Does anyone know the weight the insurance companies go by for approval? Do they go by the initial consult weight or do they go by your current weight?

I am in the appeals process but was just wondering if I get denied again.

I may need to gain 6-7lbs to reach a BMI of 40 since I was denied with a BMI of 38.73.

@wildflowergirl I can't imagine how frustrated you have been. It will happen, but looks like it will take a little longer. Keep your chin up.

Anyone getting sleeved in Birmingham?

@@ccol625 Honestly I'm not sure which they used but I couldn't lose any weight on my 3 month supervised diet or else I had a chance of being denied since I was right at a BMI of 40

Found out that Aetna changed the Policy they no longer say "two years" As long as doctor records show consistent on going obesity and the policy now says that during the 6 month supervised you can not have a net gain of weight- so you have to weigh the same or less at the last appointment as the first appointment. I am so excited I have been at a 40 BMI since November have had sleep apnea since January and have been over 35 BMI for over five years(probably longer) So I just started my 6 months this month (April) and if all goes well I'll get surgery the end of the year!!!!

Edited April 15, 201511 yr by wildflowergirl

@@wildflowergirl - That is great news! It will be here before you know it