So frustrated! Anyone know about BSBC coverage?

[HeatherB911 6]

Been to the seminar, been to the initial consultation. When I called insurance, they said if your BMI is 35-39 you had to have a comorbity issue accompanying that level. I have HBP. Now the doctor is saying that HBP doesn't really count, you also have to have diabetes, sleep apnea or high cholesterol along WITH hypertension to qualify. Why do they even include it then? Now, I have to have a sleep study and HOPE that I have sleep apnea???

[cindyw41 761]

hPB does count but he is correct that there has to be 2.

HBP

High Cholesterol

sleep apnea

Pre-diabetes

pCOS

copd

[Susan66 128]

It was sort of a long road/journey to get approved for me and so it seems to be that way for many others.

Go for your consultation with your chosen surgeon if you haven't yet and let him/her send you for whatever testing they feel needed. In my case, my surgeon worked hard at getting me approved. Good luck

Edited December 16, 2015 by Susan66

[Chelle Bean 51]

high blood pressure is a co morbidity. Also have the sleep study done now. Most EVERYONE has sleep apena, it has to be a RDI of 50 or greater! My BMI was 40 just barley and I only have sleep apnea and got approved.

[Miss Mac 6,262]

#5

Here is a list of comorbidities (additional conditions or diseases) related to obesity which MAY help you in qualifying for weight loss surgery. From NIH.gov

· 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