Just nervous...

Cancer is a disease not a comorbidity. With a 36 BMI I don't think they would approve you either. Just my guess but you have to be at least higher BMI then that.

I'm going to a seminar tomorrow. My bmi is like 36.... I'm a breast cancer survivor. I have anxiety depression issues, arthritis and asthma issues. Just curious if it was used as one, I know this isn't set in stone and you're not doctors. Just nervous...

[/quote

Sunnydove, I think the arthritis and asthma will get you over that number for approval but each doctor is different. Think positive and go to a seminar, they will work with you and get a family history to look for other possible problems. Wishing you luck.

  • Author

Thank you. I keep going back and forth with myself on pursuing this... but then I look at when I first started contemplating this out was last year in March... I coulda been further ahead, so I'm going tomorrow!!!

Years ago, I looked into wls when I was BMI 35.Couldn't get approved. Not even close. 15 years later, BMI of 40 and other problems, I was approved. Insurance could have saved a lot of $ on meds and other surgeries if they'd let me do this in 2000.

Miss Mac, I would think if your related condition is premature death, WLS would not be an option!

I think premature death was on most of our lists... Without surgery.

Its one of the reasons we had surgery...

That list is great, @@Miss Mac...but I think "premature death" would be a game changer all the way around! LOL

I was approved with a BMI of 36.4. I have sleep apnea and am pre-diabetic. I had no problems with my approval so you never know until you try.

I think premature death was on most of our lists... Without surgery. Its one of the reasons we had surgery...

True regarding the future - but it hasn't happened yet, so can't be a comorbidity.

Edited by Texasmeg

Yeah definitely talk to your surgeon and call your insurance. I was approved with a BMI of 36 and high cholesterol, 'possible' obesity related sleep apnea, and PCOS. I really just needed a BMI over 35 and 1 comorbidality. I've read that some insurances require 40. Even after you call your insurance see if your surgeon has had any luck getting similar issues approved. I was discouraged after just the insurance call but the surgeons office made it seem possible and it was!

Banded Dec 2013.

Oh yeah, if you need a 3 month surprised diet make sure that you really don't lose any weight to drop below the 35. Don't want to mess that part up with everything else going on, lol. It's a game and learn to play their rules.

Archived

This topic is now archived and is closed to further replies.

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.